Effects of Footstrike Transition on Tibial Stress Fracture Risk

Effects of Footstrike Transition on Tibial Stress Fracture Risk Using Musculoskeletal Simulation, Finite Element Analysis and Probabilistic Modelling - a Pilot Study

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT05786079

Enrollment

Registered

2023-03-27

Start date

2016-06-01

Completion date

2019-06-01

Last updated

2023-08-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tibial Stress Fracture

Brief summary

Biomechanical literature suggests that runners who utilize a mid or forefoot strike pattern may suffer from a reduced incidence of chronic injuries compared to a rearfoot strike. This investigation examined the effects of a 10-week footstrike transition intervention on tibial stress fracture risk in runners.

Interventions

BEHAVIORALFootstrike modification

BEHAVIORALControl

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

PREVENTION

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 45 Years

Healthy volunteers

Yes

Inclusion criteria

* Recreational runner * 3-years minimum of running experience * Injury free for 12-months

Exclusion criteria

* Injury at baseline

Design outcomes

Primary

Measure	Time frame	Description
Stress fracture probability	Baseline	Probability of stress fracture quantified using a probabilistic modelling approach.

Secondary

Measure	Time frame	Description
Three-dimensional tibial loading	Baseline	Forces applied to the tibia, measured using musculoskeletal simulation.
Tibial strain	Baseline	Strains experienced by the tibial quantified using finite elements analysis.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026