School of Medical and Health Sciences, Edith Cowan University, Joondalup, WA 6027, Australia.
Nutrition and Health Innovation Research Institute, Edith Cowan University, Joondalup, WA 6027, Australia.
Int J Environ Res Public Health. 2023 Mar 1;20(5):4426. doi: 10.3390/ijerph20054426.
The aim in this study was to quantify the number, nature, and severity of injuries sustained by male and female high school students who took part in a running training program that culminated in the completion of a half or full marathon.
This study is a retrospective clinical audit.
Injury reports from high school students (grades 9-12) who participated in a half or full marathon 30-week progressive training program comprising four training days per week (three running days and one cross-training day) were reviewed. The number of runners completing a marathon, together with the number, nature, severity of injuries, and treatment types, as reported to the program physiotherapist, were the main outcome measures.
Program completion was 96% ( = 448/469). Of all participants, 186 (39.6%) were injured, with 14 withdrawing from the program due to injury. For those who completed a marathon, 172 (38%) reported 205 musculoskeletal injuries (age of injured runners: 16.3 ± 1.1 years; 88 girls (51.2%) and 84 boys (48.8%)). More than half ( = 113, 55.1%) of the reported injuries were soft tissue injuries. Most injuries were localized to the lower leg ( = 88, 42.9%) and were of a minor nature ( = 181, 90%), requiring only 1-2 treatments.
There was a low number of relatively minor injuries for high school participants taking part in a graduated and supervised marathon training program. The injury definition was conservative (i.e., any attendance to physiotherapist) and the relative severity of injuries was minor (i.e., requiring 1-2 treatment sessions). Overall, these results do not support a need to restrict high school students from taking part in marathon running, though continued emphasis on graduated program development and close supervision of young participants is recommended.
本研究旨在量化参与跑步训练计划的男女高中生所受伤害的数量、性质和严重程度，该计划最终完成半程或全程马拉松。
本研究为回顾性临床审计。
对参加半程或全程马拉松 30 周渐进式训练计划的高中生（9-12 年级）的伤害报告进行了回顾。该计划包括每周四天的训练（三天跑步和一天交叉训练），主要结局指标是完成马拉松的跑步者人数、受伤人数、性质、严重程度以及向项目理疗师报告的治疗类型。
计划完成率为 96%（=448/469）。所有参与者中有 186 人（39.6%）受伤，14 人因伤退出该计划。对于完成马拉松的人，172 人（38%）报告了 205 处肌肉骨骼损伤（受伤跑步者年龄：16.3±1.1 岁；88 名女孩（51.2%）和 84 名男孩（48.8%））。超过一半（=113，55.1%）的报告损伤为软组织损伤。大多数损伤位于小腿（=88，42.9%），性质轻微（=181，90%），仅需 1-2 次治疗。
参与分级和监督的马拉松训练计划的高中生受伤人数相对较少，且伤害程度相对较轻。伤害定义较为保守（即任何接受理疗师治疗），伤害的相对严重程度较轻（即需要 1-2 次治疗）。总体而言，这些结果不支持限制高中生参加马拉松比赛的需要，但建议继续强调分级计划的制定和对年轻参与者的密切监督。
