American Journal of Sports Science and Medicine. 2019, 7(2), 28-33
DOI: 10.12691/AJSSM-7-2-1
Original Research

Prevalence and Associated Factors of Injuries Related to Running: A Study among Runners in Sri Lanka

Mayooran S1, , Nanayakkara S.D.I2, Rajaratne A.A.J2 and Kotakadeniya H.M.S.R.B2

1Department of Physiotherapy, Faculty of Allied Health Sciences, University of Peradeniya, Sri Lanka

2Faculty of Medicine, University of Peradeniya, Sri Lanka

Pub. Date: April 01, 2019

Cite this paper

Mayooran S, Nanayakkara S.D.I, Rajaratne A.A.J and Kotakadeniya H.M.S.R.B. Prevalence and Associated Factors of Injuries Related to Running: A Study among Runners in Sri Lanka. American Journal of Sports Science and Medicine. 2019; 7(2):28-33. doi: 10.12691/AJSSM-7-2-1

Abstract

Running is one of the popular sports worldwide and it is the sport of choice for many in Sri Lanka because of its convenience, health benefits and economical nature. However, the potential for running injuries also has been well documented in the world literature. But unfortunately, at present there is no database available on running injuries among Sri Lankan runners. Aim of this study is to generate scientific details on running injuries among runners in Sri Lanka. A cross sectional study was performed among 256 runners (133 short distance runners and 123 long distance runners) in Sri Lanka who perform at provincial and national level competitions. The prevalence of any form of injury was 50.39% (129 injured athletes among 256 participants), while a total of 143 injuries sustained among 256 runners with the prevalence rate of 55.85%. The prevalence of any form of injury among short distance runners was 46.61% and among long distance runners was 54.47%. The body region showing the highest injury prevalence was the Knee joint (22.38%) in both short and long distance runners. Hamstring (18.18%), lower back (13.99%), ankle (13.29%) and calf (11.19%) were the other common sites of injuries. Abnormal Q angle, flat foot and history of previous injuries were found as associated intrinsic risk factors, while not engaging in stretching exercises by holding a stretch >20 seconds, training at hard intensity and sudden alterations in training pattern were found as associated extrinsic risk factors for injuries in runners. Age, body mass index, leg length discrepancy, training time per week and running shoes were found to have no association with the occurrence of injuries in runners. The findings of this study revealed that injury rate is high and suggests that effective preventive strategies are needed to reduce the injury rate in runners in Sri Lanka.

Keywords

running injuries, injury prevalence, Sri Lankan runners

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Jacobsson, J., Toomas, T., Kowalski, J., Sverker Nilsson, Joakim Ekberg, Renstrom, P. (2011). Prevalence of Musculoskeletal Injuries in Swedish Elite Track and Field Athletes: American Journal of Sports Medicine: 40: 163.
 
[2]  McKenzie, D.C., Clement, D.B., Taunton, J.E. (1985). Running shoes: Orthotics and injuries. Sports Medicine; (2): 334-347.
 
[3]  Van Middelkoop, M., Kolkman, J., Van Ochten, J., Bierma-Zeinstra, S. M. A., & Koes, B. (2008). Prevalence and incidence of lower extremity injuries in male marathon runners. Scandinavian Journal of Medicine and Science in Sports, 18(2), 140-144.
 
[4]  McKean, K. A., Manson, N. A., & Stanish, W. D. (2006). Musculoskeletal injury in the masters runners. Clinical Journal of Sport Medicine, 16(2), 149-154.
 
[5]  Puckree, T., Govender, A., Govender, T., & Naidoo, P. (2007). The quadriceps angle and the incidence of knee injury in Indian long-distance runners. South African Journal of Sports Medicine, 19(1), 10-12.
 
[6]  Taunton, J. E., Ryan, M. B., Clement, D. B., McKenzie, D. C., Lloyd-Smith, D. R., & Zumbo, B. D. (2003). A prospective study of running injuries: the Vancouver Sun Run “In Training” clinics. British Journal of Sports Medicine, 37, 239-244.
 
[7]  Knutzen K, Hart, L. (1996): Epidemiology of Sports Injuries. Champaign, Human Kinetics, 357-386.
 
[8]  Robertson, B., Nicholl, J. P., Williams, B. T., & Rossi, A. (1983). Popular Marathons: Forecasting Casualties. British Medical Journal Clinical Research Edition, 286105215 (286).
 
[9]  Wen, D. Y., Puffer, J. C., & Schmalzried, T. P. (1998). Injuries in runners: A prospective study of alignment. Clinical Journal of Sport Medicine, 8(3), 187-194.
 
[10]  Satterthwaite, P., Norton, R., Larmer, P., & Robinson, E. (1999). Risk factors for injuries and other health problems sustained in a marathon. British Journal of Sports Medicine, 33(1), 22-26.
 
[11]  Ferreira, A. C., Dias, J. M. C., Fernandes, R. de M., Sabino, G. S., dos Anjos, M. T. S., & Felício, D. C. (2012). Prevalence and associated risks of injury in amateur street runners from Belo Horizonte, MG. Revista Brasileira de Medicina Do Esporte, 18(4), 252-255.
 
[12]  Pope, R. P., Herbert, R. D., Kirwan, J. D., & Graham, B. J. (2000). A randomized trial of preexercise stretching for prevention of lower-limb injury. Medicine and Science in Sports and Exercise, 32(2), 271-277.
 
[13]  Rauh, M.J., Koepsell, T.D., Rivara, F.P., Rice, S.G., Margherita, A.J. (2007). Quadriceps angle and risk of injury among high school cross-country runners. Journal of Orthopaedics and Sports Physical Therapy, 37: 725-733.
 
[14]  Powers, C. M. (2003). The Influence of Altered Lower-Extremity Kinematics on Patellofemoral Joint Dysfunction: A Theoretical Perspective. Journal of Orthopaedic & Sports Physical Therapy, 33(11).
 
[15]  Tong, J. W. K., & Kong, P. W. (2013). Association Between Foot Type and Lower Extremity Injuries: Systematic Literature Review With Meta-analysis. Journal of Orthopaedic & Sports Physical Therapy, 43(10), 700-714.
 
[16]  Van Mechelen, W. (1992). Running injuries. A review of the epidemiological literature. Sports Medicine (Auckland, N.Z.), 14(5), 320-335.
 
[17]  Macera, C. A. (1992). Lower Extremity Injuries in Runners: Advances in Prediction. Sports Medicine: International Journal of Applied Medicine and Science in Sport and Exercise, 13(1), 50-57.
 
[18]  Yeung, E. W., & Yeung, S. S. (2001). A systematic review of interventions to prevent lower limb soft tissue running injuries. British Journal of Sports Medicine.
 
[19]  Jacobs, S. J., & Berson, B. L. (1986). Injuries to runners: A study of entrants to a 10,000 meter race. The American Journal of Sports Medicine, 14(2), 151-155.
 
[20]  Johnston, C., & Taunton, J. (2003). Preventing running injuries. Practical approach for family doctors. Canadian Family Physician, 49, 1101-1109.
 
[21]  Karageanes, S. J. (2004). Principles of Manual Sports Medicine 1st Edition. Lippincott Williams & Wilkins.
 
[22]  Fredericson, M. (1996). Common injuries in runners. Diagnosis, rehabilitation and prevention. Sports Medicine (Auckland, N.Z.), 21(1), 49-72.
 
[23]  Kvist, M. (1994). Achilles Tendon Injuries in Athletes. Sports Medicine (Auckland, N.Z.), 18(3), 173-201.