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Godfrey 1


Wade Godfrey

Mrs. Lester


Adv. Comp.


4 October 2011




                            Training Injuries in Long Distance Running


       In the running community, composed “of the estimated 24 million runners in the U.S., the

majority will stop training during the year because of an injury-an injury most likely caused by

improper technique,” (Dawson-Cook). Improper training can lead to many different types of

injuries such as shin splints, physiological strain, muscle tears and strains. These injuries can

lead to runners no longer being able to run or losing skill in long distance running. To prevent

these problems, athletes could learn new techniques, such as improving their form, to decrease

the chances of injury. In the future trainers or physical therapists may have new styles to

decrease damages of the body. Training injuries in runners can be prevented with the knowledge

of different types of injuries, the effects they have on this sport, prevention methods, and the

future technology available.


       First, many different damaging injuries are common in long distance runners. For

example, some of the “risk factors that have been significantly related to running related injuries

(RRIs) are excessive weekly running distance, previous injury, lack of running experience and

competitive running,” (Bredeweg). Also, if runners train, large numbers of injuries are more

likely to occur. And, if a runner has a previous injury, then he has a higher risk of receiving
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another injury (Dawson-Cook). In fact, when athletes over train they get “overuse injuries which

occur when repetitive stress is applied to a muscle, tendon, or bone, ultimately resulting in

micro-traumatic damage when adequate time to heal or repair has not been allotted,” (Kriz)

Again, if runners have strenuous excessive training, they are at a higher risk of not competing

due to an overuse injury (Kriz). After athletes, especially distance runners, get an overuse injury,

they need to give it time to heal or another damaged body part is most likely to occur (Bonacc).

Distance runners need to take a day off during their workouts because “when applied stress is too

high or the recovery time is too short the tissue of the musculoskeletal system will be weakened

and the likelihood of sustaining a subsequent overuse injury is high,” (Bredeweg). Interesting

enough, sometimes when the human body is pushed to its maximum physical limit, tissues and

tendons wear down to a stage where injuries, such as sprains and tears, can occur frequently

(Bredeweg). Thus, recovery time in an athlete can be the deciding factor between a competitive

victory or loss. So, in order to stay away from different types of injuries, distance runners need

not only to keep in mind the risk factors that cause most all injuries, but also the effects of these

injuries.


        Secondly, the effects of these injuries on runners result in their inability to

compete. Likewise, a distance runner can get “an injury-induced restriction in training that can

result in detraining, which may negatively affect performance, cardiorespiratory health and

neuromuscular control,” (Bonacc). According to Andrew Vickers explains that soreness can

result in a poor performance, and it “typically develops 24 hours after exercise; is usually

perceived approximately 24 hours after the exercise and may linger up to additional 48 hours.”

And so, being sore from strain or muscle development can hold the runner back because

sometimes the pain is so severe that he has to take a longer break than really needed, which will
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cause a decrease in his performance (Vickers). When distance runners overwork their bodies,

“physiological strain occurs when they stay on a pattern of workouts and when performance day

comes the body and brain overworks itself to do better,”(Esteve-Lanao). Also, when an athlete

trains, that runner typically has a routine that he follows religiously every day. Having a set

routine like that is actually bad because the brain gets used to what it has been doing and on race

day becomes strained due to the fact that the brain is not accustomed to the workout the body is

completing (Esteve-Lanao). Also, it seems that “nearly one-half of the athletes responding to the

postseason questionnaire reported an episode of exercise related leg pain (ERLP) during the

season, and almost all of those athletes (98%) reported a history of ERLP,”(Reinking). It proves

that, if a runner has already received an injury, it is more likely for them to continually feel the

pain or receive other harsh damages. These pains and damages will affect the training process of

the runner and potentially ruin the progress he has made (Reinking). Obviously, injuries can have

damaging effects on a runner’s potential, but there are ways to reduce the injuries athletes can

incur.


         Most importantly, athletes can learn different prevention techniques to decrease injuries.

A program that is helpful for runners is ChiRunning: “ChiRunning isn't just for distance runners,

it's for anyone wanting to practice injury free running,” (Dawson-Cook). ChiRunning is a

program that teaches the runner how to align and balance the body to lower the pressure on areas

and have equal pressure on all parts of the body (Dawson-Cook). Many different types of

literature and programs teach runners to reduce the risk of injury. In fact, there are certain aspects

of the body that should be the main focus: “the six key focuses to developing a fantastic running

form are: posture, relaxing lower body, pelvic rotation, arm swings, intake of breaths, and stride

length,” (Dawson-Cook). These focuses will take stress off of the body and cause less strain and,
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therefore, fewer injuries. Thus, the six aspects are the main parts of the body that are worked

while participating in long distance running, so changing how they are used should affect the

outcome dramatically (Dawson-Cook). Throughout studies it is shown “that humans regulate

their effort during competition based on the anticipation or estimation of when the exercise will

end,” (Esteve-Lanao). Most of the time in the human body as anticipation rises the adrenaline

rises as well. When adrenaline rises it makes muscle stronger therefore, making it harder for the

muscles to be