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- Desai, Pia, et al.
(author)
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Effectiveness of an 18-week general strength and foam-rolling intervention on running-related injuries in recreational runners
- 2023
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In: Scandinavian Journal of Medicine & Science in Sports. - : Wiley. - 0905-7188 .- 1600-0838. ; 33:5, s. 766-775
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Journal article (peer-reviewed)abstract
- Rationale: More research is needed to uncover the effectiveness of combined strength and foam-rolling interventions to prevent running-related injuries. Objectives: To evaluate effectiveness of an 18-week general strength and foam-rolling intervention on the incidence of running-related injuries. Method: This is an 18-week observational comparative study. A total of 433 recreational runners participated (n = 203 female). The intervention group (n = 228) performed general strength and foam-rolling exercises twice weekly for 18 weeks, the control group (n = 205) maintained their regular training habits. Running volume and running-related pain were reported weekly. Secondary analyses were performed on the subgroups of the intervention group based on compliance; low compliance (n = 100), intermediate compliance (n = 63), and high compliance (n = 65). Cumulative incidence proportions were calculated and time-to- event statistics were performed to compare survival times between groups. Univariate cox proportional hazards ratio was calculated to estimate the risk of running-related injuries at 18 weeks. Results: A total of 100 running-related injuries were sustained. The cumulative incidence proportion for the control and intervention groups was 27.1% (95% CI:21.4–33.9) and 23.0% (95% CI: 17.8–29.4), respectively. No statistically significant difference was found between the overall intervention group and control group (log- rank p = 0.31). A significant difference existed between the high-compliance subgroup and the control group (log-rank p = 0.00). Highly compliant runners were 85% less likely (hazard rate ratio = 0.15; 95% CI: 0.05–0.46) to sustain an injury during the study compared with controls. Conclusion: Recreational runners highly compliant with the intervention were 85% less likely and took on average 57 days longer to sustain a running-related injury when compared with controls, with a cumulative incidence proportion of 4.6% after 18 weeks.
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- Desai, Pia, et al.
(author)
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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
- 2021
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In: Journal of Orthopaedic and Sports Physical Therapy. - 0190-6011. ; 51:3, s. 144-150
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Journal article (peer-reviewed)abstract
- 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, gender and body mass index (BMI).A one-year prospective cohort study.224 recreational runners (average of 15km weekly running distance for the past 12 months) were included (89 women, 135 men). Pain information was reported weekly for one year and all running-related injuries with time-loss or requiring medical consultation were recorded. We accounted for censoring when calculating cumulative incidence proportion, and used crude Cox proportional hazards regression to evaluate if the variables of interest were associated with running-related injuries.The one-year cumulative incidence proportion of running-related injuries was 46% (95% CI: 38.4-54.1). The most common anatomical locations were the knee (20 of 75, 27%) and Achilles tendon/calf (19 of 75, 25%). Previous injury was associated with a higher injury rate (hazard ratio: 1.9, 95% CI: 1.2-3.2), while the other variables had no statistically significant association with injury.There were 75 running-related injuries during the one-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 than runners with no previous injury.
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- Hausken-Sutter, Solveig E., et al.
(author)
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Interdisciplinary sport injury research and the integration of qualitative and quantitative data.
- 2023
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In: BMC Medical Research Methodology. - : BioMed Central (BMC). - 1471-2288. ; 23:1
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Journal article (peer-reviewed)abstract
- BACKGROUND: To understand and prevent sport injuries, scholars have employed different scientific approaches and research methods. Traditionally, this research has been monodisciplinary, relying on one subdiscipline of sport science and applying qualitative or quantitative research methods. Recently, scholars have argued that traditional approaches fail to address contextual components of sport and the nonlinear interactions between different aspects in and around the athlete, and, as a way forward, called for alternative approaches to sport injury research. Discussion of alternative approaches are today taking place, however, practical examples that demonstrate what such approaches entails are rare. Therefore, the purpose of this paper is to draw on an interdisciplinary research approach to (1) outline an interdisciplinary case analysis procedure (ICAP); and (2) provide an example for future interdisciplinary sport injury research.METHODS: We adopt an established definition and application of interdisciplinary research to develop and pilot the ICAP for interdisciplinary sport injury teams aiming to integrate qualitative and quantitative sport injury data. The development and piloting of ICAP was possible by drawing on work conducted in the interdisciplinary research project "Injury-free children and adolescents: Towards better practice in Swedish football" (the FIT project).RESULTS: The ICAP guides interdisciplinary sport injury teams through three stages: 1. Create a more comprehensive understanding of sport injury aetiology by drawing on existing knowledge from multiple scientific perspectives; 2. Collate analysed qualitative and quantitative sport injury data into a multilevel data catalogue; and 3. Engage in an integrated discussion of the collated data in the interdisciplinary research team.CONCLUSION: The ICAP is a practical example of how an interdisciplinary team of sport injury scholars can approach the complex problem of sport injury aetiology and work to integrate qualitative and quantitative data through three stages. The ICAP is a step towards overcoming the obstacles of integrating qualitative and quantitative methods and data that scholars have identified.
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- Jungmalm, Jonatan, 1991, et al.
(author)
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Associations between biomechanical and clinical/anthropometrical factors and running-related injuries among recreational runners: a 52-week prospective cohort study.
- 2020
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In: Injury epidemiology. - : Springer Science and Business Media LLC. - 2197-1714. ; 7:1
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Journal article (peer-reviewed)abstract
- 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.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.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.More injuries are likely to occur in runners with late timing of maximal eversion or weak hip abductors in relation to hip adductors.
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