{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T23:02:27Z","timestamp":1789599747340,"version":"build-2803163510"},"reference-count":41,"publisher":"Journal of Sports Science and Medicine","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["jsportscimed"],"abstract":"<jats:p>Foot-strike patterns, including rearfoot strike (RFS), midfoot strike (MFS), and forefoot strike (FFS), are related to running injuries. Additionally, cumulative load is an important parameter when considering running injuries, but the cumulative loads of Achilles tendon force (ATF), plantar fascia force (PFF), and patellofemoral joint stress (PFJS) across all foot-strike patterns, including MFS, remain unknown. This study examined the effects of different foot-strike patterns during running, including MFS, on the peak values and cumulative load of ATF, PFF, and PFJS. Twenty healthy participants were enrolled in this study. The ATF, PFF, and PFJS during barefoot running with RFS, MFS, and FFS at 10 km\/h were analyzed using a three-dimensional motion capture system and force plates. Their peak values and impulse per mile (an indicator of cumulative load) were calculated. These variables were statistically compared across foot strike patterns. The significance level was adjusted using the Bonferroni method for post-hoc tests (\u03b1 = 0.016). Additionally, Cohen's d was used to calculate the effect size. The peak values and cumulative loads of the ATF and PFF were highest in FFS, followed by MFS and RFS. Conversely, the peak values and cumulative loads of the PFJS were higher in RFS and MFS than in FFS. Additionally, the effect size of impulse per mile was larger than that for peak values. The load is applied to different regions depending on the foot-strike pattern. ATF and PFF showed intermediate values at midfoot strike, MFS is suggesting that it may reduce the risk of developing or exacerbating Achilles tendinopathy and plantar fasciitis. Moreover, cumulative load may be a more meaningful parameter than peak values for estimating load during actual running.<\/jats:p>","DOI":"10.52082\/jssm.2025.747","type":"journal-article","created":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T08:27:16Z","timestamp":1759307236000},"page":"747-754","source":"Crossref","is-referenced-by-count":5,"title":["Effects of Foot-Strike Patterns During Running on Cumulative Load of Achilles Tendon Force, Plantar Fascia Force, and Patellofemoral Joint Stress"],"prefix":"10.52082","author":[{"given":"Honoka","family":"Nishiguchi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Takabayashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takanori","family":"Kikumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masayoshi","family":"Kubo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29163","published-online":{"date-parts":[[2025,12,1]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Almonroeder T. G., Benson L. C. (2017) Sex differences in lower extremity kinematics and patellofemoral kinetics during running. Journal of Sports Sciences 35, 1575-1581.","DOI":"10.1080\/02640414.2016.1225972"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Almonroeder T., Willson J. D., Kernozek T. W. (2013) The effect of foot strike pattern on achilles tendon load during running. Annals of Biomedical Engineering 41, 1758-1766.  Crossref","DOI":"10.1007\/s10439-013-0819-1"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Altman A. R., Davis I. S. (2012) A kinematic method for footstrike pattern detection in barefoot and shod runners. Gait & Posture 35, 298-300.  Crossref","DOI":"10.1016\/j.gaitpost.2011.09.104"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Anderson L. M., Bonanno D. R., Hart H. F., Barton C. J. (2020) What are the benefits and risks associated with changing foot strike pattern during running? A systematic review and meta-analysis of injury, running economy, and biomechanics. Sports Medicine 50, 885-917.  Crossref","DOI":"10.1007\/s40279-019-01238-y"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Besson T., Sabater Pastor F., Varesco G., Berthet M., Kennouche D., Dandrieux P. E., Rossi J., Millet G. Y. (2023) Elite vs. experienced male and female trail runners: Comparing running economy, biomechanics, strength, and power. Journal of Strength and Conditioning Research 37, 1470-1478.  Crossref","DOI":"10.1519\/jsc.0000000000004412"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Bonacci J., Vicenzino B., Spratford W., Collins P. (2014) Take your shoes off to reduce patellofemoral joint stress during running. British Journal of Sports Medicine 48, 425-428.  Crossref","DOI":"10.1136\/bjsports-2013-092160"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Bovalino S. P., Kingsley M. I. C. (2021) Foot strike patterns during overground distance running: A systematic review and meta-analysis. Sports Medicine - Open 7, 82-.  