REF-1106 · Kasmer et al., 2013 · International Journal of Sports Physiology and Performance, · Paper · PubMed

At 8.1 km of a mid-size city marathon (1991 runners classified), 93.67% were heel strikers; foot-strike class differed with race position (Kruskal-Wallis P <.0001), with faster runners less likely to heel strike, and it did not differ by gender

Blimited evidenceMeasured on recreational to trained athletesWritten before October 2026, being re-checked

Foot strike (forefoot, midfoot, heel or split), gender and rank (position in race) were recorded at the 8.1-km mark for 2112 runners; 1991 could be classified.

Participants

n=1991 classified of 2112 recorded runners, 2011 Milwaukee Lakefront Marathon.

Protocol

Classification at 8.1 km; Kruskal-Wallis test for foot strike vs rank, Fisher exact test for foot strike vs gender.

Key Results

Heel-strike prevalence 93.67% (n = 1865).
Foot-strike class differed with performance (P < .0001); more elite performers were less likely to heel strike.
No significant association between foot-strike class and gender.
In the 126 non-heel strikers, shoe wear was not associated with performance.
Authors' view (not tested in this study): the heel-strike prevalence may predict these runners' injury profile.

Practical Application

Inference: in an uninjured recreational runner a heel strike alone is not a fault; the authors see a role for modification in injured runners.
The injury link in the conclusion is the authors' extrapolation; no injuries were recorded. Not from this paper; the base's own practice: injury risk is reasoned from load and history, not from strike pattern alone (see REF-714 for the impact-force argument).

Limitations

Single observation at 8.1 km; pattern later in the race not recorded.
"Rank" is position in race; finish times and pace not analysed in the abstract.
No injury, kinetic or economy data; the injury claim is speculative.
How this entry was checked and changed
Why this level

cross-sectional race video; one point early in the race, rank not finish time