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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Sports Act. Living</journal-id>
<journal-title>Frontiers in Sports and Active Living</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Sports Act. Living</abbrev-journal-title>
<issn pub-type="epub">2624-9367</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fspor.2023.1268292</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Sports and Active Living</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Injury and performance related biomechanical differences between recreational and collegiate runners</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author"><name><surname>Evans</surname><given-names>Ryan J.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref><role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/><role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/><role content-type="https://credit.niso.org/contributor-roles/visualization/"/><role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/><role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/></contrib>
<contrib contrib-type="author"><name><surname>Moffit</surname><given-names>Tyler J.</given-names></name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref><role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/><role content-type="https://credit.niso.org/contributor-roles/data-curation/"/><role content-type="https://credit.niso.org/contributor-roles/methodology/"/><role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/></contrib>
<contrib contrib-type="author"><name><surname>Mitchell</surname><given-names>Peter K.</given-names></name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref><role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/><role content-type="https://credit.niso.org/contributor-roles/data-curation/"/><role content-type="https://credit.niso.org/contributor-roles/methodology/"/><role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/></contrib>
<contrib contrib-type="author" corresp="yes"><name><surname>Pamukoff</surname><given-names>Derek N.</given-names></name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="cor1">&#x002A;</xref><uri xlink:href="https://loop.frontiersin.org/people/2326630/overview"/><role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/><role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/><role content-type="https://credit.niso.org/contributor-roles/methodology/"/><role content-type="https://credit.niso.org/contributor-roles/resources/"/><role content-type="https://credit.niso.org/contributor-roles/software/"/><role content-type="https://credit.niso.org/contributor-roles/supervision/"/><role content-type="https://credit.niso.org/contributor-roles/visualization/"/><role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/></contrib>
</contrib-group>
<aff id="aff1"><label><sup>1</sup></label><institution>School of Kinesiology, Western University</institution>, <addr-line>London ON</addr-line>, <country>Canada</country></aff>
<aff id="aff2"><label><sup>2</sup></label><institution>Department of Kinesiology, California State University</institution>, <addr-line>Bakersfield, CA</addr-line>, <country>United States</country></aff>
<aff id="aff3"><label><sup>3</sup></label><institution>Department of Kinesiology, California State University</institution>, <addr-line>Fullerton, CA</addr-line>, <country>United States</country></aff>
<author-notes>
<fn fn-type="edited-by"><p><bold>Edited by:</bold> Lei Qian, Southern Medical University, China</p></fn>
<fn fn-type="edited-by"><p><bold>Reviewed by:</bold> Carlo M. Biancardi, Universidad de la Rep&#x00FA;blica, Uruguay Evelyn Muschter, Technical University Dresden, Germany Brian Hanley, Leeds Beckett University, United Kingdom</p></fn>
<corresp id="cor1"><label>&#x002A;</label><bold>Correspondence:</bold> Derek N. Pamukoff <email>dpamukof@uwo.ca</email></corresp>
</author-notes>
<pub-date pub-type="epub"><day>14</day><month>09</month><year>2023</year></pub-date>
<pub-date pub-type="collection"><year>2023</year></pub-date>
<volume>5</volume><elocation-id>1268292</elocation-id>
<history>
<date date-type="received"><day>27</day><month>07</month><year>2023</year></date>
<date date-type="accepted"><day>04</day><month>09</month><year>2023</year></date>
</history>
<permissions>
<copyright-statement>&#x00A9; 2023 Evans, Moffit, Mitchell and Pamukoff.</copyright-statement>
<copyright-year>2023</copyright-year><copyright-holder>Evans, Moffit, Mitchell and Pamukoff</copyright-holder><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<sec><title>Introduction</title>
<p>Running related injuries (RRI) are common, but factors contributing to running performance and RRIs are not commonly compared between different types of runners.</p>
</sec>
<sec><title>Methods</title>
<p>We compared running biomechanics previously linked to RRIs and performance between 27 recreational and 35 collegiate runners. Participants completed 5 overground running trials with their dominant limb striking a force plate, while outfitted with standardised footwear and 3-dimensional motion capture markers.</p>
</sec>
<sec><title>Results</title>
<p>Post hoc comparisons revealed recreational runners had a larger vertical loading rate (194.5 vs. 111.5 BW/s, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001) and shank angle (6.80 vs. 2.09, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001) compared with the collegiate runners who demonstrated greater vertical impulse (0.349 vs. 0.233 BWs, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001), negative impulse (&#x2212;0.022 vs. &#x2212;0.013 BWs, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001), positive impulse (0.024 vs. 0.014 BWs, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001), and propulsive force (0.390 vs. 0.333 BW, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.002). Adjusted for speed, collegiate runners demonstrated greater total support moment (TSM), plantar flexor moment, knee extensor moment, hip extensor moment, and had greater proportional plantar flexor moment contribution and less knee extensor moment contribution to the TSM compared with recreational runners. Unadjusted for speed, collegiate runners compared with recreational had greater TSM and plantar flexor moment but similar joint contributions to the TSM.</p>
</sec>
<sec><title>Discussion</title>
<p>Greater ankle joint contribution may be more efficient and allow for greater capacity to increase speed. Improving plantarflexor function during running provides a strategy to improve running speed among recreational runners. Moreover, differences in joint kinetics and ground reaction force characteristics suggests that recreational and collegiate runners may experience different types of RRI.</p>
