No baseline strength differences between female recreational runners who developed an injury and injury free runners during a 16-week formalized training program

Torp, Danielle M.; Donovan, Luke; Gribble, Phillip A.; Thomas, Abbey C.; Bazett-Jones, David M.; Beard, Megan Q.

doi:10.1016/j.ptsp.2018.08.001

Cited by 4 publications

(8 citation statements)

References 47 publications

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“…Previous studies present conflicting findings on lower extremity strength measures in relationship to injury development. 21,22,39 The most consistent evidence indicates that gluteal muscle weakness is associated with patellofemoral pain (PFP) 15,21,40 ; however, no runners had PFP in our sample. Other assessments, however, have identified inadequate pelvic control, which has been attributed to poor muscular endurance, as a risk factor for injury across lower extremity injury types.…”

Section: Discussionmentioning

confidence: 60%

A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners

Lempke

Collins

Whitney

et al. 2022

International Journal of Sports Physical Therapy

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Background There are multiple personal and environmental factors that influence the risk of developing running-related injuries (RRIs). However, it is unclear how these key clinical factors differ between adult and adolescent runners. Purpose The purpose of this study was to compare anthropometric, training, and self-reported outcomes among adult and adolescent runners with and without lower extremity musculoskeletal RRIs. Study Design Cross-sectional study. Methods Questionnaire responses and clinical assessment data were extracted from 38 adult runners (F: 25, M: 13; median age: 23 [range 18-36]) and 91 adolescent runners (F: 56, M: 35; median age: 15 [range 14-16]) who underwent a physical injury prevention evaluation at a hospital-affiliated sports injury prevention center between 2013 and 2021. Participants were sub-grouped into those with (adults: 25; adolescents: 38) and those without (adults: 13; adolescents: 53) a history of self-reported RRIs based on questionnaire responses. Multivariate analyses of covariance (MANCOVA) covarying for gender were conducted to compare outcomes across groups. Results Adult runners had lower Functional Movement Screen™ (FMS™) scores (mean differences [MD]: -1.4, p=0.01), were more likely to report intentional weight-loss to improve athletic performance (% difference: 33.0%; p:<.001), and more frequently included resistance training into their training routines (% difference: 21.0%, p=0.01) compared to adolescents. Those with a history of RRIs were more likely to report intentional weight-loss compared to uninjured runners (% difference: 21.3; p=0.02) and had shorter single leg bridge durations than those without RRIs (RRI: 57.9±30, uninjured: 72.0±44, p=0.01). Conclusion The findings indicate that addressing aspects of biomechanics identified by the FMS™ and behaviors of weight loss as an effort to improve performance may represent targets for the prevention of RRIs for adult and adolescent runners, given the association with history of RRIs. Level of Evidence 3

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Section: Discussionmentioning

confidence: 60%

A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners

Lempke

Collins

Whitney

et al. 2022

International Journal of Sports Physical Therapy

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“…Thirty studies, comprising 3404 runners (2267 female, 66.6%), investigated risk factors for RRI [ 4 , 10 , 15 , 16 , 18 – 22 , 24 , 25 , 51 , 53 , 54 , 56 , 57 , 59 – 61 ], exercise related lower leg pain [ 50 ], patellofemoral pain [ 17 , 27 , 29 , 52 ], iliotibial band syndrome [ 26 , 28 , 58 ] and Achilles tendinopathy [ 14 , 23 ]. Study duration ranged from 8 weeks [ 28 ] to 2 years [ 16 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two pooled analyses identified that results of baseline measures of knee extension strength and hip adduction velocity were significantly different between runners who did and did not prospectively develop a RRI. Four studies [ 14 , 16 , 18 , 60 ] including 594 runners (299 injured, 271 female) reported eligible data for knee extension strength (Fig. 2 ).…”

