Fatigue-Related Biomechanical Changes During a Half-Marathon Under Field Conditions Assessed Using Inertial Measurement Units
Abstract
1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Experimental Setup and Procedures
2.2.1. Running
2.2.2. Sensor Setup
2.3. Data Analysis
Biomechanical Parameters
2.4. Statistics
3. Results
3.1. Exertion Parameters
3.2. Biomechanical Parameters
4. Discussion
4.1. Exertion Parameters
4.2. Impact Loading
4.3. Kinematics
4.4. Spatiotemporal Parameters
4.5. Limitations and Recommendations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| PTA | Peak tibial acceleration |
| evVel | Peak eversion velocity |
| FSA | Foot strike angle |
| PAV | Peak angular velocity in the sagittal plane |
| SF | Stride frequency |
| strLen | Stride length |
| DF | Duty Factor |
| tC | Ground contact time |
| tF | Flight time |
| IC | Initial ground contact |
| HR | Heart Rate |
| RPE | Rating of perceived exertion |
| IMU | Inertial measurement unit |
| PFP | Patellofemoral pain |
| MTSS | Medial tibial stress syndrome |
| TSF | Tibial stress fractures |
| bpm | Beats per minute |
References
- Hennig, E.M. Eighteen years of running shoe testing in Germany—A series of biomechanical studies. Footwear Sci. 2011, 3, 71–81. [Google Scholar] [CrossRef]
- Yang, S.-J.; Yang, F.; Gao, Y.; Su, Y.-F.; Sun, W.; Jia, S.-W.; Wang, Y.; Lam, W.-K. Gender and Age Differences in Performance of Over 70,000 Chinese Finishers in the Half- and Full-Marathon Events. Int. J. Environ. Res. Public Health 2022, 19, 7802. [Google Scholar] [CrossRef]
- Anthony, D.; Rüst, C.; Cribari, M.; Rosemann, T.; Lepers, R.; Knechtle, B. Differences in participation and performance trends in age group half and full marathoners. Chin. J. Physiol. 2014, 57, 209–219. [Google Scholar] [CrossRef] [PubMed]
- Van Gent, R.N.; Siem, D.; van Middelkoop, M.; van Os, A.G.; Bierma-Zeinstra, S.M.A.; Koes, B.W. Incidence and determinants of lower extremity running injuries in long distance runners: A systematic review. Br. J. Sports Med. 2007, 41, 469–480, discussion 480. [Google Scholar] [CrossRef]
- Ceyssens, L.; Vanelderen, R.; Barton, C.; Malliaras, P.; Dingenen, B. Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review. Sports Med. 2019, 49, 1095–1115. [Google Scholar] [CrossRef]
- Fredette, A.; Roy, J.-S.; Perreault, K.; Dupuis, F.; Napier, C.; Esculier, J.-F. The Association Between Running Injuries and Training Parameters: A Systematic Review. J. Athl. Train. 2022, 57, 650–671. [Google Scholar] [CrossRef] [PubMed]
- Camelio, K.; Gruber, A.H.; Powell, D.W.; Paquette, M.R. Influence of Prolonged Running and Training on Tibial Acceleration and Movement Quality in Novice Runners. J. Athl. Train. 2020, 55, 1292–1299. [Google Scholar] [CrossRef]
- Verbitsky, O.; Mizrahi, J.; Voloshin, A.; Treiger, J.; Isakov, E. Shock Transmission and Fatigue in Human Running. J. Appl. Biomech. 1998, 14, 300–311. [Google Scholar] [CrossRef]
- Mizrahi, J.; Verbitsky, O.; Isakov, E.; Daily, D. Effect of fatigue on leg kinematics and impact acceleration in long distance running. Hum. Mov. Sci. 2000, 19, 139–151. [Google Scholar] [CrossRef]