</sec>
</abstract>
<kwd-group>
<kwd>running</kwd>
<kwd>biomechanics</kwd>
<kwd>injury</kwd>
<kwd>performance</kwd>
<kwd>speed</kwd>
<kwd>gait</kwd>
<kwd>propulsion</kwd>
</kwd-group>
<contract-num rid="cn001">RGPIN-2022-04804</contract-num>
<contract-sponsor id="cn001">Natural Science and Engineering Council of Canada</contract-sponsor>
<counts>
<fig-count count="5"/>
<table-count count="4"/><equation-count count="0"/><ref-count count="47"/><page-count count="0"/><word-count count="0"/></counts><custom-meta-wrap><custom-meta><meta-name>section-at-acceptance</meta-name><meta-value>Biomechanics and Control of Human Movement</meta-value></custom-meta></custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro"><title>Introduction</title>
<p>Running is a popular form of physical activity with global participation (<xref ref-type="bibr" rid="B1">1</xref>). For some, running serves as a recreational activity, and others participate as competitive athletes. Various health benefits result from running including a reduced risk of cardiovascular disease, and overall healthier lifestyle (<xref ref-type="bibr" rid="B2">2</xref>). Despite the health benefits from participation, running has a high injury incidence rate (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>). For example, 37&#x0025;&#x2013;63&#x0025; of those who participate in running suffer from some form of running-related injury (RRI) annually (<xref ref-type="bibr" rid="B3">3</xref>, <xref ref-type="bibr" rid="B4">4</xref>). Some RRIs persist and could have lasting outcomes that impact runners&#x0027; ability to participate, their health, and quality of life (<xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>Most RRIs result from overuse and repetitive loading on the lower body (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>). Running is repetitive and involves cyclical mechanical loading applied to the lower extremity. Overuse of the lower limb structures in combination with potential predisposing risk factors contribute to the likelihood of injury incidence (<xref ref-type="bibr" rid="B7">7</xref>). Behavioural differences between recreational and competitive runners (e.g., quantity, frequency, intensity) also contribute to an increased risk of an RRI (<xref ref-type="bibr" rid="B8">8</xref>&#x2013;<xref ref-type="bibr" rid="B12">12</xref>). For instance, a recreational runner has been defined as someone who runs a minimum of 3 times per week and totals 16 kilometers of running during the week (<xref ref-type="bibr" rid="B11">11</xref>). Comparatively, competitive runners run more frequently, and accumulate more than 100&#x2005;km within a week (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B10">10</xref>). The difference in exposure between different types of runners may contribute to injury susceptibility.</p>
<p>Running biomechanics also influence injury risk and performance. For instance, high performance runners have a longer flight phase compared with recreational runners due to faster velocity, and larger propulsive force during terminal stance (<xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>). Moreover, a lower step rate increases the risk of bone stress injury in collegiate cross-country runners (<xref ref-type="bibr" rid="B15">15</xref>), which may differ between different types of runners. Furthermore, lower limb position at foot contact has been investigated for its influence on injury and performance (<xref ref-type="bibr" rid="B16">16</xref>). A more perpendicular shank relative to the ground and closer contacts to the body&#x0027;s center of mass allows for greater running economy by decreasing the braking force at ground contact (<xref ref-type="bibr" rid="B16">16</xref>&#x2013;<xref ref-type="bibr" rid="B18">18</xref>). A higher braking force decreases running performance and also increases risk of RRI (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B18">18</xref>).</p>
<p>Additionally, other factors such as lower limb stiffness, ground reaction forces (GRF), and propulsion forces differ between runners and contribute to RRI and performance indicators (e.g., running speed and efficiency) (<xref ref-type="bibr" rid="B16">16</xref>, <xref ref-type="bibr" rid="B17">17</xref>). The summed action of the ankle, knee, and hip extensors [i.e., total support moment (TSM)] contribute to propulsion during running (<xref ref-type="bibr" rid="B19">19</xref>). Moreover, the ankle plantarflexors contribute the largest component of positive work compared with the knee and hip extensors (<xref ref-type="bibr" rid="B20">20</xref>). However, these findings were in controls at relatively slower speeds, and it is unclear how joint work distribution differs between groups running at more typical training paces. Deficiency in the ankle plantarflexor moment and reliance on the knee and hip extensors in recreational runners may contribute to performance deficits and slower self-selected speeds when participating in long distance running (<xref ref-type="bibr" rid="B20">20</xref>). Comparisons of recreational and competitive runners elucidates optimal biomechanical strategies for performance given the known differences in self-selected running speeds.</p>
<p>The purpose of this study was to compare running biomechanics that have previously been linked to RRI and performance between recreational and collegiate runners. We hypothesized that collegiate runners would have more perpendicular shank angles and larger GRFs than their recreational counterparts. We also hypothesized that all lower extremity extensor moments would be higher in the collegiate group with the proportion of ankle moment as a percent of the TSM also higher in the collegiate group. A secondary purpose was to evaluate the association between GRFs and shank angle during running in recreational and collegiate runners. We hypothesized that a larger shank angle would be associated with a larger braking force in both groups.</p>
</sec>
<sec id="s2" sec-type="methods"><title>Materials and methods</title>
<p>Data used for this study were collected as part a larger study examining the association between running kinetics and femoral cartilage characteristics (<xref ref-type="bibr" rid="B21">21</xref>). All methods were approved by the university&#x0027;s institutional review board and participants provided informed written consent, before a single data collection session that lasted approximately 2-hours.</p>