Crossref","DOI":"10.1186\/s40798-021-00369-9"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Burke A., Dillon S., O'Connor S., Whyte E. F., Gore S., Moran K. A. (2021) Risk factors for injuries in runners: A systematic review of foot strike technique and its classification at impact. Orthopaedic Journal of Sports Medicine 9, 23259671211020283-.  Crossref","DOI":"10.1177\/23259671211020283"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Cavanagh P. R., Lafortune M. A. (1980) Ground reaction forces in distance running. Journal of Biomechanics 13, 397-406.  Crossref","DOI":"10.1016\/0021-9290(80)90033-0"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Chen T. L., Wong D. W., Wang Y., Lin J., Zhang M. (2019) Foot arch deformation and plantar fascia loading during running with rearfoot strike and forefoot strike: A dynamic finite element analysis. Journal of Biomechanics 83, 260-272.  Crossref","DOI":"10.1016\/j.jbiomech.2018.12.007"},{"key":"ref10","unstructured":"Journal of Sports Science and Medicine Cohen J. (2013) Statistical power analysis for the behavioral sciences. Routledge.  Crossref"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Doyle E. W., Doyle T. L. A., Bonacci J., Beach A. J., Fuller J. T. (2023) Cumulative patellofemoral force and stress are lower during faster running compared to slower running in recreational runners. Sports Biomechanics , 1-13.  Crossref","DOI":"10.1080\/14763141.2023.2226111"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Evans R. J., Moffit T. J., Mitchell P. K., Pamukoff D. N. (2023) Injury and performance related biomechanical differences between recreational and collegiate runners. Frontiers in Sports and Active Living 5, 1268292-.  Crossref","DOI":"10.3389\/fspor.2023.1268292"},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Hanley B., Bissas A., Merlino S., Gruber A. H. (2019) Most marathon runners at the 2017 IAAF World Championships were rearfoot strikers, and most did not change footstrike pattern. Journal of Biomechanics 92, 54-60.  Crossref","DOI":"10.1016\/j.jbiomech.2019.05.024"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Jiang X., B\u00edr\u00f3 I., S\u00e1rosi J., Fang Y., Gu Y. (2024) Comparison of ground reaction forces as running speed increases between male and female runners. Frontiers in Bioengineering and Biotechnology 12, 1378284-.  Crossref","DOI":"10.3389\/fbioe.2024.1378284"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Kakouris N., Yener N., Fong D. T. P. (2021) A systematic review of running-related musculoskeletal injuries in runners. Journal of Sport and Health Science 10, 513-522.  Crossref","DOI":"10.1016\/j.jshs.2021.04.001"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Kernozek T., Gheidi N., Ragan R. (2017) Comparison of estimates of Achilles tendon loading from inverse dynamics and inverse dynamics-based static optimisation during running. Journal of Sports Sciences 35, 2073-2079.  Crossref","DOI":"10.1080\/02640414.2016.1255769"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Kulmala J.-P., Avela J., Pasanen K., Parkkari J. (2013) Forefoot strikers exhibit lower running-induced knee loading than rearfoot strikers. Medicine & Science in Sports & Exercise 45, 2306-2313.  Crossref","DOI":"10.1249\/MSS.0b013e31829efcf7"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Lenhart R. L., Thelen D. G., Wille C. M., Chumanov E. S., Heiderscheit B. C. (2014) Increasing running step rate reduces patellofemoral joint forces. Medicine and Science in Sports and Exercise 46, 557-564.  Crossref","DOI":"10.1249\/MSS.0b013e3182a78c3a"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Lieberman D. E., Venkadesan M., Werbel W. A., Daoud A. I., D'Andrea S., Davis I. S., Mang'eni R. O., Pitsiladis Y. (2010) Foot strike patterns and collision forces in habitually barefoot versus shod runners. Nature 463, 531-535.  Crossref","DOI":"10.1038\/nature08723"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine McCrory J. L., Martin D. F., Lowery R. B., Cannon D. W., Curl W. W., Read H. M., Hunter D. M., Craven T., Messier S. P. (1999) Etiologic factors associated with Achilles tendinitis in runners. Medicine and Science in Sports and Exercise 31, 1374-1381.  Crossref","DOI":"10.1097\/00005768-199910000-00003"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Nunes G. S., Scattone Silva R., Dos Santos A. F., Fernandes R. A. S., Serr\u00e3o F. V., de Noronha M. (2018) Methods to assess patellofemoral joint stress: A systematic review. Gait & Posture 61, 188-196.  Crossref","DOI":"10.1016\/j.gaitpost.2017.12.018"},{"key":"ref22","unstructured":"Journal of Sports Science and Medicine Ogaya S., Suzuki M., Yoshioka C., Nakamura Y., Kita S., Watanabe K. (2021) The effects of trunk endurance training on running kinematics and its variability in novice female runners. Sports Biomechanics , 1-12.  Crossref"},{"key":"ref23","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Oliveira A. S., Gizzi L., Ketabi S., Farina D., Kersting U. G. (2016) Modular control of treadmill vs overground running. PLoS ONE 11, e0153307-.  