A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners

# 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 anthropom...

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Main Authors: Alexandra F. DeJong Lempke, Sara E. Collins, Kristin E. Whitney, Pierre A. D'Hemecourt, William P. Meehan III
Format: Article
Language:English
Published: North American Sports Medicine Institute 2022-10-01
Series:International Journal of Sports Physical Therapy
Online Access:https://doi.org/10.26603/001c.38045
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author Alexandra F. DeJong Lempke
Sara E. Collins
Kristin E. Whitney
Pierre A. D'Hemecourt
William P. Meehan III
author_facet Alexandra F. DeJong Lempke
Sara E. Collins
Kristin E. Whitney
Pierre A. D'Hemecourt
William P. Meehan III
author_sort Alexandra F. DeJong Lempke
collection DOAJ
description # 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&trade; (FMS&trade;) 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&trade; 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. # Level of Evidence 3
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spelling doaj-art-7216532041f640e089ba9f0e16fd36f12025-02-11T20:27:56ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962022-10-01176A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent RunnersAlexandra F. DeJong LempkeSara E. CollinsKristin E. WhitneyPierre A. D'HemecourtWilliam P. Meehan III# 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&trade; (FMS&trade;) 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&trade; 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. # Level of Evidence 3https://doi.org/10.26603/001c.38045
spellingShingle Alexandra F. DeJong Lempke
Sara E. Collins
Kristin E. Whitney
Pierre A. D'Hemecourt
William P. Meehan III
A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners
International Journal of Sports Physical Therapy
title A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners
title_full A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners
title_fullStr A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners
title_full_unstemmed A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners
title_short A Comparison of Factors Associated with Running-Related Injuries between Adult and Adolescent Runners
title_sort comparison of factors associated with running related injuries between adult and adolescent runners
url https://doi.org/10.26603/001c.38045
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