Predictors of Running-Related Injuries in Novice Runners Enrolled in a Systematic Training Program A Prospective Cohort Study
Predictors of Running-Related Injuries in Novice Runners Enrolled in a Systematic Training Program A Prospective Cohort Study
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DOI：
10.1177/0363546509347985
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发表时间：
2010-02-01
影响因子：
4.8
通讯作者：
Diercks, Ron L.
中科院分区：
文献类型：
--
作者：
Buist, Ida;Bredeweg, Steef W.;Diercks, Ron L.
背景资料：跑步的热度仍在增长。随着参与度的增加，与跑步相关的伤害也会增加。到目前为止，关于新手跑步损伤的预测因素还知之甚少。假设：跑步相关损伤(RRI)的预测因素在男性和女性新手之间会有所不同。研究设计：队列研究；证据水平，2。方法：参与者是532名新手跑步者(226名男性，306名女性)，准备参加一项休闲的4英里(6.7公里)跑步比赛。在完成基线问卷并接受骨科检查后，在13周的训练期内对他们进行跟踪。RRI被定义为任何自我报告的与跑步相关的腿部或背部肌肉骨骼疼痛，导致至少1周的跑步限制。结果：21%的跑步新手在随访期间至少有一次RRI。对男性受试者进行多因素校正的Cox回归模型显示，体重指数(BMI)(危险比[HR]，1.15；95%可信区间[CI]，1.05-1.26)、过去一年受伤史(HR，2.7；95%CI，1.36-5.55)、参加过无轴向负荷的运动(HR，2.05；95%CI，1.03-4.11)与RRI有关。在女性参与者中，在多变量COX回归模型中，只有舟骨下垂(HR，0.85；95%CI，0.75-0.97)仍然是RRI的显著预测因素。髋关节和踝关节的A型行为和活动范围不影响风险。结论：男性和女性新手跑步者的风险分布不同。较高的BMI、既往损伤史和既往参加无轴向负荷的运动是男性参与者RRI的重要预测因素。还需要进一步的研究，以发现更多对女性跑步新手的预测因素。
Background: The popularity of running is still growing. As participation increases, running-related injuries also increase. Until now, little is known about the predictors for injuries in novice runners.Hypothesis: Predictors for running-related injuries (RRIs) will differ between male and female novice runners.Study Design: Cohort study; Level of evidence, 2.Methods: Participants were 532 novice runners (226 men, 306 women) preparing for a recreational 4-mile (6.7-km) running event. After completing a baseline questionnaire and undergoing an orthopaedic examination, they were followed during the training period of 13 weeks. An RRI was defined as any self-reported running-related musculoskeletal pain of the lower extremity or back causing a restriction of running for at least 1 week.Results: Twenty-one percent of the novice runners had at least one RRI during follow-up. The multivariate adjusted Cox regression model for male participants showed that body mass index (BMI) (hazard ratio [HR], 1.15; 95% confidence interval [CI], 1.05-1.26), previous injury in the past year (HR, 2.7; 95% CI, 1.36-5.55), and previous participation in sports without axial load (HR, 2.05; 95% CI, 1.03-4.11) were associated with RRI. In female participants, only navicular drop (HR, 0.85; 95% CI, 0.75-0.97) remained a significant predictor for RRI in the multivariate Cox regression modeling. Type A behavior and range of motion (ROM) of the hip and ankle did not affect risk.Conclusion: Male and female novice runners have different risk profiles. Higher BMI, previous injury, and previous sports participation without axial loading are important predictors for RRI in male participants. Further research is needed to detect more predictors for female novice runners.