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Matthew Boyd Physio

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Matthew Boyd / March 3, 2020

What Running Technique Errors cause Injury?

There have been lots of studies investigating how running technique relates to injury. Recently some researchers from Madrid looked at the research to date and summed it up in a review. Here’s what they found…

Study

  • Review of 18 studies on runners
  • 4 types of injury
    • Anterior knee pain (runner’s knee)
    • liotibial band syndrome (ITBS)
    • Achilles tendinopathy (tendinitis)
    • Tibial stress syndrome/ tibial stress fracture (shin splints)

Findings

  • Anterior knee pain (runner’s knee) – 6 studies
    • Peak hip adduction (moderate evidence)
    • No association with pronation or hip or knee internal rotation
  • Iliotibial band syndrome (ITBS) – 6 articles
    • Association between peak hip adduction and ITBS in unclear
    • It may be that runners with ITBS modify peak hip adduction in response to the pain as studies showed:
      • Pre-ITBS increased hip adduction
      • During-ITBS normal hip adduction
      • Post-ITBS less hip adduction
  • Achilles tendinopathy (tendinitis) – 4 studies
    • No association with pronation
  • Tibial stress syndrome/stress fracture (shin splints) – 3 studies
    • Mixed results regarding the association between pronation and shin splints
    • Prolonged pronation beyond heel-off may be associated

Limitations

  • Only 2 studies were “prospective” – these studies are the most valuable as they follow subjects over a period of time
  • All articles in this review were only of “moderate” quality
  • Studies looked at runners doing a wide range of distances
  • Studies looked at runners wearing different types of footwear

Clinicians

  • There is little evidence to connect any biomechanical observation to any running injury
  • Peak hip adduction in female runners may be the exception as that seems to be connected to patellofemoral pain (runners knee)

Runners

  • Running injury may not be associated with technique

Filed Under: Running Tagged With: Infographic, Knee Pain

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Disclaimer

I am a Registered Physiotherapist within the province of Alberta, Canada only.

Any online consultations with individuals located outside of Alberta will be in my capacity as a Certified Running Coach. I do not provide Physiotherapy or injury rehabilitation services to anyone located outside of Alberta, Canada.

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