Associations between biomechanical and clinical/anthropometrical factors and running-related injuries among recreational runners: A 52-week prospective cohort study

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  • Jonatan Jungmalm, University of Gothenburg
  • ,
  • Rasmus Østergaard Nielsen
  • Pia Desai, University of Gothenburg
  • ,
  • Jon Karlsson, University of Gothenburg
  • ,
  • Tobias Hein, University of Gothenburg
  • ,
  • Stefan Grau, University of Gothenburg

Background: The purpose of this exploratory study was to investigate whether runners with certain biomechanical or clinical/anthropometrical characteristics sustain more running-related injuries than runners with other biomechanical or clinical/anthropometrical characteristics. Methods: The study was designed as a prospective cohort with 52-weeks follow-up. A total of 224 injury-free, recreational runners were recruited from the Gothenburg Half Marathon and tested at baseline. The primary exposure variables were biomechanical and clinical/anthropometrical measures, including strength, lower extremity kinematics, joint range of motion, muscle flexibility, and trigger points. The primary outcome measure was any running-related injury diagnosed by a medical practitioner. Cumulative risk difference was used as measure of association. A shared frailty approach was used with legs as the unit of interest. A total of 448 legs were included in the analyses. Results: The cumulative injury incidence proportion for legs was 29.0% (95%CI = 24.0%; 34.8%). A few biomechanical and clinical/anthropometrical factors influence the number of running-related injuries sustained in recreational runners. Runners with a late timing of maximal eversion sustained 20.7% (95%CI = 1.3; 40.0) more injuries, and runners with weak abductors in relation to adductors sustained 17.3% (95%CI = 0.8; 33.7) more injuries, compared with the corresponding reference group. Conclusions: More injuries are likely to occur in runners with late timing of maximal eversion or weak hip abductors in relation to hip adductors.

Original languageEnglish
Article number10
JournalInjury epidemiology
Number of pages9
Publication statusPublished - 2020

    Research areas

  • Joint range of motion, Kinematics, Muscle flexibility, Muscle strength, Risk factors

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