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Epidemiology of Injuries in Sports pp 15–19Cite as

Athletics: Long-Distance Running

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Abstract

Long-distance running athletes’ data on musculoskeletal injuries account for 9.2–11.9% of injuries during International Championship events in the last decade. Lower limb injuries incidence ranges between 19.4% and 79.3%, raising up to 92.4% when non-lower limb injuries were also considered. At least one-third of the recreational runners experience a minimum of one injury per season. Injuries affect predominantly the lower limbs (thigh 3.4–38.1%, knee 7.2–50%, lower leg 9–32.2%, and foot 5.7–39.3%) with similar incidence in both genders. Traumatic injuries represented almost half of the injuries in long-distance races, while overuse injuries were encountered in 69.1–69.8% of marathon runners. Except for Achilles tendinopathies, evidence for incidence of injuries in long-distance runners are not available, especially when comparing athletes from different performance levels. Prevention strategies should focus on screening athletes participating in long-distance races during the season and one month before the event interviewing dietary and menstrual history in the female athlete. Advising athletes to run a maximum of 64 km/week, adopting interval training, and increasing training distances every week (for injury knee prevention) may result in a successful preventive intervention.

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References

  1. International Association of Athletics Federations (IAAF). 2019. https://www.worldathletics.org/

  2. Francis P, Whatman C, Sheerin K, Hume P, Johnson MI. The proportion of lower limb running injuries by gender, anatomical location, and specific pathology: a systematic review. J Sports Sci Med. 2019;18(1):21–31.

    PubMed  PubMed Central  Google Scholar 

  3. Kluitenberg B, van Middelkoop M, Diercks R, van der Worp H. What are the differences in injury proportions between different populations of runners? A systematic review and meta-analysis. Sports Med. 2015;45(8):1143–61.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  4. Lopes A, Hespanhol L, Yeung S, Costa L. What are the main running-related musculoskeletal injuries? A systematic review. Sports Med. 2012;42(10):891–905.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  5. van der Worp M, de Wijer A, van Cingel R, Verbeek A, Nijhuisvan der Sanden M, Staal J. The 5- or 10-km Marikenloop Run: a prospective study of the etiology of running-related injuries in women. J Orthop Sports Phys Ther. 2016;46(6):462–70.

    CrossRef  PubMed  Google Scholar 

  6. Nielsen R, Buist I, Sorensen H, Lind M, Rasmussen S. Training errors and running related injuries: a systematic review. Int J Sports Phys Ther. 2012;7(1):58–75.

    PubMed  PubMed Central  Google Scholar 

  7. Videbaek S, Bueno A, Nielsen R, Rasmussen S. Incidence of running-related injuries per 1000 h of running in different types of runners: a systematic review and meta-analysis. Sports Med. 2015;45(7):1017–26.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  8. van Middelkoop M, Kolkman J, Van Ochten J, Bierma-Zeinstra S, Koes B. Prevalence and incidence of lower extremity injuries in male marathon runners. Scand J Med Sci Sports. 2008;18:140–4.

    CrossRef  PubMed  Google Scholar 

  9. Edouard P, Navarro L, Branco P, Gremeaux V, Timpka T, Junge A. Injury frequency and characteristics (location, type, cause, and severity) differed significantly among athletics (‘track and field’) disciplines during 14 international championships (2007–2018): implications for medical service planning. Br J Sports Med. 2019; pii: bjsports-2019-100717

    Google Scholar 

  10. Timpka T, Alonso J, Jacobsson J, et al. Injury and illness definitions and data collection procedures for use in epidemiological studies in athletics (track and field): consensus statement. Br J Sports Med. 2014;48(7):483–90.

    CrossRef  PubMed  Google Scholar 

  11. van Gent R, Siem D, van Middelkoop M, van Os A, Bierma-Zeinstra S, Koes B. Incidence and determinants of lower extremity running injuries in long-distance runners: a systematic review. Br J Sports Med. 2007;41:469–80.

