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- Title
A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners.
- Authors
DeJong Lempke, Alexandra F.; Collins, Sara E.; Whitney, Kristin E.; D'Hemecourt, Pierre A.; Meehan III, William P.
- Abstract
Background There are multiple personal and environmental factors that influence the risk of developing running-related injuries (RRIs). However, it is unclear how these key clinical factors differ between adult and adolescent runners. Purpose The purpose of this study was to compare anthropometric, training, and self-reported outcomes among adult and adolescent runners with and without lower extremity musculoskeletal RRIs. Study Design Cross-sectional study. Methods Questionnaire responses and clinical assessment data were extracted from 38 adult runners (F: 25, M: 13; median age: 23 [range 18-36]) and 91 adolescent runners (F: 56, M: 35; median age: 15 [range 14-16]) who underwent a physical injury prevention evaluation at a hospital-affiliated sports injury prevention center between 2013 and 2021. Participants were sub-grouped into those with (adults: 25; adolescents: 38) and those without (adults: 13; adolescents: 53) a history of self-reported RRIs based on questionnaire responses. Multivariate analyses of covariance (MANCOVA) covarying for gender were conducted to compare outcomes across groups. Results Adult runners had lower Functional Movement Screen™ (FMS™) scores (mean differences [MD]: -1.4, p=0.01), were more likely to report intentional weight-loss to improve athletic performance (% difference: 33.0%; p:<.001), and more frequently included resistance training into their training routines (% difference: 21.0%, p=0.01) compared to adolescents. Those with a history of RRIs were more likely to report intentional weight-loss compared to uninjured runners (% difference: 21.3; p=0.02) and had shorter single leg bridge durations than those without RRIs (RRI: 57.9±30, uninjured: 72.0±44, p=0.01). Conclusion The findings indicate that addressing aspects of biomechanics identified by the FMS™ and behaviors of weight loss as an effort to improve performance may represent targets for the prevention of RRIs for adult and adolescent runners, given the association with history of RRIs.
- Subjects
RESISTANCE training; EXERCISE tests; SPORTS participation; RANGE of motion of joints; MUSCLE contraction; ENDURANCE sports training; CROSS-sectional method; MULTIVARIATE analysis; ANTHROPOMETRY; AGE distribution; RUNNING injuries; MEASUREMENT of angles (Geometry); MANN Whitney U Test; MUSCLE weakness; QUESTIONNAIRES; ANALYSIS of covariance; WEIGHT loss; HEALTH; CHI-squared test; ATHLETIC ability
- Publication
International Journal of Sports Physical Therapy, 2022, Vol 17, Issue 6, p1033
- ISSN
2159-2896
- Publication type
Article
- DOI
10.26603/001c.38045