Nevertheless, gait retraining on a treadmill with the intention of lowering the impact loading has led to fewer running-related injuries (62% lower injury risk) in novice runners 2. Other case–control studies failed to observe a clear difference in groups of runners with and without a history of tibial stress injury 9, 10. Evidence for this association is provided in female distance runners 8. Various studies have focused on the reduction in tibial shock (i.e., the axial peak tibial acceleration) 1, 4, 5, 6, 7, presumably because the magnitude of the tibial shock has been associated with tibial stress fracture susceptibility. Gait retraining has been put forward as a method to reduce or treat injuries in distance runners 2, 3.

Gait retraining intends to alter a motor pattern that has become habituated over many years 1. Real-time feedback on tibial acceleration during treadmill running This paves the way to evaluate and retrain runners in over-ground running programs that target running with less impact through instantaneous auditory feedback on tibial shock. The results indicate that a wearable biofeedback system aids in shock reduction during over-ground running. The reduction in tibial shock did not result in a clear increase in the running cadence. The results show that tibial shock decreased by 27% or 2.96 g without guided instructions on gait modification in the biofeedback condition. The running speed was controlled between the condition without biofeedback and the condition of biofeedback. The level of noise could be reduced by reducing the momentary level of tibial shock, thereby providing a more pleasant listening experience. The music was automatically synchronized to the running cadence. The feedback consisted of music superimposed with noise coupled to tibial shock. They used a music-based biofeedback system with headphones in a running session on an athletic track. We selected ten runners with high tibial shock. In this study, we extend these methods to a more natural environment with a proof-of-concept. These methods were developed using treadmill running. Methods to reduce impact in distance runners have been proposed based on real-time auditory feedback of tibial acceleration.

System shock research level music