    CrossRef  PubMed  PubMed Central  Google Scholar 

  12. van Poppel D, de Koning J, Verhagen A, Scholten-Peeters G. Risk factors for lower extremity injuries among half marathon and marathon runners of the Lage Landen Marathon Eindhoven 2012: a prospective cohort study in the Netherlands. Scand J Med Sci Sports. 2016;26(2):226–34.

    CrossRef  PubMed  Google Scholar 

  13. Jakobsen B, Kroner K, Schmidt S, Kjeldsen A. Prevention of injuries in long-distance runners. Knee Surg Sports Traumatol Arthrosc. 1994;2(4):245–9.

    CAS  CrossRef  PubMed  Google Scholar 

  14. Jakobsen B, Kroner K, Schmidt S, Jensen J. The frequency of injuries in recreational running races. Ugeskr Laeger. 1988;150(48):2954–6.

    CAS  PubMed  Google Scholar 

  15. Lysholm J, Wiklander J. Injuries in runners. Am J Sports Med. 1987;15(2):168–71.

    CAS  CrossRef  PubMed  Google Scholar 

  16. Hulme A, Thompson J, Nielsen R, Read G, Salmon P. Towards a complex system approach in sports injury research: simulating running-related injury development with agent-based modelling. Br J Sports Med. 2019;53(9):560–9.

    CrossRef  PubMed  Google Scholar 

  17. Fredericson M, Misra A. Epidemiology and aetiology of marathon running injuries. Sports Med. 2007;37(4-5):437–9.

    CrossRef  PubMed  Google Scholar 

  18. Satterthwaite P, Larmer P, Gardiner J, et al. Incidence of injuries and other health problems in the Auckland Citibank Marathon, 1993. Br J Sports Med. 1996;30:324–6.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  19. van Mechelen M. Running injuries: a review of the epidemiological literature. Sports Med. 1992;14(5):320–35.

    CrossRef  PubMed  Google Scholar 

  20. Chang W, Shih Y, Chen W. Running injuries and associated factors in participants of ING Taipei Marathon. Phys Ther Sport. 2012;13(3):170–4.

    CrossRef  PubMed  Google Scholar 

  21. Vitez L, Zupet P, Zadnik V, Drobnic M. Running injuries in the participants of Ljubljana Marathon. Zdr Varst. 2017;56(4):196–202.

    PubMed  PubMed Central  Google Scholar 

  22. Fields K. Running injuries - changing trends and demographics. Curr Sports Med Rep. 2011;10(5):299–303.

    CrossRef  PubMed  Google Scholar 

  23. Holmich P, Darre E, Jahnsen F, Hartvig-Jensen T. The elite marathon runner: problems during and after competition. Br J Sports Med. 1988;22(1):19–21.

    CAS  CrossRef  PubMed  PubMed Central  Google Scholar 

  24. Feddermann-Demont N, Junge A, Edouard P, Branco P, Alonso J. Injuries in 13 international athletics championships between 2007–2012. Br J Sports Med. 2014;48(7):513–22.

    CrossRef  PubMed  Google Scholar 

  25. Longo U, Ronga M, Maffulli N. Achilles tendinopathy. Sports Med Arthrosc Rev. 2009;17(2):112–26.

    CrossRef  PubMed  Google Scholar 

  26. Hespanhol L, Carvalho A, Costa L, Lopes A. The prevalence of musculoskeletal injuries in runners: a systematic review. Br J Sports Med. 2011;45:351–2.

    Google Scholar 

  27. Knobloch K, Yoon U, Vogt P. Acute and overuse injuries correlated to hours of training in master running athletes. Foot Ankle Int. 2008;29(7):671–6.

    CrossRef  PubMed  Google Scholar 

  28. Nielsen R, Buist I, Sorensen H, et al. Training errors and running related injuries: a systematic review. Int J Sports Phys Ther. 2012;7(1):58–75.

    PubMed  PubMed Central  Google Scholar 

  29. Arndt A, Komi P, Bruggemann G, et al. Individual muscle contributions to the in vivo Achilles tendon force. Clin Biomech (Bristol, Avon). 1998;13(7):532–41.

