The popularity of running and are we as Physiotherapists focusing on the real problem?

1. RUNTASTIC
Associate Professor & Principal I/c
The Sarvajanik College of Physiotherapy, Surat
Dr. Saravanan M. (PT)
A SPORTS
PHYSIOTHERAPIST’S
PERSPECTIVE

3. DISCLAIMER

6. In the past 30 years running
has changed from something
done by trained runners to an
activity enjoyed by the
masses

7. WORLD WIDE DATA
• Jens Jakob Andersen
–Competitive runner and Statistician from
Copenhagen Business School
–Data from 2009 to 2014
https://runrepeat.com/research-marathon-performance-across-nations

11. NATIONAL DATA

12. STATE WISE DATA

13. TIER-I CITIES

14. TIER-II CITIES
http://indiarunning.com/race-statistics.html

16. WHY RUN?

17. • Increase focus on healthy lifestyle
• Convenient
• Flexible
• Affordable
• Minimal Equipment
• Individual or Group Participation
• Health Benefits
• Mental Health

19. RUNNING AND INJURIES

20. RUNNING INJURY STATISTICS
• Average injury rates
–19.4% to 92.4% overall
–19.4% to 79.3% of lower extremity
–Up to 70% of recreational and competitive
runners sustain overuse injuries during any
12-month period
(Van Gent et al. 2007; Fields et al 2010)

21. REGION WISE DISTRIBUTION
• Knee – 42%
• Foot and Ankle – 17%
• Lower Leg – 13%
• Hip & Pelvis – 11%
*Taunton J, Ryan M, Clement D, McKenzie D et al

22. COMMON INJURIES
• Plantar Fascitis
• Achilles Tendinopathy
• MTSS
• PFPS
–Runner’s Knee
• ITBS
• Hamstrings strain
Most injuries overuse than acute

23. • Four time periods
–Beginning
–Returning
–Quantity
–Quality

24. BEGINNERS

25. RETURNING TO RUNNING
AFTER INJURY

26. INTENSITY OF RUNNING

27. RUNNING STYLE

28. ESTABLISHED RISK FACTORS
Intrinsic Extrinsic

29. Injury
Strength
Alignment
Flexibility
Biomechanics

30. • Inappropriate preparation / training
• Lack of recovery
• Inadequate Nutrition / Hydration
• Running Terrain
Footwear?

32. FOCUS – ASSESSMENT &
EVALUATION?

33. EVOLUTION OF RUNNING
SHOES

44. Training Shoes do not Decrease the Negative Work of the
Lower Extremity Joints.
Hashizume S, Murai A, Hobara H, Kobayashi Y, Tada M, Mochimaru M. Int J
Sports Med. 2017 Oct 1. doi: 10.1055/s-0043-117412
Injury-reduction effectiveness of prescribing running
shoes on the basis of foot arch height: summary of military
investigations.
Knapik JJ1, Trone DW, Tchandja J, Jones BH. J Orthop Sports Phys Ther. 2014
Oct;44(10):805-12. doi: 10.2519/jospt.2014.5342. Epub 2014 Aug 25

45. Injury reduction effectiveness of selecting running shoes
based on plantar shape.
Knapik JJ1, Swedler DI, Grier TL, Hauret KG, Bullock SH, Williams
KW, Darakjy SS, Lester ME, Tobler SK, Jones BH. J Strength Cond
Res. 2009 May;23(3):685-97. doi: 10.1519/JSC.0b013e3181a0fc63
Injury reduction effectiveness of assigning running
shoes based on plantar shape in Marine Corps basic
training.
Knapik JJ1, Trone DW, Swedler DI, Villasenor A, Bullock SH, Schmied
E, Bockelman T, Han P, Jones BH. Am J Sports Med. 2010
Sep;38(9):1759-67. doi: 10.1177/0363546510369548. Epub 2010 Jun
24.

46. • No studies with sufficient quality of evidence for
“shoe prescription”
• No study has ever verified running shoes reduce
injuries!

47. SHOD FOOT?

48. MINIMALIST FOOT?

49. BARE FOOT?

50. Shoes should be replaced every 300-500 miles

51. The shoe industry as a whole does a really
horrible job of matching footwear to feet
–Jay Dicharry
• PT & Expert BM analyst

53. THANKS
FOR
PATIENT
LISTENING