The Journal of Bone and Joint Surgery (American) 80:1220-33 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.
Instructional Course Lecture |
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Running Injuries: A Biomechanical Approach*
TOM F. NOVACHECK, M.D. , ST. PAUL, MINNESOTA
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
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Introduction
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Approximately thirty million Americans run for recreation or competition. A marathon runner takes an average of 25,000 steps during a race. At each step, his or her body is subjected to a ground-reaction force that is several times body weight. An individual who runs fifty miles (eighty kilometers) a week may take as many as three million strides each year. Often, it is the number of repetitions that is responsible for the development of an injury. Each year, between one-quarter and one-half of all runners sustain an injury that is severe enough to cause a change in practice or performance12. The injury may lead the runner to seek consultation, to alter training, or to use medication. A variety of intrinsic and extrinsic factors have been blamed for such injuries14,16,28.
In addition, particular patterns of injury have been noted. James and Jones, in a series of 180 patients, found . . . [Full Text of this Article]

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