scholarly journals OVERUSE INJURIES IN LONG DISTANCE RUNNING - A LITERATURE REVIEW ON RISK FACTORS

2019 ◽  
pp. 1-3
Author(s):  
G Vijayan

INTRODUCTION: In the past three decades, the incidence of running-related overuse injuries has signicantly increased because of the increasing number of recreational athletes and higher training intensity in competitive athletes. Long distance running has gained popularity in recent years, but between 19.4 and 79.3% of runners sustain a running related injury every year. Various risk factors contribute to the occurrence of this issue and shoe modications are thought to be an efcient tool in managing runningrelated over use injuries. The aim of this study was to collect and review information about the risks factors of overuse injuries long distance running. METHODOLOGY:Asystematic search of the electronic database of PUBMED, Bireme and PEDro which were selected that addressed clinical trials, control cases, prospective and cross-sectional studies. RESULTS: The search yielded 246 references. A predened inclusion criteria (case studies, clinical trials, prospective studies, cross sectional studies that addressed adult runners either amateur or professional) was used and 51 articles remained. 18 citations were excluded and 20 articles were after reading the abstract and full text. Therefore 13 studies that met the criteria for analysis were included. CONCLUSION:The overuse injuries are very much prevalent in long distance runners and the ethology is multifactorial. The distance, terrain, weekly sessions and history of previous injuries are the risk factors that inuence the occurrence of these injuries.

Author(s):  
Dennis van Poppel ◽  
Maarten van der Worp ◽  
Anouk Slabbekoorn ◽  
Sylvia S.P. van den Heuvel ◽  
Marienke van Middelkoop ◽  
...  

2019 ◽  
Vol 02 (02) ◽  
pp. 083-083
Author(s):  
Serra Pol M. ◽  
Pons Hernández A. ◽  
Barea Vega E. ◽  
Gómez Luque M.

Abstract Introduction and Aim Several studies associate tendinopathies with structural changes in the Achilles tendon (AT). However, few studies have demonstrated whether long distance running training can generate structural changes at the level of the AT. The aim of this study was to determine whether adaptive changes exist, both structural and functional, in the AT of asymptomatic endurance runners with no history of lesions to the AT. Material and Methods A cross-sectional descriptive study. In total, 14 subjects were selected and divided into two groups of 7 subjects each. The intervention group (IG) comprised all usual runners, running over 60 km per week, with no previous lesion to the AT. The control group (CG) included all active subjects but who did not perform competitive sports nor did they run more than 10 km per week. The ankle dorsal flexion (ADF) of each subject was measured together with the index of reactive force (IRF), and the width of the AT body was measured using ultrasound, together with the level of hypervascularization, the presence of hypoechoic areas and the presence of hyperechoic areas. To measure ADF, the validated measurement was used with the application (App) Dorsiflex for IPhone. To calculate IRF, the validated measure of the Drop Jump, test from the App My Jump 2 was used. The ultrasound assessment was always performed by the same examiner. The ultrasound machine was a General Electric, Logiq V2 model for measuring both feet: the width of the AT body, the degree of hyper vascularization, the presence of hypoechoic areas and the presence of calcifications. The subject was placed in prone, with the foot hanging off the table and the ankle was in 90° flexion. The examiner was placed on the same side as the lower limb examined. Results The means of the results obtained and p-values of significance were as follows: ADF = 46° CG 43.6° IG (p > 0.005). IRF = 0.92 CG 1.07 IG (p > 0.005) Ultrasound = CG 43% presence of vascularization outside the tendon; IG 83% presence of vascularization outside the tendon. Conclusions No significant evidence exists to support that the AT in endurance runners without a history of injuries, presents functional adaptations. However, it seems that in endurance runners, there is a greater presence of vessels in Kager's fat pad, although it is necessary to obtain data from a larger population to confirm and establish the possible relationships of these changes.


