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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
Links dx.doi.org/10.1186/s40621-020-00237...
www.ncbi.nlm.nih.gov/entrez/query.f...
Subject categories Sport and Fitness Sciences

Abstract

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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