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Verletzungen und Überlastungsreaktionen im Laufsport

Injuries and response to overload stress in running

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Zusammenfassung

Akute Verletzungen im Laufsport sind selten (Muskelverletzungen, Sprunggelenkdistorsionen, Achillessehnenrupturen). Über 80% der Beschwerden sind Überlastungsreaktionen (Knie, Fuß, Achillessehne). Risikofaktoren sind: Wettkampfsport, hohe Trainingsumfänge, schnelle Steigerung der Trainingsintensität, frühere Verletzung und Achsfehlstellungen. Personen mit starker Achsabweichung, dysplastischer Hüftanlage, Spondylolisthesis, starkem Übergewicht sowie bereits existierendem Knorpelschaden sind für Laufsport ungeeignet.

Abstract

Running is rarely associated with acute injuries (muscle injuries, ankle sprain, ruptures of the Achilles tendon). More than 80% of the complaints are due to overuse injuries, mainly concerning knee, foot and Achilles tendon. Risk factors are high-performance sports, high training quantity, rapid increase of training intensity, previous injuries, and skeletal axis malalignment. Running is not suitable for severely overweight people and those with significant skeletal malalignment, dysplastic hips, spondylolisthesis, or cartilage damage.

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Literatur

  1. Blair SE, Kohl HW, Goodyear NN (1987) Rates and risks for running and exercise injuries: studies in three populations. Res Q Exerc Sports 58: 221–228

    Google Scholar 

  2. Chan CS, Grossman HY (1988) Psychological effects of running loss on consistent runners. Percept Mot Skills 66: 875–883

    Google Scholar 

  3. Clement DB, Taunton JE, Smart GE, McNicol KL (1981) A survey of runner’s overuse injuries. Phys Sportsmed 9: 47–58

    Google Scholar 

  4. Cowan DN, Jones BH, Robinson JR (1993) Foot morphologic characteristics and risk of exercise-related injury. Arch Fam Med 2: 773–777

    Google Scholar 

  5. Engelhardt M, Reuter I, Neumann G (2003) Verletzungen und Fehlbelastungsfolgen beim Laufen. Sportorthop Sporttraumatol 19: 73–78

    Google Scholar 

  6. Freiwald J, Engelhardt M, Jager M, Gnewuch A, Reuter I, Wiemann K, Starischka S (1998) Stretching — do current explanatory models suffice? Sportverletz Sportschaden 12: 54–59

    Google Scholar 

  7. Gardner LI Jr, Dziados JE, Jones BH, Brundage JF, Harris JM, Sullivan R, Gill P (1988) Prevention of lower extremity stress fractures: a controlled trial of a shock absorbent insole. Am J Public Health 78: 1563–1567

    Google Scholar 

  8. Jones BH, Cowan DN, Tomlinson JP, Robinson JR, Polly DW, Frykman PN (1993) Epidemiology of injuries associated with physical training among young men in the army. Med Sci Sports Exerc 25: 197–203

    Google Scholar 

  9. Jordaan G, Schwellnus MP (1994) The incidence of overuse injuries in military recruits during basic military training. Mil Med 159: 421–426

    Google Scholar 

  10. Koplan JP, Powell KE, Sikes RK, Shirley RW, Campbell CC (1982) An epidemiologic study of the benefits and risks of running. JAMA 248: 3118–3121

    Google Scholar 

  11. Korpelainen R, Orava S, Karpakka J, Siira P, Hulkko A (2001) Risk factors for recurrent stress fractures in athletes. Am J Sports Med 29: 304–310

    Google Scholar 

  12. Kreiser K, Schellenberger F, Kleindienst F, Walther M (2004) Verletzungsmuster und deren Altersabhängigkeit bei Marathonläufern. Sportorthop Sporttraumatol 20: 93–94

