Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review

Background Running is a popular form of physical activity with many health benefits. However, the incidence and prevalence of running-related injuries (RRIs) is high. Biomechanical factors may be related to the development of RRIs. Objective This systematic review synthesizes biomechanical risk fact...

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Vydáno v:Sports medicine (Auckland) Ročník 49; číslo 7; s. 1095 - 1115
Hlavní autoři: Ceyssens, Linde, Vanelderen, Romy, Barton, Christian, Malliaras, Peter, Dingenen, Bart
Médium: Journal Article
Jazyk:angličtina
Vydáno: Cham Springer International Publishing 01.07.2019
Springer Nature B.V
Témata:
Athletic Injuries - etiology
Biomechanical Phenomena
Biomechanics
Exercise
Handball
Hip
Humans
Injury prevention
Kinematics
Load
Medicine
Medicine & Public Health
Pain
Physical activity
Physical fitness
Population
Population studies
Reviews
Risk Factors
Running
Running - injuries
Sports injuries
Sports Medicine
Systematic Review
Track & field
ISSN:0112-1642, 1179-2035, 1179-2035
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Shrnutí:Background Running is a popular form of physical activity with many health benefits. However, the incidence and prevalence of running-related injuries (RRIs) is high. Biomechanical factors may be related to the development of RRIs. Objective This systematic review synthesizes biomechanical risk factors related to the development of RRIs in non-injured runners. Methods PubMed, Web of Science, CINAHL, Embase, and SPORTDiscus were searched in July 2018 for original peer-reviewed prospective studies evaluating potential biomechanical factors associated with the development of RRIs. Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. Two reviewers independently assessed articles for inclusion and methodological quality. Due to methodological heterogeneity across studies, a narrative synthesis of findings was conducted, rather than a meta-analysis. Results Sixteen studies, including 13 of high quality and three of moderate quality, were included. A large number of biomechanical variables were evaluated, producing inconsistent evidence overall. Limited evidence indicated greater peak hip adduction in female runners developing patellofemoral pain and iliotibial band syndrome, but not for a mixed-sex population of cross-country runners sustaining an RRI. The relationship between vertical loading rate and RRIs was inconsistent. Other kinematic, kinetic and spatiotemporal factors were only studied to a limited extent. Conclusions Current prospective evidence relating biomechanical variables to RRI risk is sparse and inconsistent, with findings largely dependent on the population and injuries being studied. Future research is needed to confirm these biomechanical risk factors and determine whether modification of these variables may assist in running injury prevention and management.
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ISSN:0112-1642
1179-2035
1179-2035
DOI:10.1007/s40279-019-01110-z