Incidence and biomechanical risk factors for running-related injuries: A prospective cohort study

J Clin Orthop Trauma. 2024 Oct 17:57:102562. doi: 10.1016/j.jcot.2024.102562. eCollection 2024 Oct.

Abstract

Background: Injuries among runners is significant, yet the contributing risk factors remain elusive. The objective of this study was to examined the incidence and biomechanical elements associated with running-related injuries.

Methods: A 24-week prospective study was carried out. Injury incidence was calculated per 1000 h of running, with participants completing bi-monthly online questionnaires. Biomechanical risk factors, encompassing plantar pressure, muscle strength of hip and knee muscles, core stability, dorsiflexion, passive hip internal rotation, lower extremity length, Q-angle, and shank-forefoot alignment, were assessed at baseline. Logistic regression was used to investigate the relationship between injury incidence and these biomechanical risk factors.

Results: Ninety-eight runners participated in the study. Injury incidence was 8.1 per 1000 h of running, with 41 runners experiencing musculoskeletal injuries during the follow-up period. The knee emerged as the most commonly affected joint, constituting 28.4 % of injuries. The Odds Ratio for hip external rotator muscle strength was .84 (95 % Confidence Interval = .71 - .99).

Conclusion: Greater force during hip external rotation was identified as a protective factor against running injuries. These findings bear significance for the formulation and implementation of preventive strategies.

Keywords: Incidence; Injury; Risk assessment; Running.