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Runeasi gait analysis in podiatry


• Written by philip cortvriendt

Can Runeasi be an added value for a podiatrist? 100%! Moov podologie is one is the first podiatric practices in Belgium that integrates Runeasi in their approach to help clients. Changes in whole-body kinetics after adjustments in insoles and footwear are now more than ever measurable. Kim Segers, practice owner of Moov, will explain in this blog post why Runeasi is an absolute added value in his practice.

How did you come across Runeasi?

"I came across Runeasi via social media. I started to follow it more closely to see what Runeasi could offer in my current practice. Every year, we do multiple sports screenings in collaboration with a team of physiotherapists, osteopaths, and sports doctors. One of the greatest benefits of Runeasi was that you could quickly gather reliable data about kinetics in addition to our current video analysis. This made my ultimate decision to start working with Runeasi."

How are you integrating Runeasi into your practice?

"We always start the podiatric assessment with a dynamic movement screening using high-speed cameras. This provides us already with a lot of information about the general movement patterns in gait. With the Runeasi, we are now able to make this measurable with evidence-based and reliable data. It is easier to compare different outcomes when we make changes in insoles, shift between the type of running shoes, and cues in running technique.

As a podiatrist, we are often saying that there is insufficient shock absorption when there is restricted or absent foot pronation during the flat foot phase of gait. This causes a higher load on the body. We are glad to see the confirmation of this hypothesis with the Runeasi data, which can actually measure these kinetic parameters. Measuring asymmetry with only one pelvic sensor is also a great advantage for practical usability. Our main target is to test the influence of changes within the podiatric insoles.

Runeasi makes me more critical about the corrections and hardness of the material. We aim for higher dynamic stability and lower impact values with our clients. Podiatric insoles only work well in good running shoes. We always inspect the running shoes for wear and tear and see if the runner can still perform well in the dynamic parameters during a run. With our elite athletes, we sometimes go even further. Runeasi is a good tool to detect movement compensations and help decision-making when an athlete is ready for return to play."

Assessment of a 33-year-old man with an extensive injury history

Injury Background:
  • 2020: 3 to 4 cm tear in the right soleus muscle
  • 2013: Traumatic tears on his right quadriceps muscle (12cm & 8cm)
  • Right hip CAM Lesion
  • Bilateral meniscal injury (Arthroscopy on the right side)
For a year he is working together with Kim. His goal was to start again with sports after a long period of inactivity. With his long history of injuries, he wanted to do it in a responsible way and searched for professional help to guide him in his goal. His physiotherapist recommended doing a running assessment with the expertise of MOOV. With the medical history in mind, they wanted to provide him with a solid basis by providing him physiotherapy and podiatric insoles for good dynamics in sports.

He recently received his yearly check-up (01/12/2021): he didn't suffer from injuries, but he still easily gets tight calf muscles while running. During the running assessment, it was the first time Kim implemented Runeasi technology on his running gait. He started with a 7km/h barefoot run and compared it afterward with a 7km/h run with his current running shoes and new insoles. When we compare the results we could notice a slight improvement in the asymmetry of the dynamic loading parameters (Impact peak & Peak rate of loading). 

 

We can't always expect a significant change after an acute adjustment in footwear. Therefore he retested after 3 weeks of familiarization with his new insoles. During his retest could see a significant improvement during the 7km/h trial in comparison to 3 weeks before. This was a good sign that the podiatric adjustments helped after familiarization.

 

Kim wanted to have more insights into how the runner was responding to a higher load of running. Therefore he performed a 3-speed test. The speed increased slightly to 9km/h and 11km/h. We noticed an increased pelvic instability and a shift in kinetic parameters (Impact, Peak rate of impact) towards the right side when the running speed increased. This can be due to the major injuries he had in the past on his right side. This information has been reported back to his physiotherapist to work more on the shock-absorbing muscle capacity on his right side.

A solution for whole-body kinetics in daily practice

Most tools in podiatric practice focus on measurement at the foot level, which are helpful to improve foot dynamics. Runeasi provides a unique solution for podiatrists to look further up the kinetic chain, with the ability to know how adjustments in insoles and footwear can change whole-body kinetics. With the simplicity of wearable technology integration, it is now easier than ever to compare different outcomes when we make changes in insoles, shift between the type of running shoes, and cues in running technique.

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