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Published Online First: 1 May 2007. doi:10.1136/bjsm.2006.033548
British Journal of Sports Medicine 2007;41:469-480
Copyright © 2007 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.

REVIEW

Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review

R N van Gent1, D Siem1, M van Middelkoop1, A G van Os1, S M A Bierma-Zeinstra1, B W Koes1

1 Erasmus MC Rotterdam, Netherlands

Correspondence to:
Marienke van Middelkoop
Erasmus MC Rotterdam, Dr Molewaterplein 50, Rotterdam, Netherlands; m.vanmiddelkoop{at}erasmusmc.nl

ABSTRACT

The purpose of this study was to present a systematic overview of published reports on the incidence and associated potential risk factors of lower extremity running injuries in long distance runners. An electronic database search was conducted using the PubMed–Medline database. Two observers independently assessed the quality of the studies and a best evidence synthesis was used to summarise the results. The incidence of lower extremity running injuries ranged from 19.4% to 79.3%. The predominant site of these injuries was the knee. There was strong evidence that a long training distance per week in male runners and a history of previous injuries were risk factors for injuries, and that an increase in training distance per week was a protective factor for knee injuries.

Keywords: running injuries; lower extremity


 

COMMENTARY

Jack E Taunton2

2 University of British Columbia, Vancouver, BC, Canada; jtaunton{at}interchange.ubc.ca


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