Preventing a Stretched ACL with Forefoot Running

I always love continually raising the issue of how heel strike running hurts the knees and most notably, forefoot running is the best resolution for your knee and anterior cruciate ligament (ACL) problems.

Running with a forefoot strike, not a heel strike, gives you a stronger foundation for you to remain injury-free, especially your ACL, as the mechanical behavior of forefoot running prevents a stretched ACL as compared with heel strike running.

The key to understanding how to prevent a stretched ACL injury, you need to know how the ankle works in heel strike vs forefoot strike running.

How Forefoot Running Prevents a Stretched ACL

Preventing a Stretched ACL with Forefoot Running

Forefoot running has enormous protection capabilities on the ACL simply because the mechanical activity of the foot/ankle complex was implicated in reducing impact loads on the ACL. A study by Fong et al. 2011 found that forefoot running increased range of motion of the dorsiflexors (small muscles that line the top of top of the foot and extend to the ankle) which was found to reduce ACL loading by stabilizing the knee and hip joints, making forefoot running a good, qualified choice for preventing risk of ACL injury.

Basically, range of motion of the knee-joint and ankle-joint can increase and decrease depending on the foot strike pattern during running (Valenzuela et al. 2015), and more specifically, the ankle functions in a different capacity in heel strike running than in forefoot strike running.

Studies have found that in heel strike running, the knee-joint has more unstable motions which may increase mechanical work and stress on the ACL to accommodate the increased motions of the knee. This is how ACL injuries may arise in heel strike runners. For instance, Valenzuela et al. (2015), found that heel strike running reduced mechanical efforts of the ankle which consequentially increased knee and hip movements, and given this surge in knee movements, may increase a runner’s risk of cruciate ligament strain.

In forefoot running, the ankles are more mechanically involved, or active which rewards the knees with better knee-joint stability and less stress and strain on the ACL. Not only that, increased mechanical engagement of the ankles in forefoot running increases shock absorption.

Overall, forefoot running is the right step to take to prevent ACL injuries by resolving unwanted knee-joint mobility.

More From Run Forefoot:

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Is Barefoot Running Good for You?

What is Earthing and How it Helps with Recovery


Fong, C.M., Blackburn, J.T., Norcross, M.F., Mcgrath, M. and Padua, D.A. (2011) Ankle-dorsiflexion range of motion and landing biomechanics. Journal of Athletic Training 46, 5-10.

Valenzuela et al. Effect of Acute Alterations in Foot Strike Patterns during Running on Sagittal
Plane Lower Limb Kinematics and Kinetics. J Sports Sci Med, 2015, 14, 225-232

Bretta Riches

"I believe the forefoot strike is the engine of endurance running..."

BSc Neurobiology; MSc Biomechanics candidate, ultra minimalist runner & founder of RunForefoot. I was a heel striker, always injured. I was inspired by the great Tirunesh Dibaba to try forefoot running. Now, I'm injury free. This is why I launched Run Forefoot, to advocate the health & performance benefits of forefoot running and to raise awareness on the dangers of heel striking, because the world needs to know.
Bretta Riches

P.S. Don't forget to check out the Run Forefoot Facebook Page, it's a terrific place to ask questions about forefoot running, barefoot running and injury. I'm always happy to help!