2021 ◽  
Vol 11 (8) ◽  
pp. 2106-2109
Author(s):  
Yong Feng ◽  
Siqin Shen ◽  
Yang Song

Purpose: Previous research has indicated that the structure and function of abductor hallucis muscle (AbdH) would be adversely affected by hallux valgus (HV). However, the influence of long-distance running on AbdH in HV feet has not been explored. Therefore, this pilot study aimed to compare the imaging differences of AbdH between normal and HV feet after long-distance running. Methods: A total of 14 male adults were divided into two groups (Normal Foot Group (NFG), Hallux Valgus Group (HVG)) based on their foot morphology. A B-mode ultrasonic scanner was utilized for measuring AbdH thickness, cross-sectional area, and pennation angle before and after 5-km running test. Perceived soreness was monitored simultaneously using the visual analogue scale. Results: AbdH showed significantly differences between groups before and after the running test. Compared with NFG, HVG exhibited smaller value before the test while greater changes in all parameters although pennation angle failed to reach the significant level. Conclusions: These results further confirmed that HV could lead to the morphological alterations of AbdH. Also, AbdH of people with HV would endure more fatigue and soreness when performed the same long-distance running test with normal counterparts. Nevertheless, more studies are much needed for further verification.


1996 ◽  
Vol 145 ◽  
pp. 130-152 ◽  
Author(s):  
James Riordan ◽  
Dong Jinxia

The performance of top Chinese women athletes in the 1990s has been unprecedented in the history of sport. Not only have they made remarkable progress from virtual obscurity to world champions and record breakers, they have far surpassed the performance of their male compatriots in international sport. This unique phenomenon extends from middle and long–distance running to swimming and diving, from weightlifting and chess to volleyball and basketball, from shooting and archery to wrestling and rowing, from badminton and gymnastics to softball and soccer – and table tennis dating back to the early 1970s.


VASA ◽  
2012 ◽  
Vol 41 (4) ◽  
pp. 262-268 ◽  
Author(s):  
Schweizer ◽  
Hügli ◽  
Koella ◽  
Jeanneret

On the occasion of diagnosing a popliteal entrapment syndrome in a 59-year old man with no cardiovascular risk factors, who developed acute ischemic leg pain during long distance running, we give an overview on this entity with emphasis on patients’age. The different types of the popliteal artery compression syndrome are summarized. The diagnostic and therapeutic approaches are discussed. The most important clinical sign of a popliteal entrapment syndrome is the lack of atherosclerotic risk factors in patients with limited walking distance. Not only in young athletes but also in patients more than 50 years old the popliteal entrapment syndrome has to be taken into account.


Author(s):  
Stein Gerrit Paul Menting ◽  
Brian Hanley ◽  
Marije Titia Elferink-Gemser ◽  
Florentina Johanna Hettinga

2021 ◽  
Vol 9 (1) ◽  
pp. e002099
Author(s):  
Yuji Komorita ◽  
Masae Minami ◽  
Yasutaka Maeda ◽  
Rie Yoshioka ◽  
Toshiaki Ohkuma ◽  
...  

IntroductionType 1 diabetes (T1D) is associated with higher fracture risk. However, few studies have investigated the relationship between severe hypoglycemia and fracture risk in patients with T1D, and the results are controversial. Besides, none has investigated the risk factors for fracture in Asian patients with T1D. The aim of the present study was to investigate the prevalence of bone fracture and its relationship between severe hypoglycemia and other risk factors in Japanese patients with T1D.Research design and methodsThe single-center cross-sectional study enrolled 388 Japanese patients with T1D (mean age, 45.2 years; women, 60.4%; mean duration of diabetes, 16.6 years) between October 2019 and April 2020. The occurrence and circumstances of any fracture after the diagnosis of T1D were identified using a self-administered questionnaire. The main outcomes were any anatomic site of fracture and fall-related fracture. Severe hypoglycemia was defined as an episode of hypoglycemia that required the assistance of others to achieve recovery.ResultsA total of 92 fractures occurred in 64 patients, and 59 fractures (64%) were fall-related. Only one participant experienced fracture within the 10 years following their diagnosis of diabetes. In logistic regression analysis, the multivariate-adjusted ORs (95% CIs) of a history of severe hypoglycemia were 2.11 (1.11 to 4.09) for any fracture and 1.91 (0.93 to 4.02) for fall-related fracture. Fourteen of 18 participants with multiple episodes of any type of fracture had a history of severe hypoglycemia (p<0.001 vs no fracture).ConclusionsWe have shown that a history of severe hypoglycemia is significantly associated with a higher risk of bone fracture in Japanese patients with T1D.


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