Recreational Runners With a History of Injury Are Twice as Likely to Sustain a Running-Related Injury as Runners With No History of Injury: A 1-Year Prospective Cohort Study

Abstract

Objectives To investigate (1) the cumulative incidence proportion and the most common anatomical locations of running-related injuries in recreational runners, and (2) the associations between running-related injuries and previous injury, running experience, weekly running distance, age, sex, and body mass index. Design A 1-year prospective cohort study. Methods Two hundred twenty-four recreational runners (average weekly running distance for the past 12 months, 15 km) were included (89 women, 135 men). Pain information was reported weekly for 1 year, and all running-related injuries that resulted in time loss or medical consultation were recorded. We accounted for censoring when calculating cumulative incidence proportion, and used crude Cox proportional hazards regression to evaluate whether the variables of interest were associated with running-related injuries. Results The 1-year cumulative incidence proportion of running-related injuries was 45.9% (95% confidence interval [CI]: 38.4%, 54.2%). The most common anatomical locations were the knee (20/75, 27%) and Achilles tendon/calf (19/75, 25%). Previous injury was associated with a higher injury rate (hazard rate ratio = 1.9; 95% CI: 1.2, 3.2), while the other variables had no statistically significant association with injury. Conclusion There were 75 running-related injuries during the 1-year surveillance period, for a cumulative incidence proportion of 46%. The most common injuries were to the knee and Achilles tendon/calf. Recreational runners with a previous injury were twice as likely to sustain a running-related injury as runners with no previous injury. J Orthop Sports Phys Ther 2021;51(3):144–150. Epub 25 Dec 2020. doi:10.2519/jospt.2021.9673

What are the biopsychosocial risk factors associated with pain in postpartum runners? Development of a clinical decision tool

“…A history of a previous injury has been well established as a strong risk factor for future RRI injury in numerous prospective studies investigating non-postpartum populations [ 4 , 35 – 39 ]. Whereas previous injury may be a non-modifiable risk factor, improved rehabilitation programs may assist reducing any subsequent injuries [ 38 ]. Although the relationship between previous and subsequent RRI has not been studied in any population, clinicians may want to screen postpartum runners with previous RRI to identify running-related risk factors as well as increase education on training related risk factors, to decrease pain and future injury in this population [ 35 ].…”

Epidemiology, Clinical Characteristics, and Risk Factors for Running-Related Injuries among South African Trail Runners

“…We had a higher number of injured runners at baseline (53.8%) compared with Hespanhol et al (18.0%) [ 4 ]. This may explain the differences in injury rate and prevalence, as a history of previous injury increases the risk for further injury in runners [ 22 ].…”

Rehabilitation of the Postpartum Runner: A 4-Phase Approach

“…The expectation is to minimize these symptoms through exercise prescription, gait retraining, manual therapy, and support of the pelvic organs (eg, pessary). The screening or rehabilitation framework should be stopped immediately if the client has any absolute contraindications, 24,27,28 and clinical judgment exercised with any client who presents with relative contraindications 28,29 (see Supplemental Digital Content Table A, available at: http://links.lww.com/JWHPT/A78). Symptom screens (incontinence, pain, etc) should continue to be routinely performed as exercises are progressed and running distance increases, and training adjusted on the basis of symptoms (see Supplemental Digital Content Appendix A, available at: http://links.lww.com/JWHPT/ A76, for more in-depth information on screening).…”