Sports Medicine

, Volume 44, Issue 8, pp 1153–1163

What are the Main Risk Factors for Running-Related Injuries?

  • Bruno Tirotti Saragiotto
  • Tiê Parma Yamato
  • Luiz Carlos Hespanhol Junior
  • Michael J. Rainbow
  • Irene S. Davis
  • Alexandre Dias Lopes
Systematic Review

DOI: 10.1007/s40279-014-0194-6

Cite this article as:
Saragiotto, B.T., Yamato, T.P., Hespanhol Junior, L.C. et al. Sports Med (2014) 44: 1153. doi:10.1007/s40279-014-0194-6

Abstract

Background

Despite several studies that have been conducted on running injuries, the risk factors for running-related injuries are still not clear in the literature.

Objective

The aim of this study was to systematically review prospective cohort studies that investigated the risk factors for running injuries in general.

Data Sources

We conducted electronic searches without restriction of language on EMBASE (1980 to Dec 2012), PUBMED (1946 to Dec 2012), CINAHL (1988 to Dec 2012) SPORTDiscus (1977 to Dec 2012), Latin American and Caribbean Centre on Health Sciences Information (1985 to Dec 2012) and Scientific Electronic Library Online (1998 to Dec 2012) databases, using subject headings, synonyms, relevant terms and variant spellings for each database.

Study Selection

Only prospective cohort studies investigating the risk factors for running-related musculoskeletal injuries were included in this review. Two independent reviewers screened each article and, if they did not reach a consensus, a third reviewer decided whether or not the article should be included.

Study Appraisal and Synthesis Methods

Year of publication, type of runners, sample size, definition of running-related musculoskeletal injury, baseline characteristics, reported risk factors and the statistical measurement of risk or protection association were extracted from the articles. A scale adapted by the authors evaluated the risk of bias of the articles.

Results

A total of 11 articles were considered eligible in this systematic review. A total of 4,671 pooled participants were analysed and 60 different predictive factors were investigated. The main risk factor reported was previous injury (last 12 months), reported in 5 of the 8 studies that investigated previous injuries as a risk factor. Only one article met the criteria for random selection of the sample and only six articles included a follow-up of 6 months or more. There was no association between gender and running injuries in most of the studies.

Limitations

It is possible that eligible articles for this review were published in journals that were not indexed in any of the searched databases. We found a great heterogeneity of statistical methods between studies, which prevented us from performing a meta-analysis.

Conclusions

The main risk factor identified in this review was previous injury in the last 12 months, although many risk factors had been investigated in the literature. Relatively few prospective studies were identified in this review, reducing the overall ability to detect risk factors. This highlights the need for more, well designed prospective studies in order to fully appreciate the risk factors associated with running.

Supplementary material

40279_2014_194_MOESM1_ESM.docx (65 kb)
Supplementary material 1 (DOCX 65 kb)

Copyright information

© Springer International Publishing Switzerland 2014

Authors and Affiliations

  • Bruno Tirotti Saragiotto
    • 1
    • 4
  • Tiê Parma Yamato
    • 1
  • Luiz Carlos Hespanhol Junior
    • 1
    • 2
  • Michael J. Rainbow
    • 3
  • Irene S. Davis
    • 3
  • Alexandre Dias Lopes
    • 1
  1. 1.Master and Doctoral Program in Physical Therapy, São Paulo Running Injury Group (SPRunIG)Universidade Cidade de São PauloSão PauloBrazil
  2. 2.Department of Public and Occupational Health and EMGO Institute for Health and Care ResearchVU University Medical CenterAmsterdamThe Netherlands
  3. 3.Spaulding National Running Center, Department of Physical Medicine and RehabilitationHarvard Medical SchoolCambridgeUSA
  4. 4.Universidade Cidade de São PauloSão PauloBrazil

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