Six articles on PainSci cite van der Worp 2016: 1. Is Running on Pavement Risky? 2. The Complete Guide to IT Band Syndrome 3. The Complete Guide to Patellofemoral Pain Syndrome 4. Complete Guide to Plantar Fasciitis 5. Shin Splints Treatment, The Complete Guide 6. Are Orthotics Worth It?
PainSci notes on van der Worp 2016:
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 †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.
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.
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:
- Cannabidiol (CBD) products for pain: ineffective, expensive, and with potential harms. Moore 2023 J Pain.
- Inciting events associated with lumbar disc herniation. Suri 2010 Spine J.
- Prediction of an extruded fragment in lumbar disc patients from clinical presentations. Pople 1994 Spine (Phila Pa 1976).
- Characteristics of patients with low back and leg pain seeking treatment in primary care: baseline results from the ATLAS cohort study. Konstantinou 2015 BMC Musculoskelet Disord.
- Effectiveness and cost-effectiveness of universal school-based mindfulness training compared with normal school provision in reducing risk of mental health problems and promoting well-being in adolescence: the MYRIAD cluster randomised controlled trial. Kuyken 2022 Evid Based Ment Health.