Citation

van der Worp MP, de Wijer A, van Cingel R, Verbeek AL, Nijhuis-van der Sanden MW, Staal JB. J. Orthop. Sports Phys. Ther. 2016; 46(6): 462-470.

Affiliation

Radboud university medical center, Radboud Institute for Health Sciences, IQ healthcare, Nijmegen, The Netherlands.

Copyright

(Copyright © 2016, Orthopaedic Section and Sports Physical Therapy Section of the American Physical Therapy Association)

DOI

10.2519/jospt.2016.6402

PMID

27117730

Abstract

Study Design Prospective cohort study. Background The popularity of running events is still growing, particularly among women, however little is known about the risk factors for running-related injuries in female runners.

OBJECTIVEs The aims of this study were to determine the incidence and characteristics (site and recurrence) of running-related injuries and to identify specific risk factors for running-related injuries among female runners training for a 5- or 10-km race.

METHODS 435 women registered for the Marikenloop run of 5- or 10-km were recruited. Follow-up was conducted over 12 weeks using questionnaires, completed from 8 weeks before to 4 weeks after the event. Two orthopedic tests (navicular drop test and extension of the first metatarsophalangeal joint) were performed in the 8 weeks period before the event. Running-related injuries, defined as running-related pain of the lower back and/or the lower extremity that restricted running for at least 1 day, were assessed at 1, 2 and 3 months follow-up.

RESULTS Of 417 female runners with follow-up data (96%), 93 runners (22.3%) reported 109 running-related injuries, mainly of the hip/groin, knee, and lower leg. Multivariable Cox regression analysis showed that a weekly training distance of more than 30 km (HR 3.28; 95% CI 1.23- 8.75) and a previous running injury longer than 12 months ago (HR 1.88; 95% 1.03- 3.45) were associated with the occurrence of running-related injuries.

CONCLUSION Hip/groin, knee and lower leg injuries were common among female runners. Only weekly training distance (> 30 km) and previous running injury (> 12 months) were associated with running-related injuries in female runners training for a 5- or 10-km event. Level of Evidence Etiology 2b. J Orthop Sports Phys Ther, Epub 26 Apr 2016. doi:10.2519/jospt.2016.6402.

Language: en