Thomas Jefferson University, Jefferson College of Rehabilitation Sciences, Department of Physical Therapy, 901 Walnut St, Philadelphia, PA, 19107, USA.
Thomas Jefferson University, Sidney Kimmel Medical College, Department of Family and Community Medicine, 833 Chestnut St, Philadelphia, PA, 19107, USA.
Phys Ther Sport. 2020 May;43:143-150. doi: 10.1016/j.ptsp.2020.02.018. Epub 2020 Mar 4.
To gain insight into perceived factors related to bone health and stress fracture (SF) prevention for female runners and to understand their experiences within the medical community.
Cohort qualitative study.
University health system.
Forty female runners, 20 who had SF histories and 20 age-and-running-distance matched women without SF.
Women participated in audiotaped qualitative semi-structured interviews. For women with a SF history, questions sought their perspectives on factors that they felt contributed to SF, experiences with the medical community, and changes made post SF. For women without a SF history, questions sought perspectives on factors felt important to perceived running-related bone health.
Six themes emerged; 1) Previous/Recurrent Musculoskeletal Injuries, 2) Activity Patterns and Training Regimens, 3) Nutrition, 4) Prevention and Intervention, 5) Pain, and 6) Mindset. Within these themes, between group differences are characterized by differences in knowledge and/or application of knowledge for health and wellness. Compared to women without SF, women with SF histories increased training load more quickly, had poorer nutrition, performed less cross-training, and kept running despite pain.
More education is needed for female runners to decrease risks for SF.
深入了解女性跑步者对骨骼健康和应力性骨折（SF）预防相关因素的认识，并了解她们在医疗界的经历。
队列定性研究。
大学健康系统。
40 名女性跑步者，20 名有 SF 病史，20 名年龄和跑步距离匹配无 SF 病史。
女性参加了录音定性半结构化访谈。对于有 SF 病史的女性，问题是寻求她们对认为导致 SF 的因素的看法、她们与医疗界的经历，以及 SF 后所做的改变。对于没有 SF 病史的女性，问题是寻求对她们认为对感知与跑步相关的骨骼健康重要的因素的看法。
出现了 6 个主题；1）既往/复发性肌肉骨骼损伤，2）活动模式和训练方案，3）营养，4）预防和干预，5）疼痛，6）心态。在这些主题中，组间差异的特点是对健康和保健的知识的了解和/或应用程度不同。与没有 SF 的女性相比，有 SF 病史的女性更快地增加训练负荷，营养较差，交叉训练较少，并且尽管有疼痛仍继续跑步。
女性跑步者需要更多的教育来降低 SF 的风险。