- Dierks, T.A.; Manal, K.T.; Hamill, J.; Davis, I. Lower extremity kinematics in runners with patellofemoral pain during a prolonged run. Med. Sci. Sports Exerc. 2011, 43, 693–700. [Google Scholar] [CrossRef]
- Derrick, T.R.; Dereu, D.; McLean, S.P. Impacts and kinematic adjustments during an exhaustive run. Med. Sci. Sports Exerc. 2002, 34, 998–1002. [Google Scholar] [CrossRef]
- Giandolini, M.; Gimenez, P.; Temesi, J.; Arnal, P.J.; Martin, V.; Rupp, T.; Morin, J.-B.; Samozino, P.; Millet, G.Y. Effect of the Fatigue Induced by a 110-km Ultramarathon on Tibial Impact Acceleration and Lower Leg Kinematics. PLoS ONE 2016, 11, e0151687. [Google Scholar] [CrossRef]
- Reenalda, J.; Maartens, E.; Homan, L.; Buurke, J.H.J. Continuous three dimensional analysis of running mechanics during a marathon by means of inertial magnetic measurement units to objectify changes in running mechanics. J. Biomech. 2016, 49, 3362–3367. [Google Scholar] [CrossRef] [PubMed]
- Chan-Roper, M.; Hunter, I.; W Myrer, J.; L Eggett, D.; K Seeley, M. Kinematic changes during a marathon for fast and slow runners. J. Sports Sci. Med. 2012, 11, 77–82. [Google Scholar] [PubMed]
- Chen, T.L.-W.; Wong, D.W.-C.; Wang, Y.; Tan, Q.; Lam, W.-K.; Zhang, M. Changes in segment coordination variability and the impacts of the lower limb across running mileages in half marathons: Implications for running injuries. J. Sport Health Sci. 2022, 11, 67–74. [Google Scholar] [CrossRef] [PubMed]
- Hardin, E.C.; van den Bogert, A.J.; Hamill, J. Kinematic adaptations during running: Effects of footwear, surface, and duration. Med. Sci. Sports Exerc. 2004, 36, 838–844. [Google Scholar] [CrossRef]
- Morin, J.-B.; Samozino, P.; Millet, G.Y. Changes in running kinematics, kinetics, and spring-mass behavior over a 24-h run. Med. Sci. Sports Exerc. 2011, 43, 829–836. [Google Scholar] [CrossRef]
- Morio, C.Y.-M.; Garcia, S.; Flores, N. Effects of one-hour road running and shoe on tibial accelerations in recreational runners. ISBS Proc. Arch. 2020, 38, 144–147. [Google Scholar]
- Giovanelli, N.; Taboga, P.; Rejc, E.; Simunic, B.; Antonutto, G.; Lazzer, S. Effects of an Uphill Marathon on Running Mechanics and Lower-Limb Muscle Fatigue. Int. J. Sports Physiol. Perform. 2016, 11, 522–529. [Google Scholar] [CrossRef]
- Prigent, G.; Apte, S.; Paraschiv-Ionescu, A.; Besson, C.; Gremeaux, V.; Aminian, K. Concurrent Evolution of Biomechanical and Physiological Parameters With Running-Induced Acute Fatigue. Front. Physiol. 2022, 13, 814172. [Google Scholar] [CrossRef]
- Olaya-Cuartero, J.; Pueo, B.; Villalon-Gasch, L.; Jimenez-Olmedo, J.M. Stability of Running Stride Biomechanical Parameters during Half-Marathon Race. Appl. Sci. 2024, 14, 4807. [Google Scholar] [CrossRef]
- Ruder, M.; Jamison, S.T.; Tenforde, A.; Mulloy, F.; Davis, I.S. Relationship of Foot Strike Pattern and Landing Impacts during a Marathon. Med. Sci. Sports Exerc. 2019, 51, 2073–2079. [Google Scholar] [CrossRef]
- DeJong Lempke, A.F.; Hunt, D.L.; Willwerth, S.B.; d’Hemecourt, P.A.; Meehan, W.P.; Whitney, K.E. Biomechanical changes identified during a marathon race among high-school aged runners. Gait Posture 2024, 108, 44–49. [Google Scholar] [CrossRef] [PubMed]
