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Table 8 Pooled and single study results for kinetic, kinematic and muscle activation variables at the knee

From: What is the Effect of Changing Running Step Rate on Injury, Performance and Biomechanics? A Systematic Review and Meta-analysis

Variable

Preferred SR versus Increased SR

Preferred SR versus Reduced SR

Kinetics

Peak patellar tendon force

 + 10% [36]

0.68 (0.16, 1.21)

 − 10% [36]

 − 0.72 ( − 1.24,  − 0.19)

 

Peak PFJ stress

 + 10% [29, 33]

0.56 (0.07, 1.05)

  
 

Peak PFJ reaction force

 + 10% [29]

0.66 ( − 0.07, 1.40)

  
 

PFJS-time integral

 + 10% [33]

0.65 ( − 0.01, 1.30)

  
 

PFJS-time integral/km

 + 10% [5]

0.49 ( − 0.16, 1.14)

  
 

Peak knee extensor moment

 + 5% [49]

0.17 ( − 0.25, 0.58)

 − 5% [49]

 − 0.33 ( − 0.75, 0.09)

  

 + 10% [29, 33, 49]

0.50 (0.18, 0.81)

 − 10% [49]

 − 0.33 ( − 0.75, 0.09)

 

Negative knee work

 + 5% [49]

 − 0.51 ( − 0.93,  − 0.09)

 − 5% [49]

0.50 (0.08, 0.91)

  

 + 10% [44, 49]

 − 0.84 ( − 1.20,  − 0.48)

 − 10% [44, 49]

0.88 (0.52, 1.25)

 

Positive knee work

 + 5% [49]

0.49 (0.07, 0.91)

 − 5% [49]

 − 0.21 ( − 0.62, 0.21)

  

 + 10% [49]

0.75 (0.32, 1.18)

 − 10% [49]

 − 0.53 ( − 0.95,  − 0.10)

 

Average positive knee power (stance)

 + 8% [26]

0.41 [ − 0.29, 1.11]

 − 8% [26]

 − 0.22 [ − 0.92, 0.47]

  

 + 15% [26]

0.68 [ − 0.04, 1.39]

 − 15% [26]

 − 0.47 [ − 1.17, 0.24]

 

Average positive knee power (swing)

 + 8% [26]

0.22 [ − 0.48, 0.91]

 − 8% [26]

0.00 [ − 0.69, 0.69]

  

 + 15% [26]

0.22 [ − 0.48, 0.91]

 − 15% [26]

0.22 [ − 0.48, 0.91]

 

Eccentric knee work per stance

 + 7.5% (8 sessions) [40]

1.02 (0.27, 1.76)

  
  

 + 7.5% (4 − weeks) [40]

0.79 (0.07, 1.51)

  
 

Eccentric knee work per km

 + 7.5% (8 sessions) [40]

0.02 ( − 0.68, 0.71)

  
  

 + 7.5% (4 − weeks) [40]

0.57 ( − 0.14, 1.28)

  
 

Max knee flexion velocity during stance

 + 5% [45]

0.28 ( − 0.61, 1.16)

 − 5% [45]

 − 0.28 ( − 1.17, 0.60)

  

 + 10% [45]

0.67 ( − 0.24, 1.57)

 − 10% [45]

 − 0.92 ( − 1.86, 0.01)

 

VL muscle activity—stance 0–15%

 + 5% [32]

0.18 ( − 0.24, 0.59)

  
  

 + 10% [32]

0.17 ( − 0.25, 0.58)

  
 

VL muscle activity—swing 80–90%

 + 5% [32]

 − 0.44 ( − 0.86,  − 0.02)

  
  

 + 10% [32]

 − 0.43 ( − 0.85,  − 0.01)

  
 

VL muscle activity—swing 90–100%

 + 5% [32]

0.12 ( − 0.30, 0.53)

  
  

 + 10% [32]

0.11 ( − 0.30, 0.52)

  
 

RF muscle activity—stance 0–15%

 + 5% [32]

0.09 ( − 0.32, 0.51)

  
  

 + 10% [32]

0.00 ( − 0.41, 0.41)

  
 

RF muscle activity—stance 30–50%%

 + 5% [32]

0.00 ( − 0.41, 0.41)

  
  

 + 10% [32]

 − 0.42 ( − 0.84, 0.00)

  
 

