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Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review.
Sports Med. 2019 Jul; 49(7):1095-1115.SM

Abstract

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.

Authors+Show Affiliations

Reval Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Agoralaan, 3590, Diepenbeek, Belgium.Reval Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Agoralaan, 3590, Diepenbeek, Belgium.La Trobe Sport and Exercise Medicine Research Centre, School of Allied Health, La Trobe University, Bundoora, VIC, Australia. Complete Sports Care, Hawthorn, VIC, Australia. Department of Surgery, St Vincent's Hospital, University of Melbourne, Melbourne, Australia.Complete Sports Care, Hawthorn, VIC, Australia. Department of Physiotherapy, School of Primary and Allied Health Care, Faculty of Medicine, Nursing and Health Science, Monash University, Clayton, VIC, Australia.Reval Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Agoralaan, 3590, Diepenbeek, Belgium. bart.dingenen@uhasselt.be.

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

31028658

Citation

Ceyssens, Linde, et al. "Biomechanical Risk Factors Associated With Running-Related Injuries: a Systematic Review." Sports Medicine (Auckland, N.Z.), vol. 49, no. 7, 2019, pp. 1095-1115.
Ceyssens L, Vanelderen R, Barton C, et al. Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review. Sports Med. 2019;49(7):1095-1115.
Ceyssens, L., Vanelderen, R., Barton, C., Malliaras, P., & Dingenen, B. (2019). Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review. Sports Medicine (Auckland, N.Z.), 49(7), 1095-1115. https://doi.org/10.1007/s40279-019-01110-z
Ceyssens L, et al. Biomechanical Risk Factors Associated With Running-Related Injuries: a Systematic Review. Sports Med. 2019;49(7):1095-1115. PubMed PMID: 31028658.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Biomechanical Risk Factors Associated with Running-Related Injuries: A Systematic Review. AU - Ceyssens,Linde, AU - Vanelderen,Romy, AU - Barton,Christian, AU - Malliaras,Peter, AU - Dingenen,Bart, PY - 2019/4/28/pubmed PY - 2019/4/28/medline PY - 2019/4/28/entrez SP - 1095 EP - 1115 JF - Sports medicine (Auckland, N.Z.) JO - Sports Med VL - 49 IS - 7 N2 - 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. SN - 1179-2035 UR - https://www.unboundmedicine.com/medline/citation/31028658/Biomechanical_Risk_Factors_Associated_with_Running-Related_Injuries:_A_Systematic_Review L2 - https://dx.doi.org/10.1007/s40279-019-01110-z DB - PRIME DP - Unbound Medicine ER -
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