- Hennig, E.M.; Milani, T.L.; Lafortune, M.A. Use of Ground Reaction Force Parameters in Predicting Peak Tibial Accelerations in Running. J. Appl. Biomech. 1993, 9, 306–314. [Google Scholar] [CrossRef] [PubMed]
- Mercer, J.A.; Bates, B.T.; Dufek, J.S.; Hreljac, A. Characteristics of shock attenuation during fatigued running. J. Sports Sci. 2003, 21, 911–919. [Google Scholar] [CrossRef] [PubMed]
- Davis, I.; Milner, C.; Hamill, J. Does increased loading during running lead to tibial stress fractures? A prospective study. Med. Sci. Sports Exerc. 2004, 36, S58. [Google Scholar]
- Pohl, M.B.; Mullineaux, D.R.; Milner, C.E.; Hamill, J.; Davis, I.S. Biomechanical predictors of retrospective tibial stress fractures in runners. J. Biomech. 2008, 41, 1160–1165. [Google Scholar] [CrossRef]
- Stacoff, A.; Reinschmidt, C.; Nigg, B.M.; van den Bogert, A.J.; Lundberg, A.; Denoth, J.; Stüssi, E. Effects of foot orthoses on skeletal motion during running. Clin. Biomech. 2000, 15, 54–64. [Google Scholar] [CrossRef]
- Vtasalo, J.T.; Kvist, M. Some biomechanical aspects of the foot and ankle in athletes with and without shin splints. Am. J. Sports Med. 1983, 11, 125–130. [Google Scholar] [CrossRef]
- Milner, C.E.; Ferber, R.; Pollard, C.D.; Hamill, J.; Davis, I.S. Biomechanical factors associated with tibial stress fracture in female runners. Med. Sci. Sports Exerc. 2006, 38, 323–328. [Google Scholar] [CrossRef]
- Shih, Y.; Ho, C.-S.; Shiang, T.-Y. Measuring kinematic changes of the foot using a gyro sensor during intense running. J. Sports Sci. 2014, 32, 550–556. [Google Scholar] [CrossRef]
- Hazzaa Walaa Eldin, A.; Mattes, K. The effect of local muscle fatigue and foot strike pattern during barefoot running at different speeds. Dtsch. Z. Sport. 2019, 70, 175–182. [Google Scholar] [CrossRef]
- Bräuer, S.; Kiesewetter, P.; Milani, T.L.; Mitschke, C. The ‘Ride’ Feeling during Running under Field Conditions-Objectified with a Single Inertial Measurement Unit. Sensors 2021, 21, 5010. [Google Scholar] [CrossRef]
- Mizrahi, J.; Verbitsky, O.; Isakov, E. Fatigue-related loading imbalance on the shank in running: A possible factor in stress fractures. Ann. Biomed. Eng. 2000, 28, 463–469. [Google Scholar] [CrossRef]
- Milner, C.E.; Hawkins, J.L.; Aubol, K.G. Tibial Acceleration during Running Is Higher in Field Testing Than Indoor Testing. Med. Sci. Sports Exerc. 2020, 52, 1361–1366. [Google Scholar] [CrossRef]
- Hill, M.; Kiesewetter, P.; Milani, T.L.; Mitschke, C. An Investigation of Running Kinematics with Recovered Anterior Cruciate Ligament Reconstruction on a Treadmill and In-Field Using Inertial Measurement Units: A Preliminary Study. Bioengineering 2024, 11, 404. [Google Scholar] [CrossRef] [PubMed]
- Bruneau, M.M.; Heiderscheit, B.C.; Morgan, K.D.; Moore, T.E.; Denegar, C.R.; Casa, D.J.; Devaney, L.L. Comparison of Step Rate and Tibial Acceleration During Treadmill and Real-world Running. JOSPT Open 2025, 3, 77–84. [Google Scholar] [CrossRef]
- Milner, C.E.; Foch, E.; Gonzales, J.M.; Petersen, D. Biomechanics associated with tibial stress fracture in runners: A systematic review and meta-analysis. J. Sport Health Sci. 2023, 12, 333–342. [Google Scholar] [CrossRef] [PubMed]
