Tenforde Adam S, Kraus Emily, Kliethermes Stephanie A, Fontana Mark A, Barrack Michelle T, Dubon Mary, Heikura Ida A, Hollander Karsten, Kroshus Emily, Joachim Mikel R, Lopes Alexandre Dias, Rauh Mitchell J, Chastain Ragen, Harrast Mark, Heiderscheit Bryan, Krabak Brian J, Miller Emily M, Napier Christopher, Roberts William O, Roche Deborah, Roche Megan, Schroeder Allison N, Taylor-Douglas Dezmond, Tenforde Kate, Verhagen Evert, Warden Stuart J, Willy Richard W, Toresdahl Brett G
Spaulding Rehabilitation Hospital, Department of Physical Medicine and Rehabilitation, Harvard Medical School, Boston, Massachusetts, USA
Department of Orthopaedic Surgery, Stanford Hospital and Clinics, Stanford, California, USA.
Br J Sports Med. 2025 Feb 6;59(4):211-221. doi: 10.1136/bjsports-2023-108059.
Endurance events are popular worldwide and have many health benefits. However, runners and Para athletes may sustain musculoskeletal injuries or experience other health consequences from endurance events. The American Medical Society for Sports Medicine (AMSSM) Runner Health Consortium aimed to generate consensus-based survey items for use in prospective research to identify risk factors for injuries in runners and Para athletes training and competing in endurance events. The study design employed a modified Delphi approach, with a panel comprising 28 experts, including healthcare professionals, coaches, and athletes. Potential survey items were generated by panel members who subsequently engaged in three rounds of voting using Research Electronic Data Capture. Items were graded by clarity, relevance, and importance. Items achieving 80% consensus on all three aspects were retained. The response rate was 100% in R round 1 and 96% in Rrounds 2 and 3. Of 124 initial survey items, consensus was reached on 53, 34 and 22 items during Rrounds 1, 2, and 3, respectively. Two accepted items were removed due to redundancy. Combined with 10 non-voting items, 117 items covered key domains, including training and injury history, dietary behaviours and associated factors (such as menstrual function), footwear, mental health, and specific considerations for Para athletes. The consensus-based survey items should be considered by researchers to better understand the health of runners and Para athletes who train and compete in endurance sports to identify risk factors for injury.
耐力项目在全球都很受欢迎，且对健康有诸多益处。然而，跑步者和残奥运动员可能会在耐力项目中遭受肌肉骨骼损伤或出现其他健康问题。美国运动医学学会（AMSSM）跑步者健康联盟旨在制定基于共识的调查项目，用于前瞻性研究，以确定在耐力项目中训练和参赛的跑步者及残奥运动员受伤的风险因素。该研究采用了改良的德尔菲法，专家小组由28名专家组成，包括医疗保健专业人员、教练和运动员。潜在的调查项目由小组成员提出，随后他们使用研究电子数据采集系统进行三轮投票。项目根据清晰度、相关性和重要性进行评分。在所有三个方面都达成80%共识的项目被保留。第一轮的回复率为100%，第二轮和第三轮的回复率为96%。在124个初始调查项目中，第一轮、第二轮和第三轮分别就53项、34项和22项达成了共识。由于冗余，两个被接受的项目被删除。加上10个非投票项目，117个项目涵盖了关键领域，包括训练和受伤史、饮食行为及相关因素（如月经功能）、鞋类、心理健康以及残奥运动员的特殊考虑因素。研究人员应考虑这些基于共识的调查项目，以便更好地了解在耐力运动中训练和参赛的跑步者及残奥运动员的健康状况，从而确定受伤的风险因素。
