Progression in running intensity or running volume and the development of specific injuries in recreational runners:Run clever, a randomized trial using competing risks
| Autor: | Martin Lind, Sten Rasmussen, Henrik Toft Sørensen, Rasmus Østergaard Nielsen, Daniel Ramskov, Erik T. Parner |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty Cumulative Trauma Disorders Iliotibial Band Syndrome Physical Therapy Sports Therapy and Rehabilitation Physical examination Achilles Tendon law.invention Running 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Patellar Ligament Risk Factors medicine Humans Prospective Studies Muscle Skeletal Injury diagnoses medicine.diagnostic_test business.industry Absolute risk reduction VO2 max 030229 sport sciences General Medicine Middle Aged Running-related injury medicine.disease Confidence interval Training variables Fasciitis Plantar Patellofemoral Pain Syndrome Iliotibial band syndrome Physical therapy Female Tendinopathy business 030217 neurology & neurosurgery Patellofemoral pain syndrome Physical Conditioning Human |
| Zdroj: | Ramskov, D, Rasmussen, S, Sørensen, H, Parner, E T, Lind, M & Nielsen, R 2018, ' Progression in running intensity or running volume and the development of specific injuries in recreational runners : Run clever, a randomized trial using competing risks ', Journal of Orthopaedic and Sports Physical Therapy, vol. 48, no. 10, pp. 740-748 . https://doi.org/10.2519/jospt.2018.8062 Ramskov, D, Rasmussen, S, Sørensen, H, Parner, E T, Lind, M & Nielsen, R 2018, ' Progression in Running Intensity or Running Volume and the Development of Specific Injuries in Recreational Runners : Run Clever, a Randomized Trial Using Competing Risks ', Journal of Orthopaedic and Sports Physical Therapy, vol. 48, no. 10, pp. 740-748 . https://doi.org/10.2519/jospt.2018.8062 |
| DOI: | 10.2519/jospt.2018.8062 |
| Popis: | Background It has been proposed that training intensity and training volume are associated with specific running-related injuries. If such an association exists, secondary preventive measures could be initiated by clinicians, based on symptoms of a specific injury diagnosis. Objectives To test the following hypotheses: (1) a running schedule focusing on running intensity (S-I) would increase the risk of sustaining Achilles tendinopathy, gastrocnemius injuries, and plantar fasciitis compared with hypothesized volume-related injuries; and (2) a running schedule focusing on running volume (S-V) would increase the risk of sustaining patellofemoral pain syndrome, iliotibial band syndrome, and patellar tendinopathy compared with hypothesized intensity-related injuries. Methods In this randomized clinical trial and etiology study, healthy recreational runners were included in a 24-week follow-up, divided into 8-week preconditioning and 16-week specific-focus training periods. Participants were randomized to 1 of 2 running schedules: S-I or S-V. The S-I group progressed the amount of high-intensity running (88% maximal oxygen consumption [VO2max] or greater) each week, and the S-V group progressed total weekly running volume. A global positioning system watch or smartphone collected data on running. Running-related injuries were diagnosed based on a clinical examination. Estimates were reported as risk difference and 95% confidence interval (CI). Results Of 447 runners, a total of 80 sustained an injury (S-I, n = 36; S-V, n = 44). Risk differences (95% CIs) of intensity injuries in the S-I group were -0.8% (-5.0%, 3.4%) at 2 weeks, -0.8% (-6.7%, 5.1%) at 4 weeks, -2.0% (-9.2%, 5.2%) at 8 weeks, and -5.1% (-16.5%, 6.3%) at 16 weeks. Risk differences (95% CIs) of volume injuries in the S-V group were -0.9% (-5.0%, 3.2%) at 2 weeks, -2.0% (-7.5%, 3.5%) at 4 weeks, -3.2% (-9.1%, 2.7%) at 8 weeks, and -3.4% (13.2%, 6.2%) at 16 weeks. Conclusion No difference in risk of hypothesized intensity- and volume-specific running-related injuries exists between the 2 running schedules focused on progression in either running intensity or volume. Level of evidence Etiology, level 1b. J Orthop Sports Phys Ther 2018;48(10):740-748. Epub 12 Jun 2018. doi:10.2519/jospt.2018.8062. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|