Suspected mechanisms in the cause of overuse running injuries : A clinical review

Ferber, Reed, Hreljac, Alan, & Kendall, Karen D. (2009) Suspected mechanisms in the cause of overuse running injuries : A clinical review. Sports Health : A Multidisciplinary Approach, 1(3), pp. 242-246.

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Context: Various epidemiological studies have estimated that up to 70% of runners sustain an overuse running injury each year. Although few overuse running injuries have an established cause, more than 80% of running-related injuries occur at or below the knee, which suggests that some common mechanisms may be at work. The question then becomes, are there common mechanisms related to overuse running injuries?

Evidence Acquisition: Research studies were identified via the following electronic databases: MEDLINE, EMBASE PsycInfo, and CINAHL (1980–July 2008). Inclusion was based on evaluation of risk factors for overuse running injuries.

Results: A majority of the risk factors that have been researched over the past few years can be generally categorized into 2 groups: atypical foot pronation mechanics and inadequate hip muscle stabilization.

Conclusion: Based on the review of literature, there is no definitive link between atypical foot mechanics and running injury mechanisms. The lack of normative data and a definition of typical foot structure has hampered progress. In contrast, a large and growing body of literature suggests that weakness of hip-stabilizing muscles leads to atypical lower extremity mechanics and increased forces within the lower extremity while running.

Impact and interest:

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ID Code: 60070
Item Type: Journal Article
Refereed: Yes
Keywords: running, injuries, cause, prevention
DOI: 10.1177/1941738109334272
ISSN: 1941-0921
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Schools > School of Exercise & Nutrition Sciences
Copyright Owner: Copyright 2009 Sage Publications, Inc.
Deposited On: 20 May 2013 00:51
Last Modified: 30 Jun 2013 22:25

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