<sec id="s2a"><title>Participants</title>
<p>Twenty-seven recreational and 35 collegiate runners were recruited from the university cross country team, student population, and local running groups. The criterion for being defined as a collegiate runner was determined to be currently running or running in the preceding year for an intercollegiate team (<xref ref-type="bibr" rid="B22">22</xref>). A recreational runner was considered to be a person running up to 3 times a week for a minimum of 10 miles (16&#x2005;km) within that week (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B21">21</xref>). All participants were between the ages of 18 and 35 and required to be free from lower body injuries for 6 months before participation. Further exclusion from participation included a history of lower body intra articular injections, surgery, and a body mass index (BMI) greater than 25.0&#x2005;kg/m<sup>2</sup>.</p>
</sec>
<sec id="s2b"><title>Running biomechanics</title>
<p>All participants were instructed to wear compression shorts for bottoms and either a tank top or sports bra for women and a compression shirt or shirtless for men. Standardized footwear (Nike Pegasus 32, Beaverton, OR) were provided by the laboratory to mitigate the influence of footwear being a confounding variable on running kinetics. Single retroreflective markers were placed on the posterior superior iliac spine, iliac crest, anterior superior iliac crest, greater trochanter, medial and lateral femoral epicondyles, medial and lateral malleoli, heel counter, and 1st and 5th metatarsals, while rigid clusters of 4 markers were placed on the thigh, shank, and foot. All markers were placed solely on the dominant limb. Three-dimensional running biomechanics were collected using a 20-m runway equipped with a 9-camera motion capture system recording at 240&#x2005;Hz (Qualisys, Gothenburg, Sweden) and a force plate recording at 2,400&#x2005;Hz (Advanced Mechanical Technology, Inc, Watertown, MA) positioned in the middle of the runway.</p>
<p>Upon completing a self-selected 5-min running warm up on a treadmill, participants completed 5 overground familiarization trials. Familiarization was used to ensure that participants could strike the force plate without noticeably altering their stride, and that a consistent running pace was achieved. Self-selected running speed was monitored with infrared timing gates (model TF100; TracTronix, Belton, MO) 2-m apart. Participants completed 5 trials with their dominant limb contacting the force plate and within &#x00B1;5&#x0025; of the self-selected speed obtained from familiarization trials.</p>
</sec>
<sec id="s2c"><title>Data reduction</title>
<p>Visual 3D (C-Motion, Inc, Germantown, MD) was used for model construction. Marker trajectories and GRFs were low pass filtered at 20&#x2005;Hz (<xref ref-type="bibr" rid="B23">23</xref>). One fourth of the intertrochanteric distance was used to estimate the hip joint center. The midpoints between the femoral epicondyles and lateral and medial malleoli were used to determine centers for the knee and ankle, respectively. Ground contact and toe-off were identified when the vertical GRF exceeded and fell below 20N, respectively, and used to determine stance phase. The strike angle was calculated as the absolute angle of a modified virtual foot segment relative to the global coordinate system to describe the footstrike pattern of the sample (<xref ref-type="bibr" rid="B24">24</xref>). The long axis of the foot was offset from the heel counter and distal foot markers so that the virtual foot segment was parallel to the floor during the calibration trial (<xref ref-type="bibr" rid="B24">24</xref>). A rearfoot strike was categorized as &#x003E;8&#x00B0;, a midfoot strike was categorized as between &#x2212;1.6&#x00B0; and 8&#x00B0;, and a forefoot strike was categorized as &#x003C;&#x2212;1.6&#x00B0; (<xref ref-type="bibr" rid="B25">25</xref>). The shank angle was determined relative to the global coordinate system where 0&#x00B0; was considered perpendicular to the ground and was extracted at the time of ground contact.</p>
<p>The vertical loading rate was defined as the peak derivative during the first 13&#x0025; of the stance phase (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B26">26</xref>), and normalized to body weight. This method allowed for comparison of loading rates between runners with various footstrike patterns who do not have an impact peak, which is common in runners with forefoot strike pattern. The peak posterior and anterior GRFs were extracted from the first and second halves of the stance phases, respectively. Impulse from the vertical and anterior-posterior GRF components was extracted using trapezoidal integration. The positive to negative ratio was determined by dividing the positive impulse by the negative impulse. Vertical loading rate and peak GRF and impulse characteristics were normalized to body weight.</p>
<p>Inverse dynamics procedures were used to derive internal hip, knee, and ankle joint moments resolved in the proximal segment coordinate system. The TSM peak values and total contributions were expressed as percentages taken at the time of peak TSM. TSM is calculated using the algebraic sum of the sagittal plane hip, knee, and ankle extensor moments (<xref ref-type="bibr" rid="B19">19</xref>). All extensor moments were reported as normalized to participants&#x0027; height and body weight, and as percentage of TSM. Extensor moments and GRFs were time-normalized to 101 data points and plotted as ensemble average with 95&#x0025; confidence interval for visualization purposes (<xref ref-type="fig" rid="F1">Figure&#x00A0;1</xref>).</p>
<fig id="F1" position="float"><label>Figure 1</label>
<caption><p>Ensemble average and 95&#x0025; confidence interval for (<bold>A</bold>) vertical ground reaction force and (<bold>B</bold>) anterior-posterior ground reaction force. Solid indicates collegiate and dashed indicates recreational runners. Collegiate runners had a larger vertical impulse, propulsive force, negative impulse, positive impulse compared with recreational runners. However, recreational runners had a larger vertical LR and shank angle compared with collegiate runners.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-05-1268292-g001.tif"/>
</fig>
</sec>
<sec id="s2d"><title>Statistical analysis</title>
