Step Rate & Injury Risk in High School Runners
(https://pubmed.ncbi.nlm.nih.gov/26818150/)
Presented by the Velocity Project
Guests: Dr. Lace Luedke (Physical Therapist &Researcher) and Coach Adam Frye (High School Coach)
Host: Evan O. Nelson
Episode Overview:
In this episode, we dive into the research behind step rate (cadence) and its influence on shin injuries and anterior knee pain in high school runners. Dr. Lace Luedke shares insights from her 2016 study published in Medicine & Science in Sports & Exercise, while Coach Adam Frye offers a practical coaching perspective on injury management and training adaptations.
Key Topics
Background & Motivation:
Dr. Luedke’s personal and clinical experiences with running injuries inspired her to explore how step rate might predict injury risk in young athletes.
Study Design:
High school cross country runners were assessed for step rate at both a fixed pace (8:00/mile) and a self-selected pace. Injuries were tracked over a 10-week season.
Main Findings:
Runners with lower step rates (<170 steps/min) were 5–6xmore likely to experience shin injuries.
No significant link was found between step rate and anterior knee pain in this study, possibly due to low incidence.
Coaching Challenges:
Coach Frye discusses the difficulty of individualizing training for large teams and the practical barriers to measuring and modifying cadence in a high school setting.