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Lower limb alignment characteristics are not associated with running injuries in runners: Prospective cohort study
Authors:Luiz Carlos Hespanhol Junior  Aline Carla Araújo de Carvalho  Leonardo Oliveira Pena Costa
Institution:1. Department of Public &2. Occupational Health and the EMGO+ Institute for Health and Care Research, VU University Medical Center, Amsterdam, The Netherlands;3. Graduation Program in Physical Therapy, University Center CESMAC, Maceió, Brazil;4. S?o Paulo Running Injury Group (SPRunIG), Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de S?o Paulo (UNICID), S?o Paulo, Brazil;5. S?o Paulo Running Injury Group (SPRunIG), Masters and Doctoral Programs in Physical Therapy, Universidade Cidade de S?o Paulo (UNICID), S?o Paulo, Brazil;6. Musculoskeletal Division, The George Institute for Global Health, Sydney, NSW, Australia
Abstract:There is conflicting evidence on the association between lower limb alignment characteristics and the incidence of running-related injury (RRI). Therefore, the primary aim of this study was to investigate the association between lower limb alignment characteristics and the incidence proportion of RRI in a convenience sample of recreational runners. A total of 89 recreational runners were included in this prospective cohort study. These participants had been running for at least six months and were injury-free at baseline. Lower limb alignment measurements were conducted in order to calculate lower limb discrepancy, Q-angle, subtalar angle and plantar index. All participants also answered a baseline and biweekly online surveys about their running routine, history of RRI and newly developed RRI over a period of 12 weeks. The prevalence of previous RRI and the 12-week incidence proportion of new RRI were calculated. Logistic regression analysis was performed to estimate the association between lower limb length discrepancy, Q-angle, subtalar angle and plantar ach index with the incidence proportion of RRI. The prevalence of previous RRI was 55.1% (n?=?49). The 12-week incidence proportion of new RRI was 27.0% (n?=?24). Muscle injuries and tendinopathies were the main types of RRI identified. The lower leg and the knee were the main anatomical regions affected. We did not find significant associations between lower limb length discrepancy, Q-angle, subtalar angle and plantar arch index and injury occurrence.
Keywords:Injury &  prevention  musculoskeletal  measurement
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