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bibliography * The PainScience Bibliography contains plain language summaries of thousands of scientific papers and others sources, like a specialized blog. This page is about a single scientific paper in the bibliography, van der Worp 2016.

Do runners who suffer injuries have higher vertical ground reaction forces than those who remain injury-free? A systematic review and meta-analysis

updated
Tags: running, injury, biomechanics, exercise, self-treatment, treatment, pain problems, etiology, pro

PainSci summary of van der Worp 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 at the bottom of the page, as often as possible. ★★★☆☆?3-star ratings are for typical studies with no more (or less) than the usual common problems. Ratings are a highly subjective opinion, and subject to revision at any time. If you think this paper has been incorrectly rated, please let me know.

Vertical ground reaction force (“impact”) is widely assumed to be a cause of several running-related injuries. This 2016 systematic review is the first of its kind because there just hasn’t been enough evidence to review until recently, and there still isn’t now, really, but they decided to glean what they could from eighteen experiments. They found that “loading rate was higher in studies that included patients with a history of stress fractures and patients with all injury types, both compared with controls.” Although this supports the assumption that impact is injurious, particularly in stress fractures, it cannot be emphasized strongly enough that the data is simply incomplete and inadequate.

original abstract

BACKGROUND: Vertical ground reaction force (VGRF) parameters have been implicated as a cause of several running-related injuries. However, no systematic review has examined this relationship.

AIM: We systematically reviewed evidence for a relation between VGRF parameters and specific running-related injuries.

METHODS: MEDLINE, Web of Science and EMBASE databases were searched. Two independent assessors screened the articles and rated the methodological quality. The 3 key VGRF parameters we measured were vertical loading rate, impact/passive peak (Fz1) and propulsive/active peak (Fz2). Standardised mean differences of these parameters were calculated using a random-effects model. Meta-regression was performed using injury type, study type and methodological quality as factors.

RESULTS: The search yielded 2016 citations and 18 met the inclusion criteria for the systematic review. The loading rate was higher in studies that included patients with a history of stress fractures and patients with all injury types, both compared with controls. Only studies that included patients with a history of symptoms at the time of kinetic data collection showed higher loading rates overall in cases than in controls. There were no differences between injured subjects and controls for the active and passive peaks of the VGRF.

SUMMARY: The loading rate is higher in respondents with a history of stress fractures than in respondents without running injuries. Owing to the absence of prospective studies on other injury types, it is not possible to draw definite conclusions regarding their relation with loading rate.

related content

These two articles on PainScience.com cite van der Worp 2016 as a source:


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: