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Journal Article

Citation

Jungmalm J, Nielsen RØ, Desai P, Karlsson J, Hein T, Grau S. Inj. Epidemiol. 2020; 7(1): e10.

Affiliation

Center for Health and Performance, Department of Food and Nutrition and Sport Science, University of Gothenburg, Box 300, SE405 30, Gothenburg, Sweden.

Copyright

(Copyright © 2020, The author(s), Publisher Holtzbrinck Springer Nature Publishing Group - BMC)

DOI

10.1186/s40621-020-00237-2

PMID

32234070

Abstract

BACKGROUND: 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.

METHODS: 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.

RESULTS: 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.

CONCLUSIONS: More injuries are likely to occur in runners with late timing of maximal eversion or weak hip abductors in relation to hip adductors.


Language: en

Keywords

Joint range of motion; Kinematics; Muscle flexibility; Muscle strength; Risk factors

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