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Peer-reviewedCC BYFrontiers in Bioengineering and Biotechnology

Multi-planar intersegmental coordination differs between retrained and habitual non-rearfoot strikers

6 affiliations
  1. 1Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai University of Sport, Shanghai, China
  2. 2Department of Physical Education, Central South University, Changsha, China
  3. 3Li Ning Sports Science Research Center, Li Ning (China) Sports Goods Company Limited, Beijing, China
  4. 4College of Physical Education, Nanchang University, Nanchang, China
  5. 5Faculty of Sports Science, Ningbo University, Ningbo, China
  6. 6School of Intelligent Sports Engineering, Shanghai University of Sport, Shanghai, China

Abstract

PurposeThis study aimed to compare multi-planar shank-foot coordination patterns and variability during stance between runners who transitioned from a rearfoot strike (RFS) to a non-rearfoot strike (NRFS) through gait retraining (RETs) and habitual NRFS runners (HABs).MethodsThirty-eight runners (18 RETs, 20 HABs) were analyzed. Multi-planar shank-foot coordination patterns and coordination variability (CV) were quantified across three key couplings using a modified vector coding technique. Sagittal-plane and impact-related outcomes, coordination-pattern proportions, and CV were analyzed using independent-samples tests, Mann-Whitney U tests, and generalized linear mixed models, respectively.ResultsPrimary analyses showed no statistically significant between-group differences in foot-strike angle, peak vGRF, VALR, or VILR. Covariate-adjusted sensitivity analyses identified lower VALR and VILR in RETs (P = 0.040 and P = 0.025). Coordination-pattern proportions differed during P4 of the shank transverse vs. foot sagittal coupling, with RETs exhibiting greater anti-phase distal-dominant and lower in-phase distal-dominant coordination. Significant group × phase interactions in CV were observed across all three couplings (P ≤ 0.002), with greater CV in RETs during P2 of the shank frontal vs. foot sagittal coupling (P = 0.021).ConclusionPhase- and coupling-specific differences in shank-foot coordination were observed between HABs and RETs who completed gait retraining and demonstrated an NRFS pattern at testing. Multi-planar coordination analysis may therefore provide complementary information beyond foot-strike classification and selected sagittal-plane or external loading measures.

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BibTeX
@article{zhi2026multiplanar,
  title = {{Multi-planar intersegmental coordination differs between retrained and habitual non-rearfoot strikers}},
  author = {Ruoyu Zhi and Liqin Deng and Liqin Deng and Kaicheng Wu and Fan Yang and Bokai Suo and Zeyu Lu and Yunjian Zhong and Xini Zhang and Weijie Fu},
  journal = {Frontiers in Bioengineering and Biotechnology},
  year = {2026},
  month = nov,
  doi = {10.3389/fbioe.2026.1948314},
  url = {https://doi.org/10.3389/fbioe.2026.1948314},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Multi-planar intersegmental coordination differs between retrained and habitual non-rearfoot strikers
AU  - Ruoyu Zhi
AU  - Liqin Deng
AU  - Liqin Deng
AU  - Kaicheng Wu
AU  - Fan Yang
AU  - Bokai Suo
AU  - Zeyu Lu
AU  - Yunjian Zhong
AU  - Xini Zhang
AU  - Weijie Fu
PY  - 2026
DA  - 2026/11/09
JO  - Frontiers in Bioengineering and Biotechnology
DO  - 10.3389/fbioe.2026.1948314
UR  - https://doi.org/10.3389/fbioe.2026.1948314
AB  - PurposeThis study aimed to compare multi-planar shank-foot coordination patterns and variability during stance between runners who transitioned from a rearfoot strike (RFS) to a non-rearfoot strike (NRFS) through gait retraining (RETs) and habitual NRFS runners (HABs).MethodsThirty-eight runners (18 RETs, 20 HABs) were analyzed. Multi-planar shank-foot coordination patterns and coordination variability (CV) were quantified across three key couplings using a modified vector coding technique. Sagittal-plane and impact-related outcomes, coordination-pattern proportions, and CV were analyzed using independent-samples tests, Mann-Whitney U tests, and generalized linear mixed models, respectively.ResultsPrimary analyses showed no statistically significant between-group differences in foot-strike angle, peak vGRF, VALR, or VILR. Covariate-adjusted sensitivity analyses identified lower VALR and VILR in RETs (P = 0.040 and P = 0.025). Coordination-pattern proportions differed during P4 of the shank transverse vs. foot sagittal coupling, with RETs exhibiting greater anti-phase distal-dominant and lower in-phase distal-dominant coordination. Significant group × phase interactions in CV were observed across all three couplings (P ≤ 0.002), with greater CV in RETs during P2 of the shank frontal vs. foot sagittal coupling (P = 0.021).ConclusionPhase- and coupling-specific differences in shank-foot coordination were observed between HABs and RETs who completed gait retraining and demonstrated an NRFS pattern at testing. Multi-planar coordination analysis may therefore provide complementary information beyond foot-strike classification and selected sagittal-plane or external loading measures.
SN  - 2296-4185
ER  -