The association between running injuries and training parameters: a systematic review

Review written by Ben Cormack info

Key Points

  1. Current evidence around running injury is conflicting. This in part is due to different definitions and cohorts used in different studies.
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BACKGROUND & OBJECTIVE

Running has become one of the most popular recreational health and fitness activities that the public engage in. However, there are also many running-related injuries that occur across the spectrum of the running population, from novices to more experienced runners. Running-related injury (RRI) has been defined by consensus as musculoskeletal pain that restricts or reduces running over 7 consecutive days or 3 training sessions.

Recent research has highlighted that there may be a potential role of training parameters in the development of RRIs. These parameters are elements such as distance, duration, frequency, intensity, and recent change in these parameters. Work by Gabbett (1) into acute/chronic workloads and development of injury have highlighted the potential negative and positive role of training parameters in the role of musculoskeletal injury, although this still is yet to be perfected, and has come under some scrutiny in recent times.

The aim of this systematic review was to synthesize the current prospective evidence on the incidence of lower limb RRIs and explore the relationship between their onset and training parameters (distance, duration, frequency, intensity), as well as with recent changes in training parameters.

Running-related injury has been defined by consensus as musculoskeletal pain that restricts or reduces running over 7 consecutive days or 3 training sessions.
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Whilst load may be a contributing factor in a web of complexity that can lead to injury and pain, it should not be viewed simply in isolation.

METHODS

This systematic review was registered on the PROSPERO database and reported in accordance with PRISMA guidelines. The inclusion criteria were:

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