Tryntsje Fokkema1, Robert Burggraaff2, Fred Hartgens3, Bas Kluitenberg4, Evert Verhagen5, Frank J G Backx6, Henk van der Worp4, Sita M A Bierma-Zeinstra7, Bart W Koes2, Marienke van Middelkoop2. 1. Department of General Practice, Erasmus MC, University Medical Center Rotterdam, The Netherlands. Electronic address: t.fokkema@erasmusmc.nl. 2. Department of General Practice, Erasmus MC, University Medical Center Rotterdam, The Netherlands. 3. Departments of Epidemiology and Surgery, Research School CAPHRI, Maastricht University Medical Center+, Sports Medicine Center Maastricht, The Netherlands. 4. Center for Sports Medicine, University of Groningen, University Medical Center Groningen, The Netherlands. 5. Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, VU University Medical Center, Amsterdam, The Netherlands. 6. Department of Rehabilitation, Physical Therapy Science & Sports, Rudolf Magnus Institute of Neurosciences, University Medical Center Utrecht, The Netherlands. 7. Department of General Practice, Erasmus MC, University Medical Center Rotterdam, The Netherlands; Department of Orthopedics, Erasmus MC, University Medical Center Rotterdam, The Netherlands.
Abstract
OBJECTIVES: To investigate the prognosis and possible prognostic factors of running-related injuries (RRIs) in novice runners. DESIGN: Prospective cohort study. METHODS: Participants of Start to Run, a 6-weeks course for novice runners in The Netherlands, were asked to participate in this study. Before the start of the course a baseline questionnaire, on demographics, physical activity and perceived health, was sent to runners willing to participate. The 26- or 52-weeks follow-up questionnaires assessed information on RRIs and their duration. Only participants that sustained a RRI during follow-up were included in the analyses. An injury duration of 10weeks or shorter was regarded as a relatively good prognosis, while an injury duration of more than 10weeks was defined as a poor prognosis. To determine the associations between baseline characteristics and injury prognosis and between injury location and injury prognosis, multivariable logistic regression analyses were performed. RESULTS: 347 participants (48.8%) sustained an RRI during follow-up. The RRIs had an overall median duration of eight weeks (range: 1-52weeks). Participants with a previous RRI were more likely to have a poor prognosis (OR 2.31; 95%CI 1.12-4.79), while a calf injury showed a trend towards an association with a relatively good prognosis (OR 0.49; 95%CI 0.22-1.11). CONCLUSIONS: The duration of RRIs in novice runners is relatively long, with only calf injuries being associated with a good prognosis. This emphasizes the need of injury prevention measures in novice runners and adequate support during and after an RRI, especially in runners with a previous injury.
OBJECTIVES: To investigate the prognosis and possible prognostic factors of running-related injuries (RRIs) in novice runners. DESIGN: Prospective cohort study. METHODS:Participants of Start to Run, a 6-weeks course for novice runners in The Netherlands, were asked to participate in this study. Before the start of the course a baseline questionnaire, on demographics, physical activity and perceived health, was sent to runners willing to participate. The 26- or 52-weeks follow-up questionnaires assessed information on RRIs and their duration. Only participants that sustained a RRI during follow-up were included in the analyses. An injury duration of 10weeks or shorter was regarded as a relatively good prognosis, while an injury duration of more than 10weeks was defined as a poor prognosis. To determine the associations between baseline characteristics and injury prognosis and between injury location and injury prognosis, multivariable logistic regression analyses were performed. RESULTS: 347 participants (48.8%) sustained an RRI during follow-up. The RRIs had an overall median duration of eight weeks (range: 1-52weeks). Participants with a previous RRI were more likely to have a poor prognosis (OR 2.31; 95%CI 1.12-4.79), while a calf injury showed a trend towards an association with a relatively good prognosis (OR 0.49; 95%CI 0.22-1.11). CONCLUSIONS: The duration of RRIs in novice runners is relatively long, with only calf injuries being associated with a good prognosis. This emphasizes the need of injury prevention measures in novice runners and adequate support during and after an RRI, especially in runners with a previous injury.
Authors: Agnieszka Wnuk-Scardaccione; Ewa Mizia; Klaudia Zawojska; Jan Bilski; Jakub Wojdyła Journal: Int J Environ Res Public Health Date: 2021-03-11 Impact factor: 3.390