Master's and Doctoral Programs in Physical Therapy; São Paulo Running Injury Group (SPRunIG), Universidade Cidade de São Paulo (UNICID), São Paulo, Brazil; Department of Public & Occupational Health, EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands.
J Physiother. 2013 Dec;59(4):263-9. doi: 10.1016/S1836-9553(13)70203-0.
What is the incidence of running-related injuries (RRIs) in recreational runners? Which personal and training characteristics predict RRIs in recreational runners?
Prospective cohort study.
A total of 200 recreational runners answered a fortnightly online survey containing questions about their running routine, races, and presence of RRI. These runners were followed-up for a period of 12 weeks.
The primary outcome of this study was running-related injury. The incidence of injuries was calculated taking into account the exposure to running and was expressed by RRI/1000 hours. The association between potential predictive factors and RRIs was estimated using generalised estimating equation models.
A total of 84 RRIs were registered in 60 (31%) of the 191 recreational runners who completed all follow-up surveys. Of the injured runners 30% (n=18/60) developed two or more RRIs, with 5/18 (28%) being recurrences. The incidence of RRI was 10 RRI/1000 hours of running exposure. The main type of RRI observed was muscle injuries (30%, n=25/84). The knee was the most commonly affected anatomical region (19%, n=16/84). The variables associated with RRI were: previous RRI (OR 1.88, 95% CI 1.01 to 3.51), duration of training although the effect was very small (OR 1.01, 95% CI 1.00 to 1.02), speed training (OR 1.46, 95% CI 1.02 to 2.10), and interval training (OR 0.61, 95% CI 0.43 to 0.88).
Physiotherapists should be aware and advise runners that past RRI and speed training are associated with increased risk of further RRI, while interval training is associated with lower risk, although these associations may not be causative.
在休闲跑者中，与跑步相关的损伤（RRIs）的发生率是多少？哪些个人和训练特征可预测休闲跑者的 RRIs？
前瞻性队列研究。
共有 200 名休闲跑者回答了一份每两周进行一次的在线调查，其中包含有关其跑步习惯、比赛和 RRI 存在情况的问题。这些跑者在 12 周的时间内接受了随访。
本研究的主要结局是与跑步相关的损伤。考虑到跑步的暴露情况，计算了损伤的发生率，并以 RRI/1000 小时表示。使用广义估计方程模型估计潜在预测因素与 RRIs 之间的关联。
在完成所有随访调查的 191 名休闲跑者中，共有 84 名跑者发生了 84 次 RRIs，其中 60 名（31%）跑者发生了 RRIs。在受伤的跑者中，30%（n=18/60）发生了 2 次或更多 RRIs，其中 5/18（28%）为复发。RRI 的发生率为 10 RRI/1000 小时的跑步暴露。观察到的主要 RRI 类型是肌肉损伤（30%，n=25/84）。最常见的受伤解剖区域是膝盖（19%，n=16/84）。与 RRI 相关的变量是：既往 RRI（OR 1.88，95%CI 1.01 至 3.51），尽管效果很小，但训练时间（OR 1.01，95%CI 1.00 至 1.02），速度训练（OR 1.46，95%CI 1.02 至 2.10）和间歇训练（OR 0.61，95%CI 0.43 至 0.88）。
物理治疗师应该意识到，既往 RRI 和速度训练与更高的再次发生 RRI 的风险相关，而间歇训练与较低的风险相关，尽管这些关联可能不是因果关系。