<p>All statistical analyses were completed using SPSS version 28.0 (IBM Corp., Armonk NY). Box plots were used to assess for outliers (&#x003E;1.5&#x00D7; Interquartile Range) and extreme outliers (3&#x00D7; Interquartile Range) and normality was determined using the Shapiro-Wilk test separately for each group. The proportion of males and females, and proportion of rearfoot/midfoot/forefoot strikers were compared between groups using <italic>&#x03C7;</italic><sup>2</sup> tests, and all other demographic characteristics were compared using independent samples <italic>t</italic>-tests. Ground reaction force characteristics and extensor moments were compared between groups using separate one-way multivariate analyses of variance, and <italic>post hoc</italic> comparisons were conducted using independent samples <italic>t</italic>-tests with Bonferroni correction (Family-wise <italic>&#x03B1;</italic>&#x2009;&#x003D;&#x2009;0.05). To further understand joint-level contributions to the TSM and propulsion between groups, we also compared extensor moments adjusted for self-selected speed as a co-variate. Pearson correlation was used to assess the relationship between shank angle and GRF characteristics. Correlation coefficients (<italic>r</italic>) were interpreted as poor (&#x003C;0.3), fair (0.3&#x2013;0.5), moderately strong (0.6&#x2013;0.8) and very strong (&#x003E;0.8) (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>).</p>
</sec>
</sec>
<sec id="s3" sec-type="results"><title>Results</title>
<p>Descriptive statistics of participants demographic information can be found in <xref ref-type="table" rid="T1">Table&#x00A0;1</xref>. The recreational runners were older than the collegiate runners. The collegiate group reported greater amount of running and ran at a greater self-selected running speed compared with the recreational group. The collegiate group also had a greater proportion of midfoot and smaller proportion of rearfoot strike runners compared with the recreational group.</p>
<table-wrap id="T1" position="float"><label>Table 1</label>
<caption><p>Participant characteristics (mean&#x2009;&#x00B1;&#x2009;SD).</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left">Demographic</th>
<th valign="top" align="center">Recreational (<italic>n</italic>&#x2009;&#x003D;&#x2009;27)</th>
<th valign="top" align="center">Collegiate (<italic>n</italic>&#x2009;&#x003D;&#x2009;35)</th>
<th valign="top" align="center"><italic>P</italic>-value</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Sex (<italic>n</italic>)</td>
<td valign="top" align="center">6 female, 21 male</td>
<td valign="top" align="center">10 female, 25 male</td>
<td valign="top" align="center">0.359</td>
</tr>
<tr>
<td valign="top" align="left">Age (years)</td>
<td valign="top" align="center">23.6&#x2009;&#x00B1;&#x2009;3.2</td>
<td valign="top" align="center">20.1&#x2009;&#x00B1;&#x2009;1.5</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Height (m)</td>
<td valign="top" align="center">1.76&#x2009;&#x00B1;&#x2009;.09</td>
<td valign="top" align="center">1.74&#x2009;&#x00B1;&#x2009;.09</td>
<td valign="top" align="center">0.511</td>
</tr>
<tr>
<td valign="top" align="left">Mass (kg)</td>
<td valign="top" align="center">68.1&#x2009;&#x00B1;&#x2009;9.1</td>
<td valign="top" align="center">61.7&#x2009;&#x00B1;&#x2009;8.2</td>
<td valign="top" align="center">0.444</td>
</tr>
<tr>
<td valign="top" align="left">BMI (kg/m<sup>2</sup>)</td>
<td valign="top" align="center">22.5&#x2009;&#x00B1;&#x2009;1.6</td>
<td valign="top" align="center">20.4&#x2009;&#x00B1;&#x2009;1.9</td>
<td valign="top" align="center">0.228</td>
</tr>
<tr>
<td valign="top" align="left">Running amount (km)</td>
<td valign="top" align="center">22.0&#x2009;&#x00B1;&#x2009;9.8</td>
<td valign="top" align="center">84.7&#x2009;&#x00B1;&#x2009;15.6</td>
<td valign="top" align="center">0.001</td>
</tr>
<tr>
<td valign="top" align="left">Speed (m/s)</td>
<td valign="top" align="center">3.5&#x2009;&#x00B1;&#x2009;.46</td>
<td valign="top" align="center">4.1&#x2009;&#x00B1;&#x2009;.33</td>
<td valign="top" align="center">0.034</td>
</tr>
<tr>
<td valign="top" align="left" colspan="4">Footstrike pattern (<italic>n</italic>)</td>
</tr>
<tr>
<td valign="top" align="left">Rearfoot</td>
<td valign="top" align="center">21</td>
<td valign="top" align="center">13</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Midfoot</td>
<td valign="top" align="center">2</td>
<td valign="top" align="center">14</td>
<td valign="top" align="center"/>
</tr>
<tr>
<td valign="top" align="left">Forefoot</td>
<td valign="top" align="center">4</td>
<td valign="top" align="center">8</td>
<td valign="top" align="center"/>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-fn1"><p>BMI, Body Mass Index.</p></fn>
</table-wrap-foot>
</table-wrap>
<sec id="s3a"><title>Ground reaction force comparison</title>
<p>One-way multivariate analysis of variance revealed that there was a significant difference in GRF and shank outcomes between groups [Pillai&#x0027;s trace&#x2009;&#x003D;&#x2009;0.739, <italic>F</italic>(51,10)&#x2009;&#x003D;&#x2009;14.415, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001, <xref ref-type="fig" rid="F1">Figure&#x00A0;1</xref>]. Post hoc comparisons demonstrated recreational runners had a larger vertical loading rate, and shank angle compared with the collegiate runners who demonstrated greater vertical impulse, negative impulse, positive impulse, and propulsive force (<xref ref-type="table" rid="T2">Table&#x00A0;2</xref>).</p>
<table-wrap id="T2" position="float"><label>Table 2</label>
<caption><p>Comparison of running outcomes [mean (95&#x0025; confidence interval)].</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left"/>
<th valign="top" align="center">Recreational (<italic>n</italic>&#x2009;&#x003D;&#x2009;27)</th>
<th valign="top" align="center">Collegiate (<italic>n</italic>&#x2009;&#x003D;&#x2009;35)</th>
<th valign="top" align="center"><italic>P</italic></th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Vertical GRF (BW)</td>
<td valign="top" align="center">2.74 (2.60, 2.89)</td>
<td valign="top" align="center">2.84 (2.71, 2.96)</td>
<td valign="top" align="center">0.324</td>
</tr>
<tr>
<td valign="top" align="left">Vertical LR (BW/s)<xref ref-type="table-fn" rid="table-fn3">&#x002A;</xref></td>
<td valign="top" align="center">194.5 (166.1, 222.9)</td>
<td valign="top" align="center">111.5 (86.6, 136.4)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Vertical impulse (BW&#x00B7;s)<xref ref-type="table-fn" rid="table-fn3">&#x002A;</xref></td>
<td valign="top" align="center">.233 (.209, .256)</td>
<td valign="top" align="center">.349 (.329, .370)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Propulsive force (BW)<xref ref-type="table-fn" rid="table-fn3">&#x002A;</xref></td>
<td valign="top" align="center">.333 (.307, .360)</td>
