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Updated: May 26, 2026

An Inertial Measurement Unit Based Method to Estimate Hip and Knee Joint Kinematics in Team Sport Athletes on the Field
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Association Between Global Positioning System-Based Training Load and Injury Risk in Recreational Runners: A Large

Kyra L A Cloosterman1, Robert-Jan de Vos2, Sten Willemsen3

  • 1Department of General Practice, Erasmus MC University Medical Center Rotterdam, The Netherlands.

Journal of Athletic Training
|May 25, 2026
PubMed
Summary
This summary is machine-generated.

Understanding the link between training load and injury risk in runners is key. This study found a questionable association between acute:chronic workload ratio (ACWR) and running-related injuries, suggesting general training load advice may not be effective for prevention.

Keywords:
athletesinjury preventionrunningrunning-related injury

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Published on: September 14, 2017

Area of Science:

  • Sports Medicine
  • Exercise Physiology
  • Biomechanics

Background:

  • Running injuries are common among recreational runners.
  • Understanding the relationship between training load and injury risk is crucial for developing effective prevention strategies.
  • Global Positioning System (GPS) data offers a promising method for quantifying training load.

Purpose of the Study:

  • To investigate the association between training load, quantified by the acute:chronic workload ratio (ACWR) using GPS data, and the risk of running-related injuries (RRIs) in recreational runners.
  • To determine if training load metrics derived from distance, duration, or speed are associated with increased RRI onset.

Main Methods:

  • A prospective cohort study involving recreational runners who provided informed consent and GPS data.
  • Training load was calculated as the ACWR based on distance, duration, or speed of training sessions.
  • Cox regression models were used to analyze the association between ACWR and RRI onset, adjusting for confounding variables.

Main Results:

  • A positive association was observed between ACWR and RRI onset for both distance and duration.
  • After adjusting for confounding variables, only the ACWR based on duration remained significantly associated with RRI onset (HR = 1.33).
  • No significant association was found when excluding runners with pre-existing injuries.

Conclusions:

  • An association exists between the ACWR and RRI onset in runners, particularly when based on training duration.
  • The clinical relevance of these findings is limited due to small effect sizes and inconsistent results.
  • The role of general training load advice in the prevention of running-related injuries remains uncertain.