Effect of Grade and Surface Type on Peak Tibial Acceleration in Trained Distance Runners.

Runners experience repeated impact forces during training, and the culmination of these forces can contribute to overuse injuries. The purpose of this study was to compare peak vertical tibial acceleration (TA) in trained distance runners on 3 surface types (grass, asphalt, and concrete) and 3 grades (incline, decline, and level). During visit 1, subjects completed a 1-mile time trial to determine their pace for all running trials: 80% (5%) of the average time trial velocity.