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Increased Barefoot Stride Variability Might Be Predictor Rather than Risk Factor for Overuse Injury in the Military

Author

Listed:
  • Darja Nesterovica-Petrikova

    (Military Medicine Research and Study Center, Rīga Stradiņš University, LV-1048 Riga, Latvia)

  • Normunds Vaivads

    (Joint Headquarters of the Latvian National Armed Forces Medical Service, LV-1006 Riga, Latvia)

  • Ainārs Stepens

    (Military Medicine Research and Study Center, Rīga Stradiņš University, LV-1048 Riga, Latvia)

Abstract

Footwear usage could be a promising focus in reducing musculoskeletal injury risk in lower extremities commonly observed among the military. The goal of this research was to find potential gait-related risk factors for lower leg overuse injuries. Cases ( n = 32) were active-duty infantry soldiers who had suffered an overuse injury in the previous six months of service before enrolling in the study. The control group ( n = 32) included infantry soldiers of the same age and gender who did not have a history of lower leg overuse injury. In the gait laboratory, individuals were asked to walk on a 5-m walkway. Rearfoot eversion, ankle plantar/dorsiflexion and stride parameters were evaluated for barefoot and shod conditions. Barefoot walking was associated with higher stride time variability among cases. According to the conditional regression analysis, stride time variability greater than 1.95% (AUC = 0.77, 95% CI (0.648 to 0.883), p < 0.001) during barefoot gait could predict lower leg overuse injury. Increased barefoot gait variability should be considered as a possible predictive factor for lower leg overuse injury in the military, and gait with military boots masked stride-related differences between soldiers with and without lower leg overuse injury.

Suggested Citation

  • Darja Nesterovica-Petrikova & Normunds Vaivads & Ainārs Stepens, 2023. "Increased Barefoot Stride Variability Might Be Predictor Rather than Risk Factor for Overuse Injury in the Military," IJERPH, MDPI, vol. 20(15), pages 1-9, July.
  • Handle: RePEc:gam:jijerp:v:20:y:2023:i:15:p:6449-:d:1203007
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    References listed on IDEAS

    as
    1. Robin Orr & Danny Maupin & Robert Palmer & Elisa F. D. Canetti & Vini Simas & Ben Schram, 2022. "The Impact of Footwear on Occupational Task Performance and Musculoskeletal Injury Risk: A Scoping Review to Inform Tactical Footwear," IJERPH, MDPI, vol. 19(17), pages 1-39, August.
    2. Francisco Molina-Rueda & Pilar Fernández-González & Alicia Cuesta-Gómez & Aikaterini Koutsou & María Carratalá-Tejada & Juan Carlos Miangolarra-Page, 2021. "Test–Retest Reliability of a Conventional Gait Model for Registering Joint Angles during Initial Contact and Toe-Off in Healthy Subjects," IJERPH, MDPI, vol. 18(3), pages 1-8, February.
    3. Yinghu Peng & Duo Wai-Chi Wong & Yan Wang & Tony Lin-Wei Chen & Qitao Tan & Zhenxian Chen & Zhongmin Jin & Ming Zhang, 2020. "Immediate Effects of Medially Posted Insoles on Lower Limb Joint Contact Forces in Adult Acquired Flatfoot: A Pilot Study," IJERPH, MDPI, vol. 17(7), pages 1-13, March.
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