    CrossRef  Google Scholar 

  30. Baker RL, Fredericson M. Iliotibial band syndrome in runners: biomechanical implications and exercise interventions. Phys Med Rehabil Clin N Am. 2016;27(1):53–77.

    CrossRef  PubMed  Google Scholar 

  31. Noehren B, Davis I, Hamill J. ASB clinical biomechanics award winner 2006 prospective study of the biomechanical factors associated with iliotibial band syndrome. Clin Biomech (Bristol, Avon). 2007;9:951–6.

    CrossRef  Google Scholar 

  32. Fredericson M, Wolf C. Iliotibial band syndrome in runners: innovations in treatment. Sports Med. 2005;35:451–9.

    CrossRef  PubMed  Google Scholar 

  33. Taunton J, Ryan M, Clement D, et al. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002;2:95–101.

    CrossRef  Google Scholar 

  34. Tenforde AS, Sayres LC, McCurdy ML, et al. Overuse injuries in high school runners: lifetime prevalence and prevention strategies. PM R. 2011;2:125–31.

    CrossRef  Google Scholar 

  35. Hulkko A, Orava S. Stress fractures in athletes. Int J Sports Med. 1987;8(3):221–6.

    CAS  CrossRef  PubMed  Google Scholar 

  36. Wentz L, Liu P, Haymes E, et al. Females have a greater incidence of stress fractures than males in both military and athletic populations: a systemic review. Mil Med. 2011;176(4):420–30.

    CrossRef  PubMed  Google Scholar 

  37. Hame S, LaFemina J, McAllister D, et al. Fractures in the collegiate athlete. Am J Sports Med. 2004;32(2):446–51.

    CrossRef  PubMed  Google Scholar 

  38. Changstrom B, Brou L, Khodaee M, et al. Epidemiology of stress fracture injuries among US high school athletes, 2005-2006 through 2012-2013. Am J Sports Med. 2015;43(1):26–33.

    CrossRef  PubMed  Google Scholar 

  39. Greaser M. Foot and ankle stress fractures in the athlete. Orthop Clin North Am. 2016;47(4):809–22.

    CrossRef  PubMed  Google Scholar 

  40. Matheson G, Clement D, McKenzie D, et al. Stress fractures in athletes. A study of 320 cases. Am J Sports Med. 1987;15(1):46–58.

    CAS  CrossRef  PubMed  Google Scholar 

  41. Brukner P, Bradshaw C, Khan K, et al. Stress fractures: a review of 180 cases. Clin J Sport Med. 1996;6(2):85–9.

    CAS  CrossRef  PubMed  Google Scholar 

  42. Iwamoto J, Takeda T. Stress fractures in athletes: review of 196 cases. J Orthop Sci. 2003;8(3):273–8.

    CrossRef  PubMed  Google Scholar 

  43. Bennell KL, Malcolm SA, Thomas SA, et al. The incidence and distribution of stress fractures in competitive track and field athletes. A twelve-month prospective study. Am J Sports Med. 1996;24(2):211–7.

    CAS  CrossRef  PubMed  Google Scholar 

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Authors and Affiliations

  1. ASPETAR, Orthopaedic and Sports Medicine Hospital, Doha, Qatar

    Theodorakys Marín Fermín & Emmanuel Papakostas

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  1. Theodorakys Marín Fermín
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  2. Emmanuel Papakostas
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Correspondence to Emmanuel Papakostas .

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Editors and Affiliations

  1. Centre of Sports Traumatology, Koelliker Hospital, TORINO, Italy

    Dr. Gian Luigi Canata

  2. Orthopedic and Sports Medicine Clinic, Montijo, Portugal

    Dr. Henrique Jones

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Marín Fermín, T., Papakostas, E. (2022). Athletics: Long-Distance Running. In: Canata, G.L., Jones, H. (eds) Epidemiology of Injuries in Sports . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-64532-1_3

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  • DOI: https://doi.org/10.1007/978-3-662-64532-1_3

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