<td valign="top" align="center">.390 (.367, .413)</td>
<td valign="top" align="center">0.002</td>
</tr>
<tr>
<td valign="top" align="left">Braking force (BW)</td>
<td valign="top" align="center">&#x2212;.405 (&#x2212;.453, &#x2212;.357)</td>
<td valign="top" align="center">&#x2212;.443 (&#x2212;.485, &#x2212;.401)</td>
<td valign="top" align="center">0.239</td>
</tr>
<tr>
<td valign="top" align="left">Negative impulse (BW&#x00B7;s)<xref ref-type="table-fn" rid="table-fn3">&#x002A;</xref></td>
<td valign="top" align="center">&#x2212;.013 (&#x2212;.015, &#x2212;.011)</td>
<td valign="top" align="center">&#x2212;.022 (&#x2212;.024, &#x2212;.026)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Positive impulse (BW&#x00B7;s)<xref ref-type="table-fn" rid="table-fn3">&#x002A;</xref></td>
<td valign="top" align="center">.014 (.012, .016)</td>
<td valign="top" align="center">.024 (.022, .026)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
<tr>
<td valign="top" align="left">Pos/Neg ratio</td>
<td valign="top" align="center">1.05 (.859, 1.24)</td>
<td valign="top" align="center">1.21 (1.04, 1.38)</td>
<td valign="top" align="center">0.213</td>
</tr>
<tr>
<td valign="top" align="left">Shank angle (&#x00B0;)<xref ref-type="table-fn" rid="table-fn3">&#x002A;</xref></td>
<td valign="top" align="center">6.80 (5.48, 8.11)</td>
<td valign="top" align="center">2.09 (.934, 3.25)</td>
<td valign="top" align="center">&#x003C;0.001</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-fn2"><p>BW, Body Weight; LR, Loading Rate.</p></fn>
<fn id="table-fn3"><label>&#x002A;</label><p>The mean difference is significant at the 0.05 level.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3b"><title>Joint moment comparison</title>
<p>When unadjusted for speed, normalized extensor moments differed between groups [Pillai&#x0027;s trace&#x2009;&#x003D;&#x2009;0.204, <italic>F</italic>(57,4)&#x2009;&#x003D;&#x2009;3.648, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.01, <xref ref-type="fig" rid="F2">Figures&#x00A0;2</xref>, <xref ref-type="fig" rid="F3">3</xref>]. Post hoc comparisons showed the collegiate group had a greater TSM (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.002) and plantarflexor moment (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.029) compared with recreational runners but no difference in the knee extensor moment (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.984) and hip extensor moment (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.064) (<xref ref-type="table" rid="T4">Table&#x00A0;4</xref>).</p>
<fig id="F2" position="float"><label>Figure 2</label>
<caption><p>Ensemble average and 95&#x0025; confidence interval for all extensor moments. Black indicates total support moment, green indicates hip extensor moment, red indicates knee extensor moment, and blue indicates plantarflexor moment. Solid indicates collegiate runners, and dashed indicates recreational runners. All joint moments were higher in collegiate compared with recreational runners.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-05-1268292-g002.tif"/>
</fig>
<fig id="F3" position="float"><label>Figure 3</label>
<caption><p>Joint moment distribution when (<bold>A</bold>) unadjusted and (<bold>B</bold>) adjusted for speed (blue is plantarflexor moment, red is knee extensor moment, green is hip extensor moment). &#x002A;Indicates significant difference between groups. The plantarflexor and knee extensor moments differed between groups only when adjusted for speed.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-05-1268292-g003.tif"/>
</fig>
<p>When adjusted for speed, the normalized extensor moments differed between groups [Pillai&#x0027;s trace&#x2009;&#x003D;&#x2009;0.342, <italic>F</italic>(58,4)&#x2009;&#x003D;&#x2009;7.5421, <italic>p</italic>&#x2009;&#x003C;&#x2009;0.001, <xref ref-type="fig" rid="F3">Figure&#x00A0;3</xref>]. Post hoc comparisons between the recreational and collegiate group indicated that the TSM (<italic>p</italic>&#x2009;&#x003C;&#x2009;0.001), plantar flexor moment (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.004), knee extensor moment (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.033), and hip extensor moment (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.040) were greater in collegiate runners (<xref ref-type="table" rid="T4">Table&#x00A0;4</xref>).</p>
<p>When unadjusted for speed, the individual joint contributions to the TSM did not differ between groups [Pillai&#x0027;s trace&#x2009;&#x003D;&#x2009;0.073, <italic>F</italic>(60,2)&#x2009;&#x003D;&#x2009;2.349, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.104].</p>
<p>When adjusted for speed, the contributions to TSM differed between groups [Pillai&#x0027;s trace&#x2009;&#x003D;&#x2009;0.106, <italic>F</italic>(59,2)&#x2009;&#x003D;&#x2009;3.503, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.037], and the collegiate group had a greater plantar flexor moment (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.037) and lower knee extensor moment (<italic>p</italic>&#x2009;&#x003D;&#x2009;0.018) compared with the recreational group (<xref ref-type="table" rid="T4">Table&#x00A0;4</xref>).</p>
</sec>
<sec id="s3c"><title>Correlational analyses</title>
<p>Significant and fair correlations (<xref ref-type="fig" rid="F4">Figure&#x00A0;4</xref>, <xref ref-type="table" rid="T3">Table&#x00A0;3</xref>) were found between a less perpendicular shank angle relative to the ground and greater positive impulse (<italic>r</italic>&#x2009;&#x003D;&#x2009;&#x2212;0.403, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.016), a smaller negative impulse (<italic>r</italic>&#x2009;&#x003D;&#x2009;&#x2212;0.362, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.033), and greater positive-to-negative impulse ratio (<italic>r</italic>&#x2009;&#x003D;&#x2009;&#x2212;0.424, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.011) in the collegiate group. A greater positive-to-negative impulse ratio was associated with a less perpendicular shank angle relative to the ground (<italic>r</italic>&#x2009;&#x003D;&#x2009;&#x2212;0.400, <italic>p</italic>&#x2009;&#x003D;&#x2009;0.038) in the recreational group. No other significant correlations were identified between shank angle and GRF characteristics in either group (all <italic>p</italic>&#x2009;&#x003E;&#x2009;0.05, <xref ref-type="table" rid="T3">Table&#x00A0;3</xref>).</p>
<fig id="F4" position="float"><label>Figure 4</label>