Section: Resultsmentioning

confidence: 99%

“…2 ). Standardised mean differences were calculated for the meta-analysis of this factor due to differences in measurement methods between studies (maximal voluntary isometric contraction [ 14 , 18 , 60 ] vs. maximal isokinetic contraction [ 16 ]). Significantly lower velocity of hip adduction during the stance phase of running was detected among runners who prospectively developed a RRI compared with those who did not (MD − 12.80 °/s, 95% CI − 25.22 to − 0.38, p = 0.04) with no evidence of statistical heterogeneity ( I 2 = 0%, p = 0.62) (Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Atypical lower limb alignment and biomechanical function are proposed to play a role in the development of lower limb injury [ 13 ], and may contribute to development of RRI. Previous investigations of biomechanical and musculoskeletal risk factors for RRI have included measures of muscle strength [ 14 – 18 ], joint range of motion (ROM) [ 4 , 16 , 19 ], lower limb alignment characteristics [ 4 , 16 , 17 , 20 , 21 ], plantar pressure analysis [ 22 , 23 ], running kinetics [ 16 , 24 , 25 ], and three-dimensional (3D) running kinematics [ 16 , 26 – 29 ]. The findings of these studies have generally provided conflicting or inconclusive results.…”

Section: Introductionmentioning

confidence: 99%

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Biomechanical and Musculoskeletal Measurements as Risk Factors for Running-Related Injury in Non-elite Runners: A Systematic Review and Meta-analysis of Prospective Studies

et al. 2022

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Background Running-related injury (RRI) is highly prevalent among recreational runners and is a key barrier to participation. Atypical lower limb alignment and mechanical function have been proposed to play a role in development of lower extremity injury. The purpose of this study was to investigate relationships between incidence of running-related injury (RRI) in non-elite runners with biomechanical and musculoskeletal variables. Methods A systematic review and meta-analysis of prospective studies. Published research indexed in MEDLINE, EMBASE, CINAHL, SPORTDiscus, AMED, and The Cochrane library until 13th January 2021, grey literature, and reference lists of included studies were screened to identify prospective studies of non-elite adult runners that measured a relationship between biomechanical or musculoskeletal measures and incidence of RRI. Results Thirty studies (3404 runners), testing over 100 discrete biomechanical and musculoskeletal risk factors for RRI, were included. Nineteen studies were pooled in twenty-five separate meta-analyses. Meta-analysis of four studies detected significantly less knee extension strength among runners who developed a RRI (SMD − 0.19, 95% CI − 0.36 to − 0.02, p = 0.03), though this may not be clinically important. A meta-analysis of two studies detected significantly lower hip adduction velocity among runners who developed a RRI (MD − 12.80, 95% CI − 25.22 to − 0.38, p = 0.04). Remaining meta-analyses found no significant relationship between biomechanical or musculoskeletal variables and RRI. Conclusion This systematic review and meta-analysis found the currently available literature does not generally support biomechanical or musculoskeletal measures as risk factors for RRI in non-elite runners. While meta-analysis findings for knee extension strength and hip adduction velocity as risk factors for RRI were statistically significant, the associated trivial to small effects sizes suggest these findings should be treated with caution. Until further evidence emerges, recommendations for injury prevention in non-elite runners cannot be made based on biomechanical and musculoskeletal measurements alone.

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Do Injury-Resistant Runners Have Distinct Differences in Clinical Measures Compared with Recently Injured Runners?

Dillon

Burke

Whyte

et al. 2021

Medicine &Amp; Science in Sports &Amp; Exercise

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No baseline strength differences between female recreational runners who developed an injury and injury free runners during a 16-week formalized training program

Cited by 4 publications

References 47 publications

A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners

A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners

Biomechanical and Musculoskeletal Measurements as Risk Factors for Running-Related Injury in Non-elite Runners: A Systematic Review and Meta-analysis of Prospective Studies

Do Injury-Resistant Runners Have Distinct Differences in Clinical Measures Compared with Recently Injured Runners?

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