Greater range of motion results in lower peak ground reaction forces and thus lower loading rates. The total range of motion the lower extremity undergoes during the gait cycle may influence the forces experienced by the body. These forces are transmitted through the foot and ankle and are absorbed by the soft tissues and bones of the lower extremities. It is felt that stress fractures are related to the impact forces and loading rates suffered by the foot and lower extremities during running. Women are at a significantly greater risk, especially if they are amenorrheic or have eating disorders. ![]() The incidence of stress fracture in distance running has been reported to be as high as 31%. Stress fractures account for 50% of running injuries. Improper attenuation of these forces coupled with increased training volume can lead to stress fractures. During running, the body experiences vertical forces between 2.5 and 2.8 times body weight, placing great stress on the soft tissues of the lower extremities. The incidence of injuries in recreational runners has been reported to be 37 to 56%, with the bones and joints of the foot and ankle being most at risk. Injury risk is strongly associated with running volume. The training volume that is necessary to complete this grueling test of endurance places the athlete at increased risk of injury. Remaining free of injury during training is certainly one of them. The ability to run 26.2 miles is dependent on a number of factors. Manual therapy, stress fracture, barefoot running, marathon Introduction Purpose and clinical relevance: This case demonstrates a novel treatment approach combining manual therapy and barefoot run training without cessation of running in rehabilitation of a fibular stress fracture. After 6 weeks of manual therapy and barefoot run training, she was able to complete the Chicago Marathon in her goal time. ![]() female who presented to physical therapy 4 weeks after diagnosis of stress fracture and 6 weeks before participating in the Chicago Marathon. Barefoot run training has gained recent popularity and has been used in prevention of injury by improving run technique.Ĭase description: We report the case of a 29 y.o. Its effectiveness has been described in the literature, though there is sparse evidence regarding manual therapy and lower extremity dysfunction as it pertains to distance runners. ![]() Background: Manual therapy is a commonly used treatment modality.
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