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Thursday-Abstracts

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Official Journal of the American College of Sports Medicine<br />

models to estimate internal knee loads during running, and have shown that increasing<br />

step rate (i.e. shortening step length) can reduce patellofemoral (PF) loading. However,<br />

many clinics do not have sophisticated modeling technology available, and would<br />

benefit from a simpler way to assess PF loads.<br />

PurPOsE: To determine what kinematic and kinetic variables predict PF loads when<br />

running.<br />

METhOds: 30 healthy runners (35±15 yrs, 69.6±10.8 kg, 1.76±0.10 m) had<br />

whole body kinematics and ground reaction forces measured while running on an<br />

instrumented treadmill. Each ran at his/her preferred speed (2.79±0.48 m/s) at three<br />

step rates: 90, 100, and 110% of preferred. Running mechanics were analyzed using<br />

a musculoskeletal model that included a 1-degree of freedom PF joint. Inverse<br />

kinematics and dynamics were used to compute joint angles and moments. Numerical<br />

optimization was then used to estimate muscle, patellar tendon and joint reaction<br />

forces. Peak PF force was calculated over five strides from each condition. A forward<br />

step-wise fitted repeated measures-ANOVA model was created with PF force per unit<br />

body weight as the response variable.<br />

rEsuLTs: PF force was significantly increased (+15%) at the 90% step rate, and<br />

decreased (-14%) at the 110% condition (p

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