Sanfilippo Damien, Beaudart Charlotte, Gaillard Allan, Bornheim Stephen, Bruyere Olivier, Kaux Jean-François
Department of Rehabilitation and Sports Sciences, University of Liège, Liège, Belgium.
Department of Physical Medicine and Sports Traumatology, Sports, FIFA Medical Centre of Excellence, IOC Research Centre for Prevention of Injury and Protection of Athlete Health, FIMS Collaborative Center of Sports Medicine, University and University Hospital of Liège, Liège, Belgium.
Orthop J Sports Med. 2021 Nov 18;9(11):23259671211043444. doi: 10.1177/23259671211043444. eCollection 2021 Nov.
Despite the many studies on running-related injuries (RRIs), risk factors for injury remain unclear in the literature.
To investigate the risk factors of RRIs.
Case-control study; Level of evidence, 3.
An online survey was conducted among 3669 injured and noninjured runners. Injury was defined as pain of various kinds, without attention to its consequences on running practice. The survey included 41 questions on 5 main categories-personal characteristics, daily lifestyle, training and running characteristics, practice of other sporting activities, and prevention habits-as well as information about the occurrence of RRI over the previous 12 months. Continuous and qualitative variables were analyzed by Student test and chi-square test, respectively. Sixteen variables were selected for multivariate binary logistic analysis.
Among the 3669 runners, 1852 (50.5%) reported at least 1 injury over the previous 12 months. Overuse injuries were largely represented (60.6%). The variables associated with RRIs that remained significant in the fully adjusted model were previous injury (odds ratio [OR], 1.62; 95% CI, 1.42-1.86), higher weight (OR, 1.006; 95% CI, 1.00-1.012), competitive running (OR, 1.53; 95% CI, 1.19-1.98), running >2 h/wk (OR, 1.28; 95% CI, 1.01-1.62), running >20 km/wk (OR, 1.25; 95% CI, 1.001-1.55), and stretching before running (OR, 1.46; 95% CI, 1.25-1.71).
Previous injury remains the most relevant risk factor for RRIs according to the current study and previous data. Many training characteristics seem to be involved but still have to be confirmed in view of conflicting data in the literature. Further research would help clinicians better understand RRIs and how to prevent them.
尽管对跑步相关损伤（RRIs）进行了大量研究，但损伤的风险因素在文献中仍不明确。
调查RRIs的风险因素。
病例对照研究；证据等级，3级。
对3669名受伤和未受伤的跑步者进行了在线调查。损伤定义为各种疼痛，不考虑其对跑步练习的影响。该调查包括关于5个主要类别的41个问题——个人特征、日常生活方式、训练和跑步特征、其他体育活动的练习情况以及预防习惯——以及过去12个月RRIs发生情况的信息。连续变量和定性变量分别通过学生t检验和卡方检验进行分析。选择16个变量进行多变量二元逻辑分析。
在3669名跑步者中，1852名（50.5%）报告在过去12个月中至少有1次损伤。过度使用损伤占很大比例（60.6%）。在完全调整模型中与RRIs相关且仍具有显著性的变量有既往损伤（比值比[OR]，1.62；95%置信区间，1.42 - 1.86）、体重较高（OR，1.006；95%置信区间，1.00 - 1.012）、参加竞技跑步（OR，1.53；95%置信区间，1.19 - 1.98）、每周跑步>2小时（OR，1.28；95%置信区间，1.01 - 1.62）、每周跑步>20公里（OR，1.25；95%置信区间，1.001 - 1.55）以及跑步前进行拉伸（OR，1.46；95%置信区间，1.25 - 1.71）。
根据当前研究和既往数据，既往损伤仍然是RRIs最相关的风险因素。许多训练特征似乎与之相关，但鉴于文献中相互矛盾的数据，仍有待证实。进一步的研究将有助于临床医生更好地理解RRIs及其预防方法。