    Google Scholar 

  13. Lysholm J, Wiklander J (1987) Injuries in runners. Am J Sports Med 15: 168–171

    Google Scholar 

  14. Macera CA (1992) Lower extremity injuries in runners. Advances in prediction. Sports Med 13: 50–57

    Google Scholar 

  15. Macera CA, Pate RR, Powell KE, Jackson KL, Kendrick JS, Craven TE (1989) Predicting lower-extremity injuries among habitual runners. Arch Intern Med 149: 2565–2568

    Google Scholar 

  16. Macintyre JG, Taunton JE, Clement DB, Lloyd-Smith DR, McKenzie DC, Morrell RW (1991) Running injuries: A clinical study of 4173 cases. Clin J Sport Med 1: 81–87

    Google Scholar 

  17. Marti B, Vader JP, Minder CE, Abelin T (1988) On the epidemiology of running injuries. The 1984 Bern Grand-Prix study. Am J Sports Med 16: 285–294

    Google Scholar 

  18. McKenzie DC, Clement DB, Taunton JE (1985) Running shoes, orthotics, and injuries. Sports Med 2: 334–347

    Google Scholar 

  19. Powell KE, Kohl HW, Caspersen CJ, Blair SA (1986) An epidemiological perspective on the causes of running injuries. Phys Sportsmed 14: 100–114

    Google Scholar 

  20. Renstrom P, Johnson RJ (1985) Overuse injuries in sports. A review. Sports Med 2: 316–333

    Google Scholar 

  21. Rosenbaum D, Hennig EM (1995) The influence of stretching and warm-up exercises on Achilles tendon reflex activity. J Sports Sci 13: 481–490

    Google Scholar 

  22. Stromme SB, Ingjer F (1982) The effect of regular physical training on the cardiovascular system. Scand J Soc Med 29 [Suppl]: 37–45

    Google Scholar 

  23. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD (2002) A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 36: 95–101

    Google Scholar 

  24. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD (2003) A prospective study of running injuries: the Vancouver Sun Run „In Training“ clinics. Br J Sports Med 37: 239–244

    Google Scholar 

  25. van Mechelen W (1992) Running injuries. A review of the epidemiological literature. Sports Med 14: 320–335

    Google Scholar 

  26. van Mechelen W (1995) Can running injuries be effectively prevented? Sports Med 19: 161–165

    Google Scholar 

  27. Walter SD, Hart LE, McIntosh JM, Sutton JR (1989) The Ontario cohort study of running-related injuries. Arch Intern Med 149: 2561–2564

    Google Scholar 

  28. Walther M, Kirschner S (2004) Is running associated with premature degenerative arthritis of the hip? A systematic review. Z Orthop Ihre Grenzgeb 142: 213–220

    Google Scholar 

  29. Walther M, Kleindienst F, Morrison R, Schwab N, Krabbe B (2004) Die Zusammenhänge zwischen flachem Längsgewölbe, Pronation und laufassoziierten Verletzungen. Sportorthop Sporttraumatol 20: 92–93

    Google Scholar 

  30. Walther M, Mayer B, Kleindienst F, Krabbe B (2003) Energieverlust und Dämpfung beim Sportschuh. Sportorthop Sporttraumatol 19: 131

    Google Scholar 

  31. Warren BL, Jones CJ (1987) Predicting plantar fasciitis in runners. Med Sci Sports Exerc 19: 71–73

    Google Scholar 

  32. Wen DY, Puffer JC, Schmalzried TP (1997) Lower extremity alignment and risk of overuse injuries in runners. Med Sci Sports Exerc 29: 1291–1298

    Google Scholar 

  33. Wen DY, Puffer JC, Schmalzried TP (1998) Injuries in runners: a prospective study of alignment. Clin J Sport Med 8: 187–194

    Google Scholar 

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Walther, M., Reuter, I., Leonhard, T. et al. Verletzungen und Überlastungsreaktionen im Laufsport. Orthopäde 34, 399–404 (2005). https://doi.org/10.1007/s00132-005-0790-0

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