Eight articles on PainSci cite Junior 2016: 1. The Complete Guide to IT Band Syndrome 2. The Complete Guide to Patellofemoral Pain Syndrome 3. Complete Guide to Plantar Fasciitis 4. Shin Splints Treatment, The Complete Guide 5. Are Orthotics Worth It? 6. IT Band & Patellofemoral Pain Defy Common Sense 7. Your Back Is Not Out of Alignment 8. Does barefoot running prevent injuries?
PainSci commentary on Junior 2016: ?This page is one of thousands in the PainScience.com bibliography. It is not a general article: it is focused on a single scientific paper, and it may provide only just enough context for the summary to make sense. Links to other papers and more general information are provided wherever possible.
Do runners with anatomical quirks get more injuries than symmetrical and aligned runners? This study was another attempt to settle an old question that just won’t die.
It was the right kind of study (prospective), but perhaps a bit underpowered with only 89 subjects and just 12 weeks of monitoring for new injuries. I wish I could see the same data for a couple hundred runners over six months. Subtle vulnerabilities might take quite a while to crop up, particularly in runners who have already gotten through at least six months without any injury. Still, 24 of these runners did get injured in those twelve weeks — which is a lot! — and “we did not find significant associations between lower limb length discrepancy, Q-angle, subtalar angle and plantar arch index and injury occurrence.”
Surprise surprise. And so, as we’ve known for years, either there’s no relationship between running injuries and anatomical imperfections at all … or it’s too subtle to detect easily, in which case who really cares? These things are mostly impossible to fix anyway.
~ Paul Ingraham
original abstract †Abstracts here may not perfectly match originals, for a variety of technical and practical reasons. Some abstacts are truncated for my purposes here, if they are particularly long-winded and unhelpful. I occasionally add clarifying notes. And I make some minor corrections.
There is conflicting evidence on the association between lower limb alignment characteristics and the incidence of running-related injury (RRI). Therefore, the primary aim of this study was to investigate the association between lower limb alignment characteristics and the incidence proportion of running-related injury in a convenience sample of recreational runners. A total of 89 recreational runners were included in this prospective cohort study. These participants had been running for at least six months and were injury-free at baseline. Lower limb alignment measurements were conducted in order to calculate lower limb discrepancy, Q-angle, subtalar angle and plantar index. All participants also answered a baseline and biweekly online surveys about their running routine, history of RRI and newly developed RRI over a period of 12 weeks. The prevalence of previous RRI and the 12-week incidence proportion of new RRI were calculated. Logistic regression analysis was performed to estimate the association between lower limb length discrepancy, Q-angle, subtalar angle and plantar ach index with the incidence proportion of RRI. The prevalence of previous RRI was 55.1% (n = 49). The 12-week incidence proportion of new RRI was 27.0% (n = 24). Muscle injuries and tendinopathies were the main types of RRI identified. The lower leg and the knee were the main anatomical regions affected. We did not find significant associations between lower limb length discrepancy, Q-angle, subtalar angle and plantar arch index and injury occurrence.
- “Suspected Mechanisms in the Cause of Overuse Running Injuries: A Clinical Review,” Reed Ferber, Alan Hreljac, and Karen D Kendall, Sports Health: A Multidisciplinary Approach, 2009.
- “A Biomechanical Perspective of Predicting Injury Risk in Running,” A Hreljac and R Ferber, International SportMed Journal, 2006.
- “Lower limb joint kinetics in walking: the role of industry recommended footwear,” Geoffrey S Keenan, Jason R Franz, Jay Dicharry, Ugo Della Croce, and D Casey Kerrigan, Gait & Posture, 2011.
- “Risk factors and mechanisms of knee injury in runners,” Stephen P Messier, Claudine Legault, Casey R Schoenlank, Jovita Jolla Newman, David F Martin, and Paul DeVita, Medicine & Science in Sports & Exercise, 2008.
- “Comparison of symptoms and clinical findings in subgroups of individuals with patellofemoral pain,” Jan Näslund, Ulla-Britt Näslund, Sten Odenbring, and Thomas Lundeberg, Physiotherapy Theory and Practice, 2006.
- “Veteran Biomechanics Expert Benno Nigg Doubts That Barefootin', Forefootin' Or Pronation-Control Will Change Injury Rates,” Amby Burfoot, Runnersworld.com.
- “A prospective investigation of biomechanical risk factors for patellofemoral pain syndrome: the Joint Undertaking to Monitor and Prevent ACL Injury (JUMP-ACL) cohort,” Michelle C Boling, Darin A Padua, Stephen W Marshall, Kevin Guskiewicz, Scott Pyne, and Anthony Beutler, American Journal of Sports Medicine, 2009.
- “Re-evaluating the functional implications of the Q-angle and its relationship to in-vivo patellofemoral kinematics,” Benjamin R Freedman, Timothy J Brindle, and Frances T Sheehan, Clin Biomech (Bristol, Avon), 2014.
- “Frontal plane biomechanics in males and females with and without patellofemoral pain,” Theresa Helissa Nakagawa, Érika Tiemi Uehara Moriya, Carlos Dias Maciel, and And Fábio Viadanna Serrão, Medicine & Science in Sports & Exercise, 2012.
- “Somatosensory and Biomechanical Abnormalities in Females with Patellofemoral Pain,” Brian Noehren, Logan Shuping, A Jones, David A Akers, Heather M Bush, and Kathleen A Sluka, The Clinical Journal of Pain, 2015.
- “Relation between running injury and static lower limb alignment in recreational runners,” V Lun, W H Meeuwisse, P Stergiou, and D Stefanyshyn, British Journal of Sports Medicine, 2004.
- “A Systematic Review of Clinical Outcomes in Patients Undergoing Meniscectomy,” Michael J Salata, Aimee E Gibbs, and Jon K Sekiya, American Journal of Sports Medicine, 2010.
- “Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review,” R N van Gent, D Siem, M van Middelkoop, A G van Os, S M A Bierma-Zeinstra, and B W Koes, British Journal of Sports Medicine, 2007.
This page is part of the PainScience BIBLIOGRAPHY, which contains plain language summaries of thousands of scientific papers & others sources. It’s like a highly specialized blog. A few highlights:
- No long-term effects after a three-week open-label placebo treatment for chronic low back pain: a three-year follow-up of a randomized controlled trial. Kleine-Borgmann 2022 Pain.
- Exercise and education versus saline injections for knee osteoarthritis: a randomised controlled equivalence trial. Bandak 2022 Ann Rheum Dis.
- Association of Lumbar MRI Findings with Current and Future Back Pain in a Population-based Cohort Study. Kasch 2022 Spine (Phila Pa 1976).
- A double-blinded randomised controlled study of the value of sequential intravenous and oral magnesium therapy in patients with chronic low back pain with a neuropathic component. Yousef 2013 Anaesthesia.
- Is Neck Posture Subgroup in Late Adolescence a Risk Factor for Persistent Neck Pain in Young Adults? A Prospective Study. Richards 2021 Phys Ther.