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Evaluation of the injured runner
1UVa Health South Physical Therapy, 545 Ray C. Hunt #240, Charlottesville, VA, USA.
Clinics in Sports Medicine
|July 9, 2010
Summary
Evaluating injured runners requires identifying risk factors and diagnosing injuries. A comprehensive, running-specific assessment, including biomechanical screening and dynamic observation, aids in effective rehabilitation program development.
Area of Science:
- Sports Medicine
- Biomechanics
- Physical Therapy
Background:
- Injured runners present complex cases requiring thorough evaluation.
- Identifying intrinsic and extrinsic risk factors is crucial for diagnosis and treatment.
- Previous assessments may overlook dynamic abnormalities inherent to running.
Purpose of the Study:
- To outline a comprehensive, running-specific diagnostic approach for injured runners.
- To emphasize the importance of identifying both intrinsic and extrinsic risk factors.
- To highlight the role of biomechanical and functional screening in diagnosis.
Main Methods:
- Detailed patient history focusing on training regimen and technique.
- Physical examination including biomechanical and functional screening (posture, alignment, strength, flexibility, lower quarter stability).
- Observational gait analysis (walking and running) to identify dynamic abnormalities.
Main Results:
- A running-specific approach identifies subtle abnormalities missed in static evaluations.
- Comprehensive assessment reveals intrinsic and extrinsic risk factors contributing to injury.
- Functional and dynamic evaluation is key to understanding running-related imbalances.
Conclusions:
- A holistic, running-specific diagnostic strategy is essential for injured runners.
- This approach facilitates the development of optimized, individualized rehabilitation programs.
- Integrating history, static, and dynamic assessments leads to more effective injury management.
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