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Gait and Switch [Infographic]

Change the Way You Run

First Published April 2019 / Updated April 2021

Do you want to shave time off your splits, or spare yourself from shin splints?

Either way, consider a running gait assessment. Inefficiencies in your running gait could cause injury or keep you from running your best.

"Due to the way our bodies are built and our lifestyles, we develop faulty movement patterns in our running gaits," says Jim Beitzel, ATC, PES, Northwestern Medicine sports performance coordinator. "A running gait assessment can help detect the compensations our body is making that may lead to tissue overload and joint breakdown over time."

Inefficiencies are often hard for runners to feel. A running gait assessment uses video to show runners their form. This makes it easier to see how to adjust your gait.

Common Gait Types

Heel Striking

About 95% of runners use a gait type that experts do not suggest: striking the ground heel first. Elite runners tend to strike the ground with the front part of their feet. If you are a heel striker, try to hit the ground with the middle part of your feet first.

According to a University of Massachusetts study, moving to the midfoot strike could help ward off a knee injury. With a midfoot strike pattern, the ankle absorbs more impact than the knee does.

Over-Striding

Your center of gravity is balanced when your shoulders are stacked over your hips. Often runners will reach their feet too far forward, contacting the ground ahead of their center of gravity. This is called over-striding. It keeps your body from being able to absorb shock, which can lead to injury.

You can fix over-striding by leaning your body weight forward, or taking shorter, quicker strides.

Hip Dropping (Trendelenburg Gait)

Most people are asymmetrical, meaning you favor one side over the other. If you have asymmetry in your hips, it could be Trendelenburg gait. This means your pelvis does not stay even when you run, and one hip drops lower than the other.

In this gait, your body moves side to side rather than just forward. Not only can this cause hip and lower back pain, but it can also lead to deterioration of the hip joint.

If you drop your hip when you run, it's a sign that you need to strengthen your hip abductors (muscles on the sides of your hips).

Sitting Back (Poor Posterior Chain Drive)

Your posterior chain is made up of the powerful muscles on the backside of your body: glutes, hamstrings and calves. Most people do not engage these muscles enough when they run. This forces the quadriceps to work harder, which can tilt the pelvis forward and cause low back pain.

If you have poor posterior chain drive, strengthen the backside of your body. And, focus on activating your glutes, hamstrings and calves while running.

"If you feel like your running is not up to speed, or you are always dealing with soft tissue or stress fracture issues, a running gait analysis could transform your running performance," says Beitzel. "Being aware of your gait will help improve your running longevity and prevent injury."

Learn more about the Northwestern Medicine Running Medicine Clinic.

Running Gait Assessment at Northwestern Medicine
Running Gait Assessment at Northwestern Medicine

A gait analysis uses leading-edge technology to evaluate, and possibly improve, the way you run. To learn more, visit the Northwestern Medicine Running Medicine Clinic: nm.org/healthbeat/healthy-tips/fitness/nm-running-clinic