RF muscle activity—swing 80–90%

 + 5% [32]

0.00 ( − 0.41, 0.41)

  
  

 + 10% [32]

 − 0.23 ( − 0.64, 0.18)

  
 

RF muscle activity—swing 90–100%

 + 5% [32]

 − 0.39 ( − 0.81, 0.03)

  
  

 + 10% [32]

 − 0.78 ( − 1.21,  − 0.35)

  
 

LHAMS muscle activity—stance 0–15%

 + 5% [32]

0.00 ( − 0.41, 0.41)

  
  

 + 10% [32]

 − 0.15 ( − 0.56, 0.27)

  
 

LHAMS muscle activity—swing 70–80%

 + 5% [32]

0.12 ( − 0.29, 0.54)

  
  

 + 10% [32]

 − 0.26,  − 0.68, 0.15)

  
 

LHAMS muscle activity—swing 80–90%

 + 5% [32]

 − 0.10 ( − 0.51, 0.31)

  
  

 + 10% [32]

 − 0.16 ( − 0.58, 0.25)

  
 

LHAMS muscle activity—swing 90–100%

 + 5% [32]

 − 0.10 ( − 0.52, 0.31)

  
  

 + 10% [32]

0.00 ( − 0.41, 0.41)

  
 

MHAMS muscle activity—stance 0–15%

 + 5% [32]

 − 0.22 ( − 0.63, 0.20)

  
  

 + 10% [32]

 − 0.20 ( − 0.61, 0.22)

  
 

MHAMS muscle activity—swing 70–80%

 + 5% [32]

 − 0.12 ( − 0.54, 0.29)

  
  

 + 10% [32]

 − 0.40 ( − 0.81, 0.02)

  
 

MHAMS muscle activity—swing 80–90%

 + 5% [32]

0.09 ( − 0.33, 0.50)

  
  

 + 10% [32]

 − 0.08 ( − 0.49, 0.34)

  
 

MHAMS muscle activity—swing 90–100%

 + 5% [32]

 − 0.20 ( − 0.61, 0.22)

  
  

 + 10% [32]

 − 0.10 ( − 0.52, 0.31)

  
 

BF positive work

 + 10% [51]

0.00 ( − 0.51, 0.51)

 − 10% [51]

0.06 ( − 0.44, 0.57)

 

BF negative work

 + 10% [51]

0.25 ( − 0.26, 0.75)

 − 10% [51]

 − 0.07 ( − 0.57, 0.44)

 

SMEM positive work

 + 10% [51]

0.00 ( − 0.51, 0.51)

 − 10% [51]

 − 0.27 ( − 0.78, 0.23)

 

SMEM negative work

 + 10% [51]

0.44 ( − 0.07, 0.95

 − 10% [51]

 − 0.24 ( − 0.75, 0.27)

 

RF positive work

 + 10% [51]

0.29 ( − 0.22, 0.80)

 − 10% [51]

 − 0.22 ( − 0.73, 0.29)

 

RF negative work

 + 10% [51]

 − 0.12 ( − 0.62, 0.39)

 − 10% [51]

0.22 ( − 0.29, 0.73)

 

Hamstring peak force

 + 10% [30]

0.06 ( − 0.57, 0.70)

 − 10% [30]

 − 1.28 ( − 1.98,  − 0.57)

 

Hamstring impulse

 + 10% [30]

0.28 ( − 0.36, 0.92)

 − 10% [30]

 − 0.24 ( − 0.88, 0.39)

 

Hamstring impulse/km

 + 10% [30]

0.00 ( − 0.64, 0.64)

 − 10% [30]

 − 0.11 ( − 0.74, 0.53)

 

Quadriceps peak force

 + 10% [30]

1.87 (1.09, 2.64)

 − 10% [30]

 − 1.82 ( − 2.59,  − 1.05)

 

Quadriceps impulse

 + 10% [30]

0.71 (0.05, 1.37)

 − 10% [30]

 − 0.89 ( − 1.56,  − 0.22)

 

Quadriceps impulse/km

 + 10% [30]

0.31 ( − 0.33, 0.95)

 − 10% [30]

 − 0.46 ( − 1.10, 0.19)

 

Peak VL muscle force

 + 10% [36]

0.76 (0.24, 1.29)

 − 10% [36]

 − 0.81 ( − 1.34,  − 0.28)

 

Peak RF muscle force

 + 10% [36]

