{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T15:02:20Z","timestamp":1790866940069,"version":"4.1.0"},"reference-count":27,"publisher":"BMJ","issue":"13","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Sports Med"],"published-print":{"date-parts":[[2009,12]]},"abstract":"<jats:sec>\n                  <jats:title>Objective:<\/jats:title>\n                  <jats:p>To determine prospectively gait-related risk factors for lower leg overuse injury (LLOI).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Design:<\/jats:title>\n                  <jats:p>A prospective cohort study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Setting:<\/jats:title>\n                  <jats:p>Male and female recruits from a start-to-run (STR) programme during a 10-week training period.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Participants:<\/jats:title>\n                  <jats:p>131 healthy subjects (20 men and 111 women), without a history of any lower leg complaint, participated in the study.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Interventions:<\/jats:title>\n                  <jats:p>Before the start of the 10-week STR programme, plantar force measurements during running were performed. During STR, lower leg injuries were diagnosed and registered by a sports physician.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Main Outcome Measures:<\/jats:title>\n                  <jats:p>Plantar force measurements during running were performed using a footscan pressure plate.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results:<\/jats:title>\n                  <jats:p>During the STR, 27 subjects (five men and 22 women) developed a LLOI. Logistic regression analysis revealed that subjects who developed a LLOI had a significantly more laterally directed force distribution at first metatarsal contact and forefoot flat, a more laterally directed force displacement in the forefoot contact phase, foot flat phase and at heel-off. These subjects also had a delayed change of the centre of force (COF) at forefoot flat, a higher force and loading underneath the lateral border of the foot, and a significantly higher directed force displacement of the COF at forefoot flat.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions:<\/jats:title>\n                  <jats:p>These findings suggest that a less pronated heel strike and a more laterally directed roll-off can be considered as risk factors for LLOI. Clinically, the results of this study can be considered important in identifying individuals at risk of LLOI.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/bjsm.2008.055723","type":"journal-article","created":{"date-parts":[[2009,2,19]],"date-time":"2009-02-19T20:13:18Z","timestamp":1235074398000},"page":"1057-1061","source":"Crossref","is-referenced-by-count":49,"title":["A prospective study on gait-related intrinsic risk factors for lower leg overuse injuries"],"prefix":"10.1136","volume":"43","author":[{"given":"N Ghani Zadeh","family":"Hesar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Van Ginckel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Cools","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W","family":"Peersman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Roosen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D","family":"De Clercq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Witvrouw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2009,2,18]]},"reference":[{"key":"2025080115313248000_43.13.1057.1","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199214050-00004"},{"key":"2025080115313248000_43.13.1057.2","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-199807000-00005"},{"key":"2025080115313248000_43.13.1057.3","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1989.00390110117026"},{"key":"2025080115313248000_43.13.1057.4","doi-asserted-by":"publisher","DOI":"10.1177\/036354658701500213"},{"key":"2025080115313248000_43.13.1057.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(03)00085-1"},{"key":"2025080115313248000_43.13.1057.6","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199826060-00003"},{"key":"2025080115313248000_43.13.1057.7","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199826030-00003"},{"key":"2025080115313248000_43.13.1057.8","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2003.005488"},{"key":"2025080115313248000_43.13.1057.9","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.37.1.13"},{"key":"2025080115313248000_43.13.1057.10","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2008.046649"},{"key":"2025080115313248000_43.13.1057.11","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000247001.94470.21"},{"key":"2025080115313248000_43.13.1057.12","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2004.12.004"},{"key":"2025080115313248000_43.13.1057.13","unstructured":"Clarke TE Frederick EC Hamill CL . 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