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Suspected Mechanisms in the Cause of Overuse Running Injuries: A Clinical Review

PainSci » bibliography » Ferber et al 2009
Tags: biomechanics, IT band pain, running, patellar pain, shin pain, exercise, etiology, knee, pro, leg, limbs, pain problems, overuse injury, injury, self-treatment, treatment, tendinosis, arthritis, aging

Six articles on PainSci cite Ferber 2009: 1. The Complete Guide to IT Band Syndrome2. The Complete Guide to Patellofemoral Pain Syndrome3. Shin Splints Treatment, The Complete Guide4. The Causes of Runner's Knee Are Rarely Obvious5. Your Back Is Not Out of Alignment6. Does Hip Strengthening Work for IT Band Syndrome?

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.

CONTEXT: Various epidemiological studies have estimated that up to 70% of runners sustain an overuse running injury each year. Although few overuse running injuries have an established cause, more than 80% of running-related injuries occur at or below the knee, which suggests that some common mechanisms may be at work. The question then becomes, are there common mechanisms related to overuse running injuries?

EVIDENCE ACQUISITION: Research studies were identified via the following electronic databases: MEDLINE, EMBASE PsycInfo, and CINAHL (1980–July 2008). Inclusion was based on evaluation of risk factors for overuse running injuries.

RESULTS: A majority of the risk factors that have been researched over the past few years can be generally categorized into 2 groups: atypical foot pronation mechanics and inadequate hip muscle stabilization.

CONCLUSION: Based on the review of literature, there is no definitive link between atypical foot mechanics and running injury mechanisms. The lack of normative data and a definition of typical foot structure has hampered progress. In contrast, a large and growing body of literature suggests that weakness of hip-stabilizing muscles leads to atypical lower extremity mechanics and increased forces within the lower extremity while running.

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