Crossref","DOI":"10.1371\/journal.pone.0153307"},{"key":"ref24","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Powers C. M., Lilley J. C., Lee T. Q. (1998) The effects of axial and multi-plane loading of the extensor mechanism on the patellofemoral joint. Clinical Biomechanics 13, 616-624.  Crossref","DOI":"10.1016\/S0268-0033(98)00013-8"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Quan W., Zhou H., Xu D., Li S., Baker J. S., Gu Y. (2021) Competitive and recreational running kinematics examined using principal components analysis. Healthcare 9, 1300-.  Crossref","DOI":"10.3390\/healthcare9101321"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Rice H., Seynnes O., Werkhausen A. (2023) Effect of increased running speed and weight carriage on peak and cumulative tibial loading. Scandinavian Journal of Medicine & Science in Sports 33, 2516-2523.  Crossref","DOI":"10.1111\/sms.14476"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Rugg S. G., Gregor R. J., Mandelbaum B. R., Chiu L. (1990) In vivo moment arm calculations at the ankle using magnetic resonance imaging (MRI). Journal of Biomechanics 23, 495-501.  Crossref","DOI":"10.1016\/0021-9290(90)90305-M"},{"key":"ref28","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Scott S. H., Winter D. A. (1990) Internal forces of chronic running injury sites. Medicine and Science in Sports and Exercise 22, 357-369.  Crossref","DOI":"10.1249\/00005768-199006000-00013"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Sinclair J. (2014) Effects of barefoot and barefoot inspired footwear on knee and ankle loading during running. Clinical Biomechanics 29, 395-399.  Crossref","DOI":"10.1016\/j.clinbiomech.2014.02.004"},{"key":"ref30","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Takabayashi T., Edama M., Inai T., Nakamura E., Kubo M. (2020) Effect of gender and load conditions on foot arch height index and flexibility in Japanese youths. The Journal of Foot and Ankle Surgery 59, 1144-1147.  Crossref","DOI":"10.1053\/j.jfas.2020.03.019"},{"key":"ref31","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Takabayashi T., Edama M., Yokoyama E., Kanaya C., Kubo M. (2018) Quantifying coordination among the rearfoot, midfoot, and forefoot segments during running. Sports Biomechanics 17, 18-32.  Crossref","DOI":"10.1080\/14763141.2016.1271447"},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Taunton J. E., Ryan M. B., Clement D. B., McKenzie D. C., Lloyd-Smith D. R., Zumbo B. D. (2002) A retrospective case-control analysis of 2002 running injuries. British Journal of Sports Medicine 36, 95-101.  Crossref","DOI":"10.1136\/bjsm.36.2.95"},{"key":"ref33","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine van Eijden T. M., Kouwenhoven E., Verburg J., Weijs W. A. (1986) A mathematical model of the patellofemoral joint. Journal of Biomechanics 19, 219-229.  Crossref","DOI":"10.1016\/0021-9290(86)90154-5"},{"key":"ref34","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Vannatta C. N., Kernozek T. W. (2015) Patellofemoral joint stress during running with alterations in foot strike pattern. Medicine and Science in Sports and Exercise 47, 1001-1008.  Crossref","DOI":"10.1249\/MSS.0000000000000503"},{"key":"ref35","doi-asserted-by":"publisher","unstructured":"Journal of Sports Science and Medicine Wearing S. C., Smeathers J. E., Urry S. R., Hennig E. M., Hills A. P. (2006) The pathomechanics of plantar fasciitis. Sports Medicine 36, 585-611.  Crossref","DOI":"10.2165\/00007256-200636070-00004"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Wei Z., Hou X., Qi Y., Wang L. (2024) Influence of foot strike patterns and cadences on patellofemoral joint stress in male runners with patellofemoral pain. Physical Therapy in Sport 65, 1-6.  Crossref","DOI":"10.1016\/j.ptsp.2023.10.006"},{"key":"ref37","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Whyte E. F., Moran K., Shortt C. P., Marshall B. (2010) The influence of reduced hamstring length on patellofemoral joint stress during squatting in healthy male adults. Gait & Posture 31, 47-51.  Crossref","DOI":"10.1016\/j.gaitpost.2009.08.243"},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Willwacher S., Kurz M., Robbin J., Thelen M., Hamill J., Kelly L., Mai P. (2022) Running-related biomechanical risk factors for overuse injuries in distance runners: A systematic review considering injury specificity and the potentials for future research. Sports Medicine 52, 1863-1877.  Crossref","DOI":"10.1007\/s40279-022-01666-3"},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Willy R. W., Halsey L., Hayek A., Johnson H., Willson J. D. (2016) Patellofemoral joint and Achilles tendon loads during overground and treadmill running. Journal of Orthopaedic & Sports Physical Therapy 46, 664-672.  Crossref","DOI":"10.2519\/jospt.2016.6494"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"Journal of Sports Science and Medicine Xu Y., Yuan P., Wang R., Wang D., Liu J., Zhou H. (2021) Effects of foot strike techniques on running biomechanics: A systematic review and meta-analysis. Sports Health 13, 71-77.  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