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Overuse Injury: The Result of Pathologically Altered Myofascial Force Transmission?
Jan Wilke1, Andry Vleeming2, Scott Wearing3
1Department of Sports Medicine, Goethe University, Frankfurt, Germany.
Exercise and Sport Sciences Reviews
|July 11, 2019
Summary
Repetitive strain causes overuse injuries. This review suggests altered force transmission in connected areas, not just the painful site, may promote conditions like plantar fasciitis and lumbago.
Area of Science:
- Sports Medicine
- Biomechanical Analysis
- Orthopedics
Background:
- Overuse injuries stem from repetitive microdamage, leading to localized pain.
- Current therapies often target symptom sites, potentially missing broader causes.
- Conditions like plantar fasciitis and lumbago are common sports-related soft tissue disorders.
Purpose of the Study:
- To hypothesize that altered force transmission from connected anatomical structures contributes to sports-related soft tissue disorders.
- To challenge the localized symptom-focused approach in treating overuse injuries.
- To explore the etiopathology of conditions such as plantar fasciitis and lumbago.
Main Methods:
- Literature review on overuse injuries and biomechanics.
- Analysis of force transmission pathways in relevant anatomical structures.
- Synthesis of evidence linking altered biomechanics to soft tissue disorders.
Main Results:
- Repetitive microdamage is a known cause of overuse injuries.
- Pathologically altered force transmission from connected structures is proposed as a contributing factor.
- Oversimplification of etiopathology may occur with localized treatment approaches.
Conclusions:
- Altered force transmission from anatomically connected structures may promote conditions like plantar fasciitis and lumbago.
- A comprehensive biomechanical perspective is crucial for understanding and treating overuse injuries.
- Future research should investigate interconnectedness in soft tissue disorder development.
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