The Injury Shuffle and Compensation Injuries
Posted by Matt Russ on 7th Oct 2016
When an athlete sustains an injury, the body produces pain as a way to get the athlete to stop doing what is causing it damage. Inflammation creates a feedback loop “turning off” muscle fibers and further shutting down an injury site. Depending on the intensity of the pain and inflammation, the athlete will compensate for it by using other muscle groups to do the work of the ones that are injured. This may be in the form of a subtle shift in weight or a full-on limp.
Once the athlete is healed, however, they will not always return to the same running form they had prior to being injured. The injury-compensated stride mechanics may continue; in some cases, even leading to more overuse injuries in other areas. An example is a “unipod” stride in which the athlete puts more weight on one leg to protect and unload the other. It is important to note that stride mechanics are deeply ingrained neurologically and habitual. Often the athlete does not realize that they are compensating. A comment I frequently hear after a video stride analysis is “I did not know I was doing that.”
One of the more common compensations I see is one I call the “injury shuffle.” Running involves forceful contractions. The faster a runner runs, the more forceful they become. For this reason alone a runner is more likely to be injured at their race pace versus a slow training pace. The injury shuffle is a way to compensate for the forces involved in running while attempting to maintain some semblance of speed. I generally observe a very fast stride rate of 190-200 strides per minute, with a relatively short stride. Posture is upright without much forward lean into gravity. There is little vertical oscillation or flight time and the run is very “flat;” picture the little sand piper birds you see running along the beach. I guess the good news is that this is a relatively “safe” stride, as the mechanics diminish contractile force and impact. I have observed similar mechanics in ultra distance runners in which time on the feet and injury prevention is trumped by running speed. The bad news is that it creates slow stride mechanics with little opportunity for improvement without some sort of mechanical intervention.
The gluteus maximus and hamstrings are some of the largest and most powerful muscles in the body. They are involved in “pawback” motion driving the leg forcefully back towards the center of gravity to make forceful contact with the ground. The calf muscles (gastrocnemius and soleus) provide the final push-off before flight by extending the ankle (picture a calf raise). The hip flexors forcefully drive the knee creating centripetal force which lifts the lower leg and shortens the lever arm of the leg. It is these critically important explosive movements that are mitigated by the injury shuffle. Runners will pile mile upon mile on top of this type of mechanics but may see little improvement in speed, if any. I have interviewed athletes who have trained extensive miles for several years or more without improvement.
There is a deliberate process for addressing the injury shuffle or other compensated stride and I recommend the following…
Matt Russ is a full time professional coach with over two decades of experience working with athletes up to the professional level. His athletes have achieved numerous regional, national, and international titles under his direction. Matt has achieved the highest level of licensing by both USA Triathlon and USA Cycling, and is a licensed USA Track and Field Coach. His accomplishments include being named "Team USA" Coach by USA Triathlon. Matt is Head Coach and owner of The Sport Factory, a USA Triathlon Certified Performance Center located in Roswell, Georgia. Visit www.sportfactory.com for more information or email him at coachmatt@sportfactory.com