Running biomechanics and muscle strength

Running physiotherapy injury

 

Biomechanics refers to how we are built and how we move. Some of us have legs that bow out (varus alignment) and others have knock knees (valgus alignment) which relates to the shape of our bone structure. It is a combination of our bony structure and how well our muscles work that can increase the likelihood of injury with running. This blog is looking at key areas of muscle weakness that alter our biomechanics and lead to injury. Your bony structure can’t be changed but improving your strength in the right areas can be achieved within 6 weeks of an exercise program that is designed for you. Assessing the biomechanics of the body combined with a basic understanding of your running style is important if you are serious about running.

A biomechanical physiotherapy assessment considers whether you have sufficient strength and mobility in the right places for running. The muscles in the back of the leg (calf, hamstring and gluteal) are important to maintain strength for running. Weakness in these muscles often leads to pain and injury in runners.

  • Calf muscle and Achilles tendon strength – it is important to understand that both muscles and tendons can respond to the loads we put on them. A simple test and exercise for the calf and achilles is the calf raise. If you can’t do a repeated full height single leg calf raise of more than 6 reps than you probably don’t have enough strength. I encourage people to get to 15 reps and be able to repeat 3 sets as a baseline but there isn’t a magic number here because it also depends on your running style. If you are about to change your style and get further forwards on the forefoot then check your calf and achilles strength first to minimise the chance of getting achilles tendon problems.

calf raise

  • Hamstring strength is essential for fast running but a base level of strength is also important for your park runners to 10km distances. Clearly the most functional way to strengthen the hamstrings for running is to gradually increase the distance and intensity of your running sessions. If you can’t do a hamstring bridge exercise or it takes considerable effort then you need to get stronger. Caution with doing this exercise – if it causes back pain then stop and discuss with one of our physio’s.

hamstring bridge

  • Gluteal (buttock muscle) strength allows for a stable pelvis during running. If you don’t have adequate gluteal strength it puts extra load on the knees, hips and lower back. Unless you have had a biomechanical physio assessment you probably don’t know if your glut’s are working well enough. A glute bridge is similar to a hamstring bridge but the knees are bent at approximately 90°. By bending the knees it makes it harder to use the hamstrings to lift the bottom and thus challenges the gluteal muscles more. Again if you have back pain stop and get some advice.

glute bridge

  • A squat is another good exercise to get the glute muscles working for runners but it needs to be done correctly. Keeping the back straight and bending at both the knees and hips gets the gluteal muscles working. Once you have been taught to do a squat correctly the challenge is a single leg squat with letting the knee drop in valgus collapse.

Squat exercise

Hope you have enjoyed reading about good strength exercises for runners. Thanks to Pete for his stick figure art which has been enjoyed by his clients for many years.

 

Running injuries – How to avoid them

running

There is a lot of expert opinion on running technique for performance and injury but its complex and sometimes contradictory. When we look at running without injury what helps one person often doesn’t for the next. Pain is not uncommon with running so for this article lets define an injury as when pain influences your running. This article is running advice that often does help get you running pain free …

Planning your approach to running is important but most of us just run when we get the time.

How often should I run is a great question with many possible answers. Let’s start with why you run? Having a goal is an important part of getting started. What do you want to achieve by running: increase fitness, lose weight, do a 5km park run, improve your time for running a set distance, complete a half or full marathon or simply feel better mentally and physically. Let’s aim to minimise or avoid muscle or joint pain that stops you from continuing to run.

How often (runs per week) and how long (distance)?

This depends on whether you have been running lately or not. If you haven’t run in the past 12 months then you need to start slower and less frequently then increase more gradually. There are apps such as couch to 5kms that can help guide you with graded increases. If you already have a base level of running fitness then you can progress more quickly.

Starting with 2 runs per week and working up to 4 per week is a good guide for frequency but it depends on how far you are running and you base running fitness. Starting with 3km walk / jog progressing to continuous jogging then working towards 5km (park run distance) is a good place for those who haven’t run recently.

One of the most common mistakes leading to joint or tendon pain is just doing too much too soon.

If you have had running injuries such as back or hip pain, shin splints or knee pain previously then a physio assessment is recommended before you start. This will identify stretches and strength exercises that will help and provide a guide to how often and how far you run when getting started.

What surface (grass, beach, cement, road)?

The surface you run on needs to be considered. If you want to do a half marathon on road and cement then we need to prepare your body for these surfaces. But if you are just getting started grass has the least impact and has most give to reduce impact stress through the legs. Road or tar is next then cement is the most stressful. Beach is obviously going to have less impact but be careful on the wet sand near the water if there is a reasonable side slope as this will quickly lead to pain. Soft sand level running is hard work, fantastic fitness and low impact but again don’t go too hard too soon. If you are prone to foot pain, then you should have shoes on even for beach runs.

What type of shoes?

There is a lot of research being done around shoe types and orthotics. You can read more detail in our running shoes blog but the only accurate advice is once you have found a type of shoe that allows you to run without pain then stay with it. Finding that shoe becomes more difficult and it is recommended that a physio assessment look at your foot type, muscle strength and running style to best advise a starting point.

How should I run (technique)?

There is lots of information about the ideal running technique (such as the ‘pose’ method) but what suits one body may not suit the next. To land on your heel first like when we walk is associated with increased pressure on the joints in our legs. Alternately to land on the forefoot increases loads on the achilles, calf and shin. If someone has a natural preference to one style and doesn’t have any complaints then you are best not to change your style. If you are trying to avoid knee pain by running more on your forefoot you might just develop an achilles problem and then not be able to run. If you do have joint pain and have been advised to change your running style then get advice and make the change very slowly.

If you have any questions in relation to preventing or treating running injuries let us know on admin@numovesphysiotherapy.com.au