<caption><p>Scatterplots for significant associations between (<bold>A</bold>) shank angle and positive impulse in collegiate runners, (<bold>B</bold>) shank angle and positive to negative impulse ratio in collegiate runners, (<bold>C</bold>) shank angle and negative impulse in collegiate runners, and (<bold>D</bold>) positive to negative impulse ratio in recreational runners.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-05-1268292-g004.tif"/>
</fig>
<table-wrap id="T3" position="float"><label>Table 3</label>
<caption><p>Correlations (<italic>r</italic>) between shank angle at ground contact and ground reaction force characteristics (&#x002A;<italic>p</italic>&#x2009;&#x003C;&#x2009;0.05).</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left"/>
<th valign="top" align="center">Peak vertical GRF</th>
<th valign="top" align="center">Vertical LR</th>
<th valign="top" align="center">Vertical impulse</th>
<th valign="top" align="center">Propulsive force</th>
<th valign="top" align="center">Braking force</th>
<th valign="top" align="center">Negative impulse</th>
<th valign="top" align="center">Positive impulse</th>
<th valign="top" align="center">Positive to negative work ratio</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Recreational runner shank angle</td>
<td valign="top" align="center">0.130</td>
<td valign="top" align="center">0.146</td>
<td valign="top" align="center">&#x2212;0.153</td>
<td valign="top" align="center">0.043</td>
<td valign="top" align="center">&#x2212;0.333</td>
<td valign="top" align="center">&#x2212;0.124</td>
<td valign="top" align="center">&#x2212;0.313</td>
<td valign="top" align="center">&#x2212;0.400<xref ref-type="table-fn" rid="table-fn5">&#x002A;</xref></td>
</tr>
<tr>
<td valign="top" align="left">Collegiate runner shank angle</td>
<td valign="top" align="center">&#x2212;0.139</td>
<td valign="top" align="center">0.234</td>
<td valign="top" align="center">&#x2212;0.008</td>
<td valign="top" align="center">&#x2212;0.256</td>
<td valign="top" align="center">&#x2212;0.283</td>
<td valign="top" align="center">&#x2212;0.362<xref ref-type="table-fn" rid="table-fn5">&#x002A;</xref></td>
<td valign="top" align="center">&#x2212;0.403<xref ref-type="table-fn" rid="table-fn5">&#x002A;</xref></td>
<td valign="top" align="center">&#x2212;0.424<xref ref-type="table-fn" rid="table-fn5">&#x002A;</xref></td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-fn4"><p>GRF, Ground Reaction Force; LR, Loading Rate.</p></fn>
<fn id="table-fn5"><label>&#x002A;</label><p><italic>p</italic>&#x2009;&#x003C;&#x2009;0.05.</p></fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T4" position="float"><label>Table 4</label>
<caption><p>Mean (95&#x0025; confidence interval) of TSM, plantar flexor moment, knee extensor moment, and hip extensor moment controlled for body weight and height; and the plantar flexor moment, knee extensor moment, and hip extensor moment as a percentage of TSM for collegiate and recreational groups adjusted and unadjusted for speed.</p></caption>
<table frame="hsides" rules="groups">
<colgroup>
<col align="left"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
<col align="center"/>
</colgroup>
<thead>
<tr>
<th valign="top" align="left" rowspan="2"/>
<th valign="top" align="center" colspan="2">Not adjusted for speed</th>
<th valign="top" align="center" colspan="2">Adjusted for speed</th>
</tr>
<tr>
<th valign="top" align="center">Rec (<italic>n</italic>&#x2009;&#x003D;&#x2009;27)</th>
<th valign="top" align="center">Collegiate (<italic>n</italic>&#x2009;&#x003D;&#x2009;35)</th>
<th valign="top" align="center">Rec (<italic>n</italic>&#x2009;&#x003D;&#x2009;27)</th>
<th valign="top" align="center">Collegiate (<italic>n</italic>&#x2009;&#x003D;&#x2009;35)</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="top" align="left">Total support moment (BW&#x2009;&#x00D7;&#x2009;Ht)</td>
<td valign="top" align="center">0.319 (0.299, 0.339)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.393 (0.375, 0.411)</td>
<td valign="top" align="center">0.329 (0.305, 0.352)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.385 (0.365, 0.406)</td>
</tr>
<tr>
<td valign="top" align="left">Plantar flexor moment (BW&#x2009;&#x00D7;&#x2009;Ht)</td>
<td valign="top" align="center">0.125 (0.109, 0.141)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.156 (0.142, 0.170)</td>
<td valign="top" align="center">0.125 (0.107, 0.144)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.156 (0.140, 0.172)</td>
</tr>
<tr>
<td valign="top" align="left">Knee extensor moment (BW&#x2009;&#x00D7;&#x2009;Ht)</td>
<td valign="top" align="center">0.176 (0.162, 0.189)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.196 (0.183, 0.208)</td>
<td valign="top" align="center">0.187 (0.172, 0.202)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.187 (0.173, 0.200)</td>
</tr>
<tr>
<td valign="top" align="left">Hip extensor moment (BW&#x2009;&#x00D7;&#x2009;Ht)</td>
<td valign="top" align="center">0.019 (0.002, 0.035)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.041 (0.027, 0.056)</td>
<td valign="top" align="center">0.016 (&#x2212;0.003, 0.036)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.043 (0.026, 0.060)</td>
</tr>
<tr>
<td valign="top" align="left">Plantar flexor moment (&#x0025;TSM)</td>
<td valign="top" align="center">0.354 (0.325, 0.382)</td>
<td valign="top" align="center">0.395 (0.370, 0.421)</td>
<td valign="top" align="center">0.347 (0.314, 0.381)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.400 (0.371, 0.429)</td>
</tr>
<tr>
<td valign="top" align="left">Knee extensor moment (&#x0025;TSM)</td>
<td valign="top" align="center">0.519 (0.486, 0.552)</td>
<td valign="top" align="center">0.493 (0.464, 0.522)</td>
<td valign="top" align="center">0.541 (0.504, 0.578)<xref ref-type="table-fn" rid="table-fn6">&#x002A;</xref></td>
<td valign="top" align="center">0.475 (0.443, 0.507)</td>
</tr>
<tr>
<td valign="top" align="left">Hip extensor moment (&#x0025;TSM)</td>
<td valign="top" align="center">0.127 (0.096, 0.159)</td>
<td valign="top" align="center">0.112 (0.084, 0.140)</td>
<td valign="top" align="center">0.111 (0.075, 0.147)</td>
<td valign="top" align="center">0.125 (0.093, 0.156)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="table-fn6"><label>&#x002A;</label><p>Different from collegiate group; <italic>p</italic>&#x2009;&#x003C;&#x2009;0.05.</p></fn>
</table-wrap-foot>
</table-wrap>
</sec>
</sec>
<sec id="s4" sec-type="discussion"><title>Discussion</title>
