Hip and Pelvis Biomechanics during Running as Risk Factors for Injury in Collegiate Runners: A Prospective Study
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Keywords
pathomechanics, distance runners, musculoskeletal injury
Abstract
Introduction Running-related injury (RRI) rates are high and reoccurring with most RRIs classified as overuse. Faulty running biomechanics have been linked to RRI risk in adult, recreational runners. The purpose of this study was to determine if hip and pelvis running biomechanics could predict RRI in a group of collegiate runners.
Methods. Eight female and four male healthy, NCAA Division II cross country runners participated in this prospective study. Runners underwent 3D motion analysis of their kinematics [peak hip adduction (HADD), hip internal rotation (HIR), contralateral pelvis drop (CPD)] prior to the season’s start. RRI were tracked for an academic year by the teams’ certified athletic trainer via an electronic medical record. Pearson Chi- square analyses were used to determine if RRI could be predicted by HADD, HIR, and CPD, p<.05.
Results. Nine runners (75.0%) sustained a total of 27 lower extremity RRI. Runners with excessive HADD were more likely to sustain a RRI (χ2(3)=13.496, p=.036). Injured runners had greater HADD peak motion than non-injured, 12.2+4.70 vs 7.4+4.700, respectively. HIR and CPD were not significant predictors of RRI, p>.05.
Conclusion. Increased HADD is a risk factor for RRI in collegiate runners. Runners may benefit from pre-season motion analysis to identify pathomechanics.
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