Running-related injuries in Portuguese trail runners: a retrospective cohort study

J Sports Med Phys Fitness. 2021 Mar;61(3):420-427. doi: 10.23736/S0022-4707.20.11304-5. Epub 2020 Oct 22.

Abstract

Background: The purpose of this study was to characterize trail running injuries within a cohort of Portuguese male and female recreational trail running athletes.

Methods: The study was retrospective (12 months), with data collected through an online survey. A total of 719 athletes participated (529 male and 190 female, average age: 38.01±7.78 years). A valid questionnaire was used to collect: 1) demographic information; 2) general information; 3) training typology; 4) physical information; 5) injuries (body location, number, type, reason, treatment, time without practice); and 6) general information concerning the effects of injuries on respondents' daily lives.

Results: The results revealed that 87.8% of the sample contracted an injury resulting from this practice, with the toenails (24.8%), knees (17.5%), and ankles (14.5%) being the most-often reported locations of injuries and blisters (20%), irritation (chafing) (14%), superficial wounds (12%), sprains (11%), and iliotibial band syndrome (7%) being the most common injuries. The result of 10.0 injuries per 1000 h was found, with a negative and medium correlation (r=-0.344; P=0.000) between total exposure time and injuries per 1000 h. It was also found that those who do not perform warm-up have a significantly increased injury rate (P<0.05).

Conclusions: The gathered evidence demonstrated a large number of dermatological and musculoskeletal injuries, and these tended to have higher incidences in athletes with less exposure time and who devalue warm-up exercises.

MeSH terms

  • Adult
  • Athletes
  • Athletic Injuries / epidemiology*
  • Cohort Studies
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Musculoskeletal Diseases
  • Portugal / epidemiology
  • Retrospective Studies
  • Running / injuries*
  • Warm-Up Exercise
  • Young Adult