- Xiang, L.; Gao, Z.; Wang, A.; Shim, V.; Fekete, G.; Gu, Y.; Fernandez, J. Rethinking running biomechanics: A critical review of ground reaction forces, tibial bone loading, and the role of wearable sensors. Front. Bioeng. Biotechnol. 2024, 12, 1377383. [Google Scholar] [CrossRef]
- Stirling, L.M.; von Tscharner, V.; Fletcher, J.R.; Nigg, B.M. Quantification of the manifestations of fatigue during treadmill running. Eur. J. Sport Sci. 2012, 12, 418–424. [Google Scholar] [CrossRef]
- Kiesewetter, P.; Bräuer, S.; Haase, R.; Nitzsche, N.; Mitschke, C.; Milani, T.L. Do Carbon-Plated Running Shoes with Different Characteristics Influence Physiological and Biomechanical Variables during a 10 km Treadmill Run? Appl. Sci. 2022, 12, 7949. [Google Scholar] [CrossRef]
- Mitschke, C.; Heß, T.; Milani, T. Which Method Detects Foot Strike in Rearfoot and Forefoot Runners Accurately when Using an Inertial Measurement Unit? Appl. Sci. 2017, 7, 959. [Google Scholar] [CrossRef]
- Sabatini, A.M.; Martelloni, C.; Scapellato, S.; Cavallo, F. Assessment of walking features from foot inertial sensing. IEEE Trans. Biomed. Eng. 2005, 52, 486–494. [Google Scholar] [CrossRef] [PubMed]
- Alexander, R.M. Energy-saving mechanisms in walking and running. J. Exp. Biol. 1991, 160, 55–69. [Google Scholar] [CrossRef]
- Mitschke, C.; Öhmichen, M.; Milani, T. A Single Gyroscope Can Be Used to Accurately Determine Peak Eversion Velocity during Locomotion at Different Speeds and in Various Shoes. Appl. Sci. 2017, 7, 659. [Google Scholar] [CrossRef]
- Mitschke, C.; Zaumseil, F.; Milani, T.L. The influence of inertial sensor sampling frequency on the accuracy of measurement parameters in rearfoot running. Comput. Methods Biomech. Biomed. Eng. 2017, 20, 1502–1511. [Google Scholar] [CrossRef]
- Cohen, J. A Power Primer. Psychol. Bull. 1992, 112, 155–159. [Google Scholar] [CrossRef]
- Olaya-Cuartero, J.; Lopez-Arbues, B.; Jimenezolmedo, J.M.; Villalon-Gasch, L. Influence of Fatigue on the Modification of Biomechanical Parameters in Endurance Running: A Systematic Review. Int. J. Exerc. Sci. 2024, 17, 1377–1391. [Google Scholar] [CrossRef]
- Hreljac, A. Impact and overuse injuries in runners. Med. Sci. Sports Exerc. 2004, 36, 845–849. [Google Scholar] [CrossRef]
- Heß, T.; Milani, T.L.; Stoll, J.; Mitschke, C. Running and Jumping After Muscle Fatigue in Subjects with a History of Knee Injury: What Are the Acute Effects of Wearing a Knee Brace on Biomechanics? Bioengineering 2025, 12, 661. [Google Scholar] [CrossRef]
- Breine, B.; Malcolm, P.; Galle, S.; Fiers, P.; Frederick, E.C.; de Clercq, D. Running speed-induced changes in foot contact pattern influence impact loading rate. Eur. J. Sport Sci. 2019, 19, 774–783. [Google Scholar] [CrossRef]
- Heidenfelder, J.; Sterzing, T.; Bullmann, M.; Milani, T.L. Heel strike angle and foot angular velocity in the sagittal plane during running in different shoe conditions. J. Foot Ankle Res. 2008, 1, O16. [Google Scholar] [CrossRef]
- Hanley, B.; Tucker, C.B.; Gallagher, L.; Parelkar, P.; Thomas, L.; Crespo, R.; Price, R.J. Grizzlies and gazelles: Duty factor is an effective measure for categorizing running style in English Premier League soccer players. Front. Sports Act. Living 2022, 4, 939676. [Google Scholar] [CrossRef]
