Intrinsic and extrinsic factors contributing to running-related lower limb injuries among adolescent runners

Lempke, Alexandra F. DeJong; Whitney, Kristin E.; Collins, Sara E.; d’Hemecourt, Pierre A.; Meehan, William P.

doi:10.1080/02640414.2022.2163353

Cited by 4 publications

(1 citation statement)

References 33 publications

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“…Previous researchers have postulated that the introduction of physical safety education and RRI prevention programs would continually mitigate RRI-related clinic visits, 8,10 especially with continued emerging evidence of contributing factors to RRI development. 8,18,19 Our injury-specific findings may offer guidance for future targeted injury prevention efforts to this aim, although our current findings suggest that increased knowledge and availability of clinics providing services for RRIs may lead to higher patient volumes over time.…”

Section: Discussionmentioning

confidence: 83%

Outpatient Runners Clinic Visit Trends and Injury Characteristics Among 392 Child and Adolescent Patients: A 10-year Chart Review

Lempke

Whitney

Stracciolini

et al. 2023

Clinical Journal of Sport Medicine

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Objective: To evaluate clinic visits and running-related injury (RRI) characteristics among child and adolescent runners seeking care at an outpatient clinic over a 10-year time frame. Design: Retrospective chart review. Setting: Outpatient hospital-affiliated Injured Runners Clinic. Patients: Children and adolescent runners (6-17 years) with RRIs. Independent Variables: We examined electronic medical records (EMRs) among child and adolescent patients in the hospital database from 2011 to 2021 to obtain RRI characteristics and key demographic factors. Main Outcome Measures: We assessed volume and frequency of patient visits to the clinic by RRI characteristics. Chi square analyses were used to compare the proportion of clinic visits over time and injury trends by body region and diagnosis. Results: There were 392 patients (sex: 277 F; mean age: 16.1 ± 1.3 years) and an average of 5 clinic visits per diagnosis (5 ± 4 visits; min: 1 visit, max: 31 visits). Number of visits generally increased over time up to 2016 but declined most drastically during the years of the pandemic (2020-2021; χ2 = 644, P < 0 .001). Of the 654 new injury diagnoses, 77.68% were attributed to repetitive stress. Bone stress injuries to the tibia were the most common RRI (χ2 = 1940, P < 0 .001; N = 132; 20.2% of all injuries) and constituted most of the clinic visits (χ2 = 9271, P < 0 .001; N = 591; 25.4% of all visits). Conclusion: We identified that adolescents with overuse injuries, particularly bone stress injuries to the tibia, constituted most of the visits to the outpatient healthcare setting. Clinicians should emphasize injury prevention efforts in clinical practice to reduce RRI burden.

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Section: Discussionmentioning

confidence: 83%

Outpatient Runners Clinic Visit Trends and Injury Characteristics Among 392 Child and Adolescent Patients: A 10-year Chart Review

Lempke

Whitney

Stracciolini

et al. 2023

Clinical Journal of Sport Medicine

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Do we underestimate the frequency of ankle sprains in running? A systematic review and meta-analysis

Hansoulle,

Peters-Dickie,

Mahaudens

et al. 2024

Physical Therapy in Sport

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Clinical assessment, treatment, and referral trends for adolescent runners seeking care at an injured runners’ clinic

DeJong Lempke,

Stracciolini,

Willwerth

et al. 2023

PRM

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PURPOSE: Over a 10-year time frame, this study aimed to evaluate diagnosis, treatment, and referral trends for adolescent runners seeking care for running-related injuries (RRIs) at a clinic that specializes in running medicine. METHODS: This study was a retrospective chart review of 392 adolescent runners (2,326 encounters) who sought care for RRIs between the years 2011 and 2021. Descriptive statistics were used to summarize clinical assessments, referrals, assistive devices, and medications prescribed or administered overall and by injury type. Chi-square analyses were used to compare proportions of services rendered across the 10-year time frame. RESULTS: Patients most frequently received manual evaluations or special tests during clinic visits. Most visits resulted in at least one referral (91%), primarily for physical therapy or gait-training. Assistive devices and medications/supplements were offered at only 18% of patient visits. The majority of assessments (X2 = 69.7, p = 0.002), treatments (X2: 23.6–43.8, p: < 0.001–0.003), and referrals (X2 = 132, p < 0.001) were for shin injuries. Larger proportions of nutrition assessments (X2 = 40.7, p < 0.001), interventions (X2 = 26.8, p = 0.003), and referrals (X2 = 27.5, p = 0.002) were performed in or after the year 2015. CONCLUSION: Clinic visits for shin injuries required the most clinical resources per episode of care. There were observed shifts in clinical assessment and treatment approaches to include more expanded nutritional and physiologic considerations.

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Intrinsic and extrinsic factors contributing to running-related lower limb injuries among adolescent runners

Cited by 4 publications

References 33 publications

Outpatient Runners Clinic Visit Trends and Injury Characteristics Among 392 Child and Adolescent Patients: A 10-year Chart Review

Outpatient Runners Clinic Visit Trends and Injury Characteristics Among 392 Child and Adolescent Patients: A 10-year Chart Review

Do we underestimate the frequency of ankle sprains in running? A systematic review and meta-analysis

Clinical assessment, treatment, and referral trends for adolescent runners seeking care at an injured runners’ clinic

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