The study
A narrative review published in Sports Medicine – Open on 7 October 2026 by four authors from Volodalen SwissSportLab in Switzerland. It examines three common pieces of running advice: that heel striking is harmful, that 180 steps a minute is the cadence to aim for, and that raising cadence reduces injury risk.
A narrative review is the authors' structured reading of the literature. It has no pooled numbers and no formal rating of how strong the evidence is. These authors searched PubMed, Scopus and Web of Science to June 2026 and then made their case.
What they found
On heel striking: the authors argue the link with injury is undetermined, because most of the evidence is retrospective, looking back at runners who were already injured. Loading rate follows a U-shaped curve as a runner's foot lands flatter, with mild rearfoot strikers loading fastest and some pronounced heel strikers loading slower. They cite a study in which making habitual heel strikers land on their forefoot increased loading at the distal tibia.
On 180: they trace the figure to Jack Daniels' observations of competitive distance runners. It described what fast runners did at race pace, and over time it became a target. Cadence across runners ranges from roughly 150 to 210 steps a minute, and rises with speed, leg length, body mass, footwear and surface.
On raising cadence: they accept that early lab studies showed short-term reductions in joint loading. They cite a 2022 meta-analysis that found no consistent evidence those changes reduce injury or improve performance. They point to direct clinical evidence for cadence retraining in patellofemoral pain and say it's worth testing there.
Funding and conflicts
The review had no external funding. All four authors work at Volodalen SwissSportLab, a private company that sells running-biomechanics services, which they declare as a competing interest. Part of their argument draws on their own lab's work on duty factor, the share of each stride spent on the ground.
What it means for your practice
The 180 figure described competitive runners at race pace. Cadence rises with speed, so a lower number at an easy pace isn't a fault on its own.
The prospective evidence that heel striking causes injury is thin. Most of what links foot strike to injury comes from runners who were already injured. In the one study the authors cite that tested a change, converting heel strikers to a forefoot strike increased loading at the distal tibia.
Cadence retraining still has a case in patellofemoral pain. The authors' argument is against applying it to every runner as injury prevention.
Every author sells running-biomechanics services, and several of the cited studies are their own. A narrative review lets the authors choose which evidence to weigh, so the selection of studies can't be checked the way a systematic review's can.
Measuring cadence change has its own error. A separate 2026 study of a wearable tibial accelerometer found the smallest cadence change it could reliably detect between two examiners was about 24 steps a minute, larger than the 5–10% increase usually prescribed in retraining.
Bottom line
The 180 steps a minute rule began as an observation of elite runners, and the evidence that heel striking causes injury is mostly retrospective. The review reads best as a well-argued position from authors with a commercial interest, and I'd want a systematic review before treating it as settled.