Two Endurance Athletes Stop During Their Workouts To Look At The Wearable Technology Watch On One Of The Athlete's Wrists

How Wearable Technology Can Prevent Running Injuries

BY Yewande Adesida

Learn about the types of wearable technology on the market today and how they can help you understand the biomechanics of your athletes.

The popularity of wearable technology is undeniable. Elite and recreational athletes alike use a variety of different devices to gather information about their training. This information includes metrics such as heart rate, sleep, or more running-specific variables such as pace and cadence. 

The metrics delivered from such devices can also be incredibly useful to coaches. But unless you’re there with your athletes in person, you don’t quite get the same insight into their running technique. Fortunately, the latest advancements in wearable technology can make it easier to track movement patterns that can be used to guide training.

Understanding Metrics and Biomechanics

It’s easy to get lost in all the different types of technology, what they can do, and what it means to you as a coach. No matter how advanced the tech your athlete is sporting on their wrist or shoe laces, it means close to nothing if you’re not able to understand it. The most important part of using wearable technology is understanding the metrics and how you can translate them into coaching cues for your athlete. 

Sensors like inertial measurement units (IMUs), accelerometers, strain gauges, and those measuring pressure can be incorporated into different systems like watches, insoles, power meters, and other wearable devices to give various biomechanical factors.

These sensors can be used to derive metrics that are typically grouped into the following categories:

When it comes to running specifically and focusing on kinetics and kinematics, good metrics to know include ground reaction force (GRF), pronation, pelvic angles, and power. Loading rate and excessive pronation have been linked to plantar fasciitis, while excessive pronation can also contribute to medial tibial stress syndrome (also known as shin splints). Studies have also explored the relationship between pelvic angles and patellofemoral pain syndrome or medial tibial stress syndrome, but there is some conflicting evidence. 

There are other metrics that you can measure in addition to GRF, pronation, pelvic angles, and power, but these have been studied more frequently when it comes to running economy and injury. 

How Wearables Help Coaches

Perhaps one of the biggest challenges for coaches and athletes is preventing/dealing with injury. Staying healthy is a challenge for runners at all levels, from beginners to world-class pros. Preventing injury allows your athlete to maximise their number of training days and get to their start line prepared and ready to go. It also increases your athlete’s longevity in the sport. 

One of the big advantages of wearable technology is the ability for long-term monitoring outside of a lab. Your athlete’s biomechanics often depend on their sex, the shoes they’re wearing, and their environment (like the surface they’re running on). Tracking this allows you to establish a pattern of how your athlete moves. This makes it easier to spot irregular movements that could lead to an injury. You can also use the data to inform any prevention training programs such as mobility, strength, or plyometric work that can reduce the risk of injury. 

Understanding the context around different metrics can help you determine what is and isn’t normal for your athlete. For example, in one study, when running at a self-selected speed and using an IMU placed on the sacrum to measure pelvis kinematics, no significant differences were measured in pelvic tilt between men and women, but women experienced more pelvic rotation. In another study, sensors were placed on the heel of running shoes to measure pronation while running on grass and track surfaces. There weren’t any significant differences in the amount of pronation on the two surfaces, but the higher maximum pronation velocity on the track was determined to be significant.

Wearable Running Tech Currently Available 

Here is a list of some wearable technology that’s currently available and how to use it so you and your athlete can make the most out of training. 

Insoles

These fit inside your running shoe, but athletes might need to remove the existing insoles in their shoes to have enough space for their feet. 

  • The NURVV Run insoles have 32 sensors that provide insights on power, pronation, and footstrike, among others. Athletes can interact with data on a mobile app, or through their Apple or Garmin watch, but would then need to share this information with their coach.
  • The ReGo and OpenGo insoles by Moticon have 16 pressure sensors and an IMU in each insole. The ReGo insoles use a library of tests to provide insights including GRF and foot load, while the OpenGo insoles provide raw sensor data that can be used to derive metrics. Both have been designed for researchers, therapists, and coaches to use with their clients or athletes 

Inertial Measurement Units (IMUs)

  • RunScribe pods clip onto the top of a running shoe or into a hip mount. This dual functionality means you can get metrics from the foot (including pronation, power, and impact) and the pelvis (pelvic angles). The dashboard on the app allows coaches, clinicians, and researchers to analyze data for multiple people.  

Power meters

  • Stryd sensor clips onto the top of a running shoe (where the laces go). It’s compatible with different sports watches, and it syncs with TrainingPeaks. Users can get power data as well as other spatio-temporal metrics. The new Stryd Duo system gives left-right power and some additional balance-related metrics. Coaches may be interested in using Stryd Footpath to analyse data, but this requires a membership

Other systems have been used in research, including the Novel Pedar and Tekscan F-Scan GO System insoles, as well as IMUs from IMeasureU, DorsaVi, and APDM that may provide further biomechanical analysis.

Other Considerations

There’s a lot of technology out there, so you need to consider a few things before using it with your athletes. For starters, there is some conflicting evidence as to the links between different biomechanical factors and running injuries. It’s important to look at what has been tested and validated by researchers. The field of wearable technology is constantly evolving, so the more you can stay up to date, the better. 

Also, you need to consider how much the technology is going to cost you or your athlete, as well as how comfortable it is for them to wear. Something that feels uncomfortable and affects how the athlete normally moves isn’t going to give you accurate data. How easy it is to interpret the data and communicate that with your athlete is an important factor to consider as well. 

Finally, remember that the metrics from any wearable technology should be used alongside your coaching, and it should never replace it.

References

IMeasureU. Sports Biomechanics – Movement Meets Tech. Retrieved from https://imeasureu.com/knowledge/sports-biomechanics

Lohman, E., Sackiriyas, K., & Swen, R. (2011, November). A comparison of the spatiotemporal parameters, kinematics, and biomechanics between shod, unshod, and minimally supported running as compared to walking. Retrieved from https://www.sciencedirect.com/science/article/abs/pii/S1466853X11001040

Moltó, I., et al. (2020, November 12). Wearable Sensors Detect Differences between the Sexes in Lower Limb Electromyographic Activity and Pelvis 3D Kinematics during Running. Retrieved from https://www.mdpi.com/1424-8220/20/22/6478

Willwacher, S., et al. (2022, March 5). Running-Related Biomechanical Risk Factors for Overuse Injuries in Distance Runners: A Systematic Review Considering Injury Specificity and the Potentials for Future Research. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9325808/

A Coach Using Trainingpeaks On Her Laptop In Her Home Office

Start Your 7-Day Free Trial

Explore all TrainingPeaks features and more with a free 7-day trial for coaches. Tools built by coaches to make coaching easier.

Yewande Adesida
About Yewande Adesida

Yewande is a cyclist who competes in track and road criterium events at a regional and national level, while also working as a rowing coach in the river and beach sprints disciplines. She has a PhD in which she investigated the use of wearable technology in sport. Yewande enjoys combining these different experiences to inspire others in the sport. You can find her on Instagram @yewie_a.

Related Articles