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Published on: July 17, 2020
Prevention of running injuries
Karl B Fields1, Jeannie C Sykes, Katherine M Walker
1Moses Cone Family Medicine Center, Greensboro, NC 27401, USA. Bert.fields@mosescone.com
Preventing running injuries, common in 40%-50% of runners, requires more research. Reducing weekly mileage is the only proven prevention, while other factors like foot anatomy need further study.
Area of Science:
- Sports Medicine
- Running Biomechanics
- Injury Prevention
Background:
- Running injuries affect 40%-50% of runners annually.
- Strong evidence for prevention is limited, primarily to reducing weekly mileage.
- Anatomical factors like cavus feet and leg length inequality are linked to running injuries.
Purpose of the Study:
- To review evidence for running injury prevention strategies.
- To identify factors with strong, weak, or no evidence for prevention.
- To highlight areas needing further research in running injury prevention.
Main Methods:
- Literature review of factors influencing running injuries.
- Analysis of evidence strength for various prevention strategies.
- Examination of anatomical, biomechanical, and other potential factors.
Main Results:
- Reducing weekly mileage is the only strongly supported prevention strategy.
- Cavus feet and leg length inequality show a link to injury.
- Weak evidence exists for orthotics reducing stress fracture risk; no clear evidence for cavus feet or leg length inequality.
Conclusions:
- Strong evidence for running injury prevention is scarce, with training modification being key.
- Further research is essential to validate interventions for strength, biomechanics, nutrition, and psychological factors.
- Understanding the role of these factors is crucial for developing effective running injury prevention programs.
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