Is There Evidence for an Association Between Changes in Training Load and Running-Related Injuries? A Systematic Review

Damsted, Camma; Glad, Simone; Nielsen, Rasmus Oestergaard; Sørensen, Henrik Toft; Malisoux, Laurent

doi:10.26603/ijspt20180931

Cited by 52 publications

(51 citation statements)

References 24 publications

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“…Pole vaulting practice and training associated induce many mechanical traumatisms by vault itself, but also by typical exercises used to developed athletes' capabilities. Increased volume of training can also improve numbers of traumatisms and stress on the body during those work phases and generated injuries as already reported in other sports (Damsted et al, 2018;Sugimoto et al, 2019). This result seems quite obvious as a higher exposition to the risk logically can lead to higher rate of the problem.…”

Section: Horizontally-based Vaulting Techniques Associated With Injuriesmentioning

confidence: 56%

Biomechanical Pole Vault Patterns Were Associated With a Higher Proportion of Injuries

Édouard

Sánchez²,

Bourrilhon³

et al. 2019

Front. Sports Act. Living

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Background: Pole vault is a highly demanding sport where many physical and technical requirements are engaged in performance process. Considering level of energy transferred from athlete's horizontal speed to the pole during pole bending, we can imagine that associated musculoskeletal tensions, in addition to trials accumulation, can increase the risk of (specific) injuries. Given the multiple morphological, physical and technical characteristics of vaulters and ways of pole vaulting, we can hypothesis that some patterns of pole vaults can lead to higher injury risk than others. Aim: To analyze the potential association between the biomechanical patterns of pole vault and the history of injuries. Method: We conducted a study over national-level pole vaulters including the prospective collection of pole vault biomechanical data during competition at the national elite indoor championship and youth national indoor championship (U17 and U20), associated with the retrospective collection of their injuries during the 12 preceding months through an online questionnaire. Results: Among the 88 pole vaulters participating in these championships, 62 (70.5%) accepted to participated in this study, and their pole vault biomechanical and injury data were collected. 77.4% reported having presented at least one injury during the 12 preceding months. One biomechanical parameter related to the takeoff phase (lower H2, i.e., height of the grip (superior) hand from the ground when the athlete subsequently took off from the ground) and some biomechanical parameters related to the terminal phase of the run-up phase (higher Spd [i.e., speed between 10 and 5 meters to the box), SL adj (last stride adjustment), SL var (stride length variation), t c (contact time)] were significantly associated with higher proportions of all injuries. Edouard et al. Pole Vault Biomechanics and Injuries Conclusion: Biomechanical pole vault patterns during the competition day were associated with a higher proportion of history of all injuries. Although the injury data collection was retrospective leading to recall bias risk, and do not allow determining cause-consequence relationships regarding biomechanical patterns and injury occurrence, this present study is the first to analyze potential association between the biomechanical pole vault patterns and injury occurrence, which is of great help to provide hypotheses/ideas to design future studies and to move forward into prevention measures.

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Section: Horizontally-based Vaulting Techniques Associated With Injuriesmentioning

confidence: 56%

Biomechanical Pole Vault Patterns Were Associated With a Higher Proportion of Injuries

Édouard

Sánchez²,

Bourrilhon³

et al. 2019

Front. Sports Act. Living

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“…A main difference between the literature on running and injury risk and this study is the definition of workload. Previous studies in running defined workload as a single nonrelative factor, like duration, distance or frequency [4,6,7], whereas we applied a combination of duration and RPE, the sRPE [23]. The sRPE was expressed in acute and chronic workload.…”

Section: Discussionmentioning

confidence: 99%

“…For many proposed modifiable risk factors in running, like distance, duration, frequency, pace, interval, weight, and footwear, there is an absence of clear support for an association with injury risk [4,5]. Although workload and changes in workload are mentioned as modifiable risk factor in runners, and adjustment of the workload may prevent overuse injuries, the results on the relationship between workload as a single nonrelative factor and injuries in running are ambiguous, limited, and even inconsistent [4,6,7].…”

Section: Introductionmentioning

confidence: 99%

“…Although applying sRPE in combination with the acute:chronic workload ratio (ACWR) may be promising for identification of the impact of workload on injury risk [24], there is an absence of studies that relates sRPE based ACWR with injury risk in running. Previous studies in running on workload and injury risk defined workload as a single nonrelative factor, like duration, distance or frequency [6,7,11].…”

Section: Introductionmentioning

confidence: 99%

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Increase in the Acute:Chronic Workload Ratio relates to Injury Risk in Competitive Runners

et al. 2020

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Injuries of runners reduce the ability to train and hinder competing. Literature shows that the relation between potential risk factors and injuries are not definitive, limited, and inconsistent. In team sports, workload derivatives were identified as risk factors. However, there is an absence of literature in running on workload derivatives. This study used the workload derivatives acute workload, chronic workload, and acute: chronic workload ratios to investigate the relation between workload and injury risk in running. Twenty-three competitive runners kept a daily training log for 24 months. The runners reported training duration, training intensity and injuries. One-week (acute) and 4-week (chronic) workloads were calculated as the average of training duration multiplied by training intensity. The acute:chronic workload ratio was determined dividing the acute and chronic workloads. Results show that a fortnightly low increase of the acute:chronic workload ratio (0.10–0.78) led to an increased risk of sustaining an injury (p<0.001). Besides, a low increase of the acute:chronic workload ratio (0.05–0.62) between the second week and third week before an injury showed an association with increased injury risk (p=0.013). These findings demonstrate that the acute:chronic workload ratio relates to injury risk.

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“…The workload of a running programme is determined by the intensity, frequency and duration/distance. Rapid increases in running workload have been associated with injuries (Damsted, Glad, Nielsen, Sorensen, & Malisoux, 2018). Further, many recreational runners assume that running faster or longer is better and therefore tend to train at the same intensity every day, leading to a relatively monotonous training programme.…”

Section: Real-time Feedback On Running Workloadmentioning

confidence: 99%

Real-time feedback by wearables in running: Current approaches, challenges and suggestions for improvements

Hooren

Goudsmit

Restrepo

et al. 2019

Journal of Sports Sciences

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Injuries and lack of motivation are common reasons for discontinuation of running. Real-time feedback from wearables can reduce discontinuation by reducing injury risk and improving performance and motivation. There are however several limitations and challenges with current real-time feedback approaches. We discuss these limitations and challenges and provide a framework to optimise realtime feedback for reducing injury risk and improving performance and motivation. We first discuss the reasons why individuals run and propose that feedback targeted to these reasons can improve motivation and compliance. Secondly, we review the association of running technique and running workload with injuries and performance and we elaborate how real-time feedback on running technique and workload can be applied to reduce injury risk and improve performance and motivation. We also review different feedback modalities and motor learning feedback strategies and their application to real-time feedback. Briefly, the most effective feedback modality and frequency differ between variables and individuals, but a combination of modalities and mixture of real-time and delayed feedback is most effective. Moreover, feedback promoting perceived competence, autonomy and an external focus can improve motivation, learning and performance. Although the focus is on wearables, the challenges and practical applications are also relevant for laboratory-based gait retraining.

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Is There Evidence for an Association Between Changes in Training Load and Running-Related Injuries? A Systematic Review

Cited by 52 publications

References 24 publications

Biomechanical Pole Vault Patterns Were Associated With a Higher Proportion of Injuries

Biomechanical Pole Vault Patterns Were Associated With a Higher Proportion of Injuries

Increase in the Acute:Chronic Workload Ratio relates to Injury Risk in Competitive Runners

Real-time feedback by wearables in running: Current approaches, challenges and suggestions for improvements

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