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Article
Tibial stress during running following a repeated calf‐raise protocol
Scandinavian Journal of Medicine & Science in Sports
  • Hannah M. Rice, University of Exeter
  • Megan Kenny, University of Exeter
  • Matthew A. Ellison, University of Exeter
  • Jon Fulford, University of Exeter Medical School
  • Stacey A. Meardon, East Carolina University
  • Timothy R Derrick, Iowa State University
  • Joseph Hamill, University of Massachusetts
Document Type
Article
Publication Version
Accepted Manuscript
Publication Date
8-5-2020
DOI
10.1111/sms.13794
Abstract

Abstract Tibial stress fractures are a problematic injury amongst runners. Increased loading of the tibia has been observed following prolonged weight‐bearing activity and is suggested to be the result of reduced activity of the plantar flexor muscles. The musculature that spans the tibia contributes to bending of the bone and influences the magnitude of stress on the tibia during running. Participant‐specific models of the tibia can be used as a non‐invasive estimate of tibial stress. This study aimed to quantify tibial stress during running using participant‐specific bone geometry and to compare tibial stress before and after a protocol of repeated muscular contractions of the plantar flexor muscle group. Fourteen participants who run recreationally were included in the final analysis of the study. Synchronised force and kinematic data were collected during overground running before and after an exhaustive, weighted calf‐raise protocol. Bending moments and stress at the distal third of the tibia were estimated using beam theory combined with inverse dynamics and musculoskeletal modelling. Bone geometry was obtained from magnetic resonance images. There was no difference in stress at the anterior, posterior, medial or lateral peripheries of the tibia after the calf‐raise protocol compared with before. These findings suggest that an exhaustive, repeated calf‐raise protocol did not alter tibial stress during running.

Comments

This accepted article is published as Rice, H.M., Kenny, M., Ellison, M.A., Fulford, J., Meardon, S.A., Derrick, T.R., Hamill, J., Tibial stress during running following a repeated calf‐raise protocol. Scandinavian Journal of Medicine & Science in Sports, August 5 2020. Doi: 10.1111/sms.13794. Posted with permission.

Creative Commons License
Creative Commons Attribution-No Derivative Works 4.0 International
Copyright Owner
John Wiley & Sons, Inc.
Language
en
File Format
application/pdf
Citation Information
Hannah M. Rice, Megan Kenny, Matthew A. Ellison, Jon Fulford, et al.. "Tibial stress during running following a repeated calf‐raise protocol" Scandinavian Journal of Medicine & Science in Sports (2020)
Available at: http://works.bepress.com/timothy_derrick/14/