- Apte, S.; Prigent, G.; Stöggl, T.; Martínez, A.; Snyder, C.; Gremeaux-Bader, V.; Aminian, K. Biomechanical Response of the Lower Extremity to Running-Induced Acute Fatigue: A Systematic Review. Front. Physiol. 2021, 12, 646042. [Google Scholar] [CrossRef]
- Möhler, F.; Fadillioglu, C.; Stein, T. Fatigue-Related Changes in Spatiotemporal Parameters, Joint Kinematics and Leg Stiffness in Expert Runners During a Middle-Distance Run. Front. Sports Act. Living 2021, 3, 634258. [Google Scholar] [CrossRef]


| Age [Years] | Height [cm] | Weight [kg] | Gender [Male/Female] | Weekly Running Distance [km] | Running Speed [km/h] |
|---|---|---|---|---|---|
| 36.9 ± 12.4 | 177.2 ± 6.4 | 71.5 ± 10.8 | 16/4 | 36.8 ± 21.8 | 11.4 ± 0.9 |
| L1 | L8 | L15 | p-Value | d | |
|---|---|---|---|---|---|
| HR [1/min] | 133.8 ± 13.8 a; b | 148.4 ± 15.8 a; c | 156.6 ± 19.2 b; c | * < 0.001 a < 0.001 b < 0.001 c < 0.001 | a = 0.98 b = 1.36 c = 0.47 |
| RPE (6–20) | 9.0 ± 1.6 a; b | 12.8 ± 2.3 a; c | 15.9 ± 2.2 b; c | * < 0.001 a < 0.001 b < 0.001 c < 0.001 | a = 1.90 b = 3.53 c = 1.36 |
| L1 | L8 | L15 | p-Value | d | |
|---|---|---|---|---|---|
| PTA [g] | 8.7 ± 3.5 a | 9.8 ± 4.2 | 10.1 ± 4.2 a | * < 0.001 a < 0.001 | a = 0.58 |
| evVel [°/s] | 425.1 ± 183.0 | 440.4 ± 160.0 | 452.1 ± 154.8 | 0.169 | - |
| PAV [°/s] | 854.2 ± 135.3 a; b | 900.6 ± 160.4 a; c | 919.9 ± 172.0 b; c | * 0.004 a = 0.046 b = 0.011 c = 0.024 | a = 0.31 b = 0.42 c = 0.12 |
| FSA [°] | 24.9 ± 3.7 | 25.4 ± 3.7 | 24.7 ± 4.1 | 0.210 | - |
| L1 | L8 | L15 | p-Value | d | |
|---|---|---|---|---|---|
| strLen [cm] | 206.9 ± 22.6 | 207.0 ± 22.0 | 206.2 ± 22.0 | 0.484 | - |
| SF [1/min] | 166.2 ± 9.6 | 166.6 ± 9.3 | 167.1 ± 9.1 | 0.210 | - |
| tC [ms] | 255.2 ± 17.8 a; b | 260.4 ± 17.6 a | 261.4 ± 19.3 b | * 0.010 a = 0.022 b = 0.044 | a = 0.29 b = 0.34 |
| tF [ms] | 469.4 ± 45.0 a; b | 462.8 ± 43.2 a | 459.0 ± 44.1 b | * 0.006 a = 0.036 b = 0.020 | a = 0.15 b = 0.23 |
| DF [%] | 35.3 ± 3.2 a; b | 36.1 ± 3.1 a | 36.4 ± 3.4 b | * 0.004 a = 0.006 b = 0.016 | a = 0.24 b = 0.33 |
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Mitschke, C.; Heß, T.; Milani, T.L.; Kiesewetter, P. Fatigue-Related Biomechanical Changes During a Half-Marathon Under Field Conditions Assessed Using Inertial Measurement Units. Biomechanics 2025, 5, 101. https://doi.org/10.3390/biomechanics5040101
Mitschke C, Heß T, Milani TL, Kiesewetter P. Fatigue-Related Biomechanical Changes During a Half-Marathon Under Field Conditions Assessed Using Inertial Measurement Units. Biomechanics. 2025; 5(4):101. https://doi.org/10.3390/biomechanics5040101
Chicago/Turabian StyleMitschke, Christian, Tobias Heß, Thomas L. Milani, and Pierre Kiesewetter. 2025. "Fatigue-Related Biomechanical Changes During a Half-Marathon Under Field Conditions Assessed Using Inertial Measurement Units" Biomechanics 5, no. 4: 101. https://doi.org/10.3390/biomechanics5040101
APA StyleMitschke, C., Heß, T., Milani, T. L., & Kiesewetter, P. (2025). Fatigue-Related Biomechanical Changes During a Half-Marathon Under Field Conditions Assessed Using Inertial Measurement Units. Biomechanics, 5(4), 101. https://doi.org/10.3390/biomechanics5040101

