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Running Movement Impairments: Excess Anterior Knee Translation (Knee Forward to Toe)

Most people have heard that during squatting they should try to keep their knees from moving in front of their toes.  Then I am sure you have also heard the argument that it is indeed ok for those knees to go forward.  The answer to what is right simply depends on what what you are doing and what your goals are.  If you goal is to load the quadriceps and the patellar tendon more, then let that knee move forward.  If you are trying to minimize load and stress on the quad and patellar tendon, keep that knee back.  There is some literature on this effect, with more coming out in the recent years (Kernozek et al., 2018; Zellmer et al., 2017).

When it comes to running, there is no literature on excessive anterior knee translation that I am aware of.  However, clinical experience has shown me a similar movement impairment present in many runners with patellofemoral (knee) pain.  This may be due to the fact that running has a much higher impact load that squatting (depending on how much load…

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