 − 0.21 ( − 0.72, 0.30)

 − 10% [36]

0.44 ( − 0.08, 0.95)

 

Peak BF muscle force

 + 10% [36]

0.00 ( − 0.51, 0.51)

 − 10% [36]

0.56 (0.05, 1.08)

 

Peak SMEM muscle force

 + 10% [36]

 − 0.20 ( − 0.71, 0.31)

 − 10% [36]

0.59 (0.07, 1.11)

 

Peak BF muscle force—stance

 + 10% [50]

 − 0.24 ( − 0.75, 0.27)

 − 10% [50]

0.18 ( − 0.33, 0.68)

 

Peak BF muscle force—late swing

 + 10% [50]

 − 0.06 ( − 0.57, 0.44)

 − 10% [50]

0.53 (0.02, 1.05)

 

Peak SMEM muscle force—stance

 + 10% [50]

 − 0.27 ( − 0.78, 0.24)

 − 10% [50]

0.20 ( − 0.31, 0.71)

 

Peak SMEM muscle force—late swing

 + 10% [51]

 − 0.19 ( − 0.70, 0.32)

 − 10% [51]

0.60 (0.08, 1.12)

 

Peak RF muscle force—stance

 + 10% [51]

0.37 ( − 0.14, 0.88)

 − 10% [51]

 − 0.36 ( − 0.87, 0.15)

 

Peak RF muscle force—early swing

 + 10% [51]

 − 0.68 ( − 1.20,  − 0.15)

 − 10% [51]

0.47 ( − 0.04, 0.98)

Kinematics

Peak knee flexion angle

 + 5% [49]

0.47 (0.05, 0.89)

 − 5% [49]

 − 0.37 ( − 0.78, 0.05)

  

 + 7.5% (at 12 weeks) [38]

0.39 ( − 0.42, 1.20)

  
  

 + 10% [29, 33, 34, 47, 49]

0.66 (0.40, 0.92)

 − 10% [49]

 − 0.92 ( − 1.35,  − 0.48)

  

 + 10% (at 4 − weeks) [23]

0.91 (0.06, 1.76)

  
  

 + 10% (at 12 − weeks) [23]

0.60 ( − 0.22, 1.43)

  
 

Peak knee flexion % of GC

 + 10% [47]

 − 0.44 ( − 1.33, 0.45)

  
 

Knee flexion excursion

 + 10% [47]

1.67 (0.62, 2.73)

  
 

Average knee ADD/ABD at IC

 + 10% [34]

 − 0.10 ( − 0.60, 0.40)

  
 

Average knee ADD/ABD during stance phase

 + 10% [34]

 − 0.06 ( − 0.56, 0.44)

  
 

Peak knee ADD/ABD during stance phase

 + 10% [34]

0.17 ( − 0.33, 0.66)

  
 

Average knee ER at IC

 + 10% [34]

 − 0.11 ( − 0.61, 0.39)

  
 

Average knee ER during stance phase

 + 10% [34]

 − 0.03 ( − 0.53, 0.46)

  
 

Peak knee ER during stance phase

 + 10% [34]

 − 0.09 ( − 0.59, 0.41)

  
 

Peak knee IR angle

 + 10% [46]

 − 0.14 ( − 1.02, 0.73)

  
 

Peak knee IR % of GC

 + 10% [47]

 − 0.29 ( − 1.17, 0.59)

  
 

Average knee flexion at IC

 + 5% [45, 49]

 − 0.19 ( − 0.57, 0.18)

 − 5% [45, 49]

0.15 ( − 0.22, 0.53)

  

 + 10% [34, 45, 49]

 − 0.23 ( − 0.53, 0.07)

 − 10% [45, 49]

0.18 ( − 0.20, 0.55)

 

Average knee flexion during stance phase

 + 10% [34]

0.28 ( − 0.22, 0.78)

  
  1. SMD ± 95% CI are provided for each percentage increase or decrease in running step rate. SMD ± 95% CI presented in bold are statistically significant
  2. Abbreviations: ABD abduction, ADD adduction, BF bicep femoris, ER external rotation, GC gait cycle, IC initial contact, LHAMS lateral hamstring, MHAMS medial hamstring, PFJ patellofemoral joint, PFJS patellofemoral joint stress, RF rectus femoris, SMEM semimembranosus, VL vastus lateralis