<p>The primary purpose of this study was to compare injury- and performance- related running mechanics between recreational and collegiate runners. We further examined the association between ground contact and GRF characteristics within each group. The main findings indicated that collegiate runners used a larger proportion of the ankle extensors, but smaller proportion of the knee extensors compared with recreational runners. Moreover, collegiate runners had larger propulsive features (e.g., anterior force, vertical impulse) compared with recreational runners, and a more vertically oriented shank at ground contact (<xref ref-type="fig" rid="F5">Figure&#x00A0;5</xref>). A more vertically oriented shank was associated with a larger propulsive impulse and smaller braking impulse.</p>
<fig id="F5" position="float"><label>Figure 5</label>
<caption><p>Representative figure of (<bold>A</bold>) recreational runner and (<bold>B</bold>) collegiate runner where the shank angle is larger versus upright, respectively.</p></caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="fspor-05-1268292-g005.tif"/>
</fig>
<p>We hypothesized that the joint moment distribution would differ between collegiate and recreational runners. Adjusting for speed, we found that the collegiate runners used a larger proportion of ankle extensor moment compared with recreational runners. The ankle plantar flexors are a large contributor to propulsion during running, and comprise the largest proportion of lower extremity joint work compared with the knee or hip extensors (<xref ref-type="bibr" rid="B20">20</xref>). Moreover, there is a distal to proximal shift in joint work during gait as speed increases from walking to sprinting (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B29">29</xref>). As such, these findings suggest that collegiate runners use a more efficient strategy when speed is controlled that uses the ankle plantar flexors for propulsion. Moreover, the ability to utilize a larger proportion of the ankle plantar flexors when adjusting for speed likely increases their maximal running speed capacity relative to recreational runners and allow them to run at faster sub-maximal speeds for longer durations. Ankle power generation increases with faster running speeds and contributes to propulsion in recreational runners (<xref ref-type="bibr" rid="B14">14</xref>). Therefore, improving ankle plantar flexor function to reduce reliance on the hip and knee extensors during running may be a strategy to improve running performance in recreational runners and achieve similar self-selected speeds as collegiate runners during prolonged running.</p>
<p>The recreational runners had a larger knee extensor moment expressed as a percentage of TSM compared with collegiate runners when comparisons were adjusted for speed. A larger internal knee extensor moment contributes to greater patellofemoral contact stress (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B31">31</xref>). As such, recreational runners utilize a running strategy that contributes to a disproportionate load on the patellofemoral joint that elevates risk for anterior knee pain (<xref ref-type="bibr" rid="B30">30</xref>, <xref ref-type="bibr" rid="B32">32</xref>). Recreational runners may reduce their risk of injury from increasing the proportion of contribution from the ankle and hip joint extensor moments to the TSM. This contributes to reductions in knee extensor moment needed during running and decrease load to the patellofemoral joint. Conversely, collegiate runners may experience foot/ankle pathologies due to additional reliance on the ankle plantar flexors (<xref ref-type="bibr" rid="B33">33</xref>&#x2013;<xref ref-type="bibr" rid="B35">35</xref>).</p>
<p>The collegiate runners in our sample had higher extensor moments but similar distribution of moments at every joint compared with recreational runners when comparisons were unadjusted for speed. These findings were expected and likely contributed to the overall difference in anterior force and self-selected running speed. Collegiate runners may have greater muscle capacity for joint extension from completing a larger training volume or supplementary resistance training (<xref ref-type="bibr" rid="B12">12</xref>, <xref ref-type="bibr" rid="B36">36</xref>). These findings were supported by GRF comparisons, and collegiate runners who had greater propulsive force, and positive impulse compared with recreational runners. Supplementary forms of strength training with endurance training improves running economy, power, reactive strength, and running performance in collegiate runners (<xref ref-type="bibr" rid="B36">36</xref>). Therefore, improvements in running performance could be achieved in recreational runners by participating in supplementary resistance training similar to collegiate runners. Supplementary training may increase their muscle capacity at all joints for propulsive forces and positive impulse to the values that we observed in the collegiate group. Future research may aim to investigate if the additional of strength training to recreational runners could improve running speed.</p>
<p>We also found that recreational runners had higher vertical loading rates compared with collegiate runners when normalized to body weight. The vertical loading rate has been retrospectively (<xref ref-type="bibr" rid="B37">37</xref>), and prospectively (<xref ref-type="bibr" rid="B38">38</xref>), linked to tibial stress fracture (<xref ref-type="bibr" rid="B39">39</xref>, <xref ref-type="bibr" rid="B40">40</xref>). However, these studies have largely been limited to recreational runners. In conjunction with our data, recreational runners may be at greater risk for stress fracture from elevated vertical loading rates. The vertical loading rate is strongly influenced by speed and foot strike pattern (<xref ref-type="bibr" rid="B41">41</xref>). As running speed increases, the vertical loading rate increases (<xref ref-type="bibr" rid="B41">41</xref>). Faster running speed also contribute to shift from rearfoot to a more anterior foot strike pattern for some runners (<xref ref-type="bibr" rid="B41">41</xref>). A more anterior foot strike pattern has been associated with reduced vertical loading rate compared with rearfoot contact at the same running speed (<xref ref-type="bibr" rid="B41">41</xref>). Collegiate runners in our sample ran faster and had a lower proportion of rearfoot strike runners. As such, faster speed and higher loading rates may have been mitigated by running with a more forefoot pattern (<xref ref-type="bibr" rid="B41">41</xref>). Collectively, these data suggest that collegiate and recreational runners have different biomechanics that contribute to unique injury patterns, and prospective data are needed to evaluate these hypotheses.</p>
