Preventing running injuries. Practical approach for family doctors

To present a practical approach for preventing running injuries. Much of the research on running injuries is in the form of expert opinion and comparison trials. Recent systematic reviews have summarized research in orthotics, stretching before running, and interventions to prevent soft tissue injur...

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Bibliographic Details
Published in:Canadian family physician 2003-09, Vol.49 (9), p.1101-1109
Main Authors: Johnston, C A M, Taunton, J E, Lloyd-Smith, D R, McKenzie, D C
Format: Article
Language:English
Subjects:
Accidents & injuries
Athletes
Athletic Injuries - prevention & control
Biomechanical Phenomena
Evidence-Based Medicine
Family medicine
Family Practice
Health care
Humans
Muscle Weakness
Orthotic Devices
Physician's Role
Pliability
Preventive medicine
Risk Factors
risk reduction
Running
Running - injuries
Shoes
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Summary:To present a practical approach for preventing running injuries. Much of the research on running injuries is in the form of expert opinion and comparison trials. Recent systematic reviews have summarized research in orthotics, stretching before running, and interventions to prevent soft tissue injuries. The most common factors implicated in running injuries are errors in training methods, inappropriate training surfaces and running shoes, malalignment of the leg, and muscle weakness and inflexibility. Runners can reduce risk of injury by using established training programs that gradually increase distance or time of running and provide appropriate rest. Orthoses and heel lifts can correct malalignments of the leg. Running shoes appropriate for runners' foot types should be selected. Lower-extremity strength and flexibility programs should be added to training. Select appropriate surfaces for training and introduce changes gradually. Prevention addresses factors proven to cause running injuries. Unfortunately, injury is often the first sign of fault in running programs, so patients should be taught to recognize early symptoms of injury.
ISSN:0008-350X
1715-5258