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Return to Sport: Running Injuries in Student-Athletes: Summary
(continued)
Common Running-Related Injuries
Incidence/ Symptoms • Osgood
Return to Sport
Anatomy
Risk Factors
Intervention
Apophysitis
• During time of a growth spurt • Youth 10–14 years old
• Activity modification • Improve flexibility of quads • Strengthening of hips/quads • Correct gait mechanics • Dynamic warm up prior to activity • Strengthening glutes/hamstrings (deadlifts, kettlebell swings, front/back squat, Nordic hamstring curls, ADD plank)
• Self limiting, can continue with sport
Schlatter— tibial tubercle tenderness • Sinding–Larsen– Johansson syndrome— inferior pole of patella tenderness • Bilateral 25% of the time • More common in track athletes • Hamstring strain most common in sprinters
Strains (Hamstring)
• Muscle
• Pain free walking, jumping • Full ROM • Strength 80% of
weakness (hamstrings, glutes, core) • Ineffective warm up • Poor conditioning • Lack of rest • Overuse
uninvolved side
RRI—running-related injuries; RTS—return to sport * Best evidence ** Gait retraining is the use of visual, verbal, or auditory cues to change running form REHABILITATION AND PREVENTION Reduce Training Errors
speed training) throughout the week. It can be helpful to only change one variable per week (mileage, speed, or intensity) to reduce risk of over stressing the body. For athletes competing in back-to-back seasons (such as cross country and track), they should have at least a one-week rest period between seasons with no running. To promote bone health, some form of weight training and/or cross training should be implemented, especially in youth athletes.
In young athletes, it is important to discourage sports specialization and encourage multidirectional sport participation to improve bone health and reduce risk of injuries. Running, specifically, should be limited to 8–10 months per year to promote safety and reduce risk of injury. One day per week should consist of a rest day where there is no running in addition to having variability in running volume and intensity (hill running,
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