Risk factors for overuse injuries in runners’ ankles: a literature review

Abstract

In spite of the numerous benefits to human health and given the increase of running as an exercise that has become popular worldwide, this type of sport may be the cause of a number of different injuries. The foot, ankle and lower leg comprise almost 40% of the injuries. However, the etiology of these types of injury is still not completely understood. OBJECTIVE: To investigate the causes of the onset of overuse injury in runners. METHODS: A systematic search of the electronic database was made: Bireme, Pubmed and PEDro, which were selected that addressed clinical trials, control cases, prospective and cross-sectional studies. RESULTS: The search through the descriptors yielded 324 references. Using our predefined inclusion criteria (case studies, clinical trials, prospective studies and cross studies that addressed adult runners, amateur or professional) 68 articles remained; 24 citations were excluded after reading the title, and 35 were excluded after reading the abstract and the full text. Therefore nine studies that met the criteria for analysis were included. CONCLUSION: The etiology of overuse injuries in runners is multifactorial. This review showed that distance, soil type and footwear, as well as a history of previous injuries, biomechanical changes such as increased dorsiflexion and eversion ankle, and greater knee flexion are risk factors that influence the occurrence of these injuries.

Correlation of foot posture with balance and pelvic tilt in healthy runners

“…Evidence advocates that dynamic movement patterns of the lower limb can become influenced by some intrinsic foot pathologies [5]. it has been found that bilateral foot hyper-pronation can alter pelvic positions owing to the biomechanical connections like the posterior kinetic chain mechanism [7][8][9]. As far as balance is concerned, the ankle and hip strategies are interlinked to maintain the centre of gravity [10][11][12].…”

Prevalência de lesões musculoesqueléticas e fatores associados em corredores de rua

“…O desequilíbrio de agonistas e antagonistas da musculatura anterior e posterior da coxa, de grau moderado a grave, foi associado ao surgimento de lesões no joelho 11 . Outras possíveis causas como a distância percorrida, o calçado utilizado, o tipo de solo de treinamento, histórico de lesões anteriores, alterações na biomecânica do movimento são fatores que contribuem para as lesões em corredores, sendo essas de origem multifatorial 10,12 . A preocupação com a prevenção e o tratamento das lesões ganhou importância na área científica, devido ao aumento significativo de lesões em praticantes deste esporte.…”