<p>We also examined the association between shank kinematics at ground contact and GRF characteristics and found that a more vertically oriented shank was associated with less negative impulse and more positive impulse. The braking/posterior force has been prospectively linked to running-related injury (<xref ref-type="bibr" rid="B42">42</xref>), and a positive impulse is linked to faster running speeds (<xref ref-type="bibr" rid="B43">43</xref>). A prospective study on female recreational runners found that injury incidence was 8 times higher for runners with peak braking forces 0.27&#x00D7; body weight compared with 0.23&#x00D7; body weight (<xref ref-type="bibr" rid="B42">42</xref>). Moreover, a retrospective study found limbs with previous tibial stress fractures to demonstrate greater peak braking force values (<xref ref-type="bibr" rid="B44">44</xref>). Bone is stronger under compressive forces rather than shear force (<xref ref-type="bibr" rid="B45">45</xref>). Increased braking force could contribute to shear forces and greater bone-stress injury risk (<xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B46">46</xref>). Furthermore, faster runners can apply 1.26 times greater average force per body weight in less time on the ground compared with slower runners, achieving 1.8 times faster top speeds (<xref ref-type="bibr" rid="B43">43</xref>). Elite runners have greater vertical forces 0.16&#x2005;BW higher, and more vertical shank angle at ground contact compared with sub-elite runners (<xref ref-type="bibr" rid="B17">17</xref>). Therefore, our findings suggest that manipulating shank position presents a viable target for gait modification that may influence both injury risk and running performance. A more vertical shank angle at ground contact has been associated with better running performance and minimizes horizontal braking, which has been associated with better running economy and performance in distance runners (<xref ref-type="bibr" rid="B16">16</xref>). Furthermore, between laps one and two of an 800&#x2005;m, the faster of the two laps presented a more vertical shank angle at ground contact in female distance runners at the world athletics championships (<xref ref-type="bibr" rid="B47">47</xref>). Our findings of a more vertically oriented shank in the collegiate group compared with recreational therefore, could be a biomechanical contributor to their faster running speeds. However, we note that our sample included some collegiate runners whose shank angles were slightly negative (i.e., leaned forward) rather than perpendicular, which may not be ideal. Moreover, correlation coefficients were only fair, and left a large portion of unexplained variance in GRF characteristics. Therefore, future studies should evaluate optimal shank angle during ground contact for both performance and injury prevention purposes.</p>
<p>Results of this study should be interpreted in the context of its limitations. Firstly, the cross-sectional study design negates the ability to evaluate if running mechanics are a result of different training magnitudes and behaviours of recreational and collegiate runners. Nonetheless, we still identified differences in running biomechanics that may contribute to the difference in ability of recreational and collegiate runners. Prospective data are needed to evaluate if running patterns change as a result of habitual training and can be manipulated via interventions (e.g., supplemental resistance training, biofeedback etc.). Secondly, we only examined self-selected running speeds to approximate habitual running. Our comparisons that statistically adjusted for running speed found differences in ankle and knee extensor contributions to the TSM that may influence propulsion. However, comparisons at matched speeds may further elucidate unique locomotive strategies that differentiate collegiate and recreational runners.</p>
</sec>
<sec id="s5" sec-type="conclusions"><title>Conclusion</title>
<p>Collegiate runners compared with recreational runners demonstrated greater propulsion and a more vertically oriented shank that was associated with higher propulsive impulse and lower braking impulse. As such, runners could reduce braking forces that have previously shown association to tibial stress fractures by running with a more vertically oriented shank angle (<xref ref-type="bibr" rid="B42">42</xref>, <xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B46">46</xref>). A more vertical shank could also contribute to faster running through greater propulsion and less braking. Therefore, future studies may investigate the influence of altering shank angles on running performance and injury risk. Collegiate runners also used a greater proportion of the ankle extensors and smaller proportion of knee extensors than recreational runners when adjusted for speed. A greater contribution from the ankle joint compared with knee and hip at slower speeds may provide a more efficient propulsion strategy that allows for a larger capacity to increase running speed. Therefore, recreational runners may be able to achieve faster running speeds through greater proportional use of their ankle plantar flexors during propulsion.</p>
</sec>
</body>
<back>
<sec id="s6" sec-type="data-availability"><title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s7" sec-type="ethics-statement"><title>Ethics statement</title>
<p>The studies involving humans were approved by California State University, Fullerton Institutional Review Board. The studies were conducted in accordance with the local legislation and institutional requirements. The participants provided their written informed consent to participate in this study.</p>
</sec>
<sec id="s8" sec-type="author-contributions"><title>Author contributions</title>
<p>RJE: Conceptualization, Formal Analysis, Visualization, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. TM: Conceptualization, Data curation, Methodology, Writing &#x2013; review &#x0026; editing. PM: Conceptualization, Data curation, Methodology, Writing &#x2013; review &#x0026; editing. DP: Conceptualization, Formal Analysis, Methodology, Resources, Software, Supervision, Visualization, Writing &#x2013; review &#x0026; editing.</p>
</sec>
<sec id="s9" sec-type="funding-information"><title>Funding</title>
<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
<p>DNP is supported by the Natural Science and Engineering Council of Canada (RGPIN-2022-04804).</p>
</sec>
<sec id="s10" sec-type="COI-statement"><title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s11" sec-type="disclaimer"><title>Publisher&#x0027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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