Analyzing Running Gait: Factors to Consider

Good running mechanics not only allows competitive runners to perform at their peak, but it reduces the risk of injury in everyday runners who run for exercise, weight management, and just for the sheer joy of running. However, not all runners run on the same terrain, and many argue that assessing running gait on a treadmill does not give you a real-world picture of the subject’s everyday running style.

Call NYDNRehab today to schedule your running gait analysis session, and get ready to take your running to a whole new level.

Analyzing Running Gait: Factors to Consider

Range of Available Unique Physical Therapy Treatments at Nydnrehab

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Lev Kalika Clinical Director and DC, RMSK

Dr.Kalika revolutionized foot and ankle care by using high resolution diagnostic ultrasonography for structural diagnosis, combined with with gait and motion analysis technology. Dr.Kalika’s motion and gait analysis lab is the only private lab in the US that features research-grade technology found only at top research universities, made available to patients in his private clinic.

Our Specialists

mikhail Dr. Mikhail Bernshteyn MD (Internist)
pekar Dr. Christina Pekar DC
michelle Dr. Michelle Agyakwah DC
mariam Mariam Kodsy Physical Therapist

Reactive Neuromuscular Training on Kineo

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Kineo – the most versatile muscle testing using artificial intelegence
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Kineo – the most versatile muscle testing using artificial intelegence
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Kineo – the most versatile muscle testing using artificial intelegence
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Despite 10 years of experience with instrumented gait analysis, attending multiple running medicine conferences, certification in clinical biomechanics, and personal experience with Chris Powers, I decided to undertake this additional certification to ensure that no single detail concerning the assessment and treatment of running injuries escapes me.

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In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)

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Complete tear of rectus femoris
with large hematoma (blood)

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Separation of muscle ends due to tear elicited
on dynamic sonography examination

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