J Orthop Sports Phys Ther. 2022 Nov;52(11):705-708. doi: 10.2519/jospt.2022.11288. Epub 2022 Sep 7.
Overuse injuries from running occur when the loading stimulus exceeds the tissue-specific loading capacity. Excessive running exposure (training errors) are important precursors to injury. Despite the intuitive relationship between loading, running volume, and injury, a definitive loading exposure that can reliably differentiate between injured and uninjured groups remains elusive. We propose that a singular focus on running-related factors such as gait, running surface change, sudden change in running volume, frequency of running, and acute-to-chronic workload make it difficult to identify reliable mechanisms of loadrelated running injury. Given that the accumulated loading from nonrunning exercise and physical activities of daily living can impose substantial and consequential load on the musculoskeletal system, we make the case for considering loading from all sources of physical activity as a contributor to running injury. .
跑步导致的过度使用损伤是由于负荷刺激超过了组织特定的负荷能力。过度跑步暴露（训练错误）是损伤的重要前兆。尽管负荷、跑步量和损伤之间存在直观的关系，但仍然难以确定能够可靠地区分受伤和未受伤人群的明确负荷暴露量。我们认为，过于关注与跑步相关的因素，如步态、跑步表面变化、跑步量的突然变化、跑步频率以及急性到慢性的工作量，使得难以确定与负荷相关的跑步损伤的可靠机制。鉴于非跑步运动和日常生活中的体力活动所累积的负荷会对肌肉骨骼系统造成实质性和重要的负荷，我们提出将所有来源的体力活动的负荷都视为导致跑步损伤的一个因素。
