Verhagen Evert, Warsen Marit, Silveira Bolling Caroline
Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam UMC, University Medical Centers - Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
BMJ Open Sport Exerc Med. 2021 Sep 27;7(3):e001117. doi: 10.1136/bmjsem-2021-001117. eCollection 2021.
Running injuries impact the health gains achieved through running and are linked to drop-out from this otherwise healthy activity. The need for effective prevention is apparent, however, implementation of preventive measures implies a change in runners' behaviour. This exploratory qualitative study aimed to explore Dutch recreational runners' perception on injuries, injury occurrence and prevention. An interpretative paradigm underpins this study. We conducted 12 individual semistructured interviews with male (n=6) and female runners (n=6). Through a constant comparative data analysis, we developed a conceptual model to illustrate the final product of the analysis and represent the main themes' connection. We present a framework that describes the pathway from load to injury and the self-regulatory process controlling this pathway. Runners mentioned that pain is not necessarily an injury, and they usually continue running. Once complaints become unmanageable and limit the runner's ability to participate, an injury was perceived. Based on our outcomes, we recommend that preventive strategies focus on the self-regulation by which runners manage their complaints and injuries-providing information, advice and programmes that support the runner to make well-informed, effective decisions.
跑步损伤会影响通过跑步所获得的健康益处，并且与放弃这项原本有益健康的活动相关。显然需要有效的预防措施，然而，实施预防措施意味着跑步者行为的改变。这项探索性的定性研究旨在探究荷兰业余跑步者对损伤、损伤发生及预防的看法。本研究采用解释性范式。我们对6名男性和6名女性跑步者进行了12次个人半结构化访谈。通过持续比较数据分析，我们构建了一个概念模型来说明分析的最终结果，并呈现主要主题之间的联系。我们提出了一个框架，描述了从负荷到损伤的路径以及控制该路径的自我调节过程。跑步者提到疼痛不一定就是损伤，他们通常会继续跑步。一旦不适变得难以控制并限制了跑步者的参与能力，才会被视为损伤。基于我们的研究结果，我们建议预防策略应侧重于跑步者管理自身不适和损伤的自我调节——提供支持跑步者做出明智、有效决策的信息、建议和方案。
