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Associations between biomechanical and clinical/anthropometrical factors and running-related injuries among recreational runners: a 52-week prospective cohort study.

Journal article
Authors Jonatan Jungmalm
Rasmus Oestergaard Nielsen
Pia Desai
Jón Karlsson
Tobias Hein
Stefan Grau
Published in Injury epidemiology
Volume 7
Issue 1
Pages 10
ISSN 2197-1714
Publication year 2020
Published at Department of Food and Nutrition, and Sport Science
Institute of Clinical Sciences, Department of Orthopaedics
Pages 10
Language en
Subject categories Sport and Fitness Sciences


The purpose of this exploratory study was to investigate whether runners with certain biomechanical or clinical/anthropometrical characteristics sustain more running-related injuries than runners with other biomechanical or clinical/anthropometrical characteristics.The study was designed as a prospective cohort with 52-weeks follow-up. A total of 224 injury-free, recreational runners were recruited from the Gothenburg Half Marathon and tested at baseline. The primary exposure variables were biomechanical and clinical/anthropometrical measures, including strength, lower extremity kinematics, joint range of motion, muscle flexibility, and trigger points. The primary outcome measure was any running-related injury diagnosed by a medical practitioner. Cumulative risk difference was used as measure of association. A shared frailty approach was used with legs as the unit of interest. A total of 448 legs were included in the analyses.The cumulative injury incidence proportion for legs was 29.0% (95%CI = 24.0%; 34.8%). A few biomechanical and clinical/anthropometrical factors influence the number of running-related injuries sustained in recreational runners. Runners with a late timing of maximal eversion sustained 20.7% (95%CI = 1.3; 40.0) more injuries, and runners with weak abductors in relation to adductors sustained 17.3% (95%CI = 0.8; 33.7) more injuries, compared with the corresponding reference group.More injuries are likely to occur in runners with late timing of maximal eversion or weak hip abductors in relation to hip adductors.

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