Medial and Lateral Heel Whips: Prevalence and Characteristics in Recreational Runners. 2015

Richard B Souza, and Nicolas Hatamiya, and Carly Martin, and Andrew Aramaki, and Brian Martinelli, and Jamie Wong, and Anthony Luke
Department of Physical Therapy and Rehabilitation Science, University of California, San Francisco, 185 Berry Street, Suite 350, San Francisco, CA 94107; and Department of Orthopaedic Surgery, University of California, San Francisco, San Francisco, CA.

OBJECTIVE To investigate the prevalence and characteristics of recreational runners with medial and lateral heel whips. METHODS Observational cohort study. METHODS Clinical research laboratory. METHODS A total of 256 recreationally active runners and joggers participated. METHODS High-definition video was acquired from a posterior view while runners ran at a self-selected pace on a treadmill. Heel whips, defined as the medial or lateral rotation of the foot in the transverse plane during initial swing, were measured with Dartfish software. Subjects were stratified by direction (medial and lateral) and severity (W_5-10 = 5-10 degrees; W_10+ = >10 degrees) of heel whip. Body mass index and gender comparisons, as well as measurement reliability, also were explored. RESULTS Mean heel whip angle across runners was 0.4 degrees (medial) with a standard deviation of 9.2 degrees. Of the 512 feet analyzed, 274 (54%) demonstrated a 5 degree whip or greater. There was a similar number of medial and lateral heel whips observed (27% each). Female runners were twice as likely to demonstrate a lateral heel whip of greater than 8.9 degrees. Overweight runners had more medially directed whips when compared with normal and underweight runners. CONCLUSIONS More than half of the recreational runners studied were observed to have a medial or lateral heel whip of greater than 5 degrees. These data reveal the age, body mass index, and gender distribution of recreational runners with and without heel whips.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011998 Recreation Activity engaged in for pleasure. Recreations
D012016 Reference Values The range or frequency distribution of a measurement in a population (of organisms, organs or things) that has not been selected for the presence of disease or abnormality. Normal Range,Normal Values,Reference Ranges,Normal Ranges,Normal Value,Range, Normal,Range, Reference,Ranges, Normal,Ranges, Reference,Reference Range,Reference Value,Value, Normal,Value, Reference,Values, Normal,Values, Reference
D005260 Female Females
D006365 Heel The back (or posterior) of the foot in PRIMATES, found behind the ankle and distal to the toes. Sinus Tarsi,Heels,Sinus Tarsus
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D000368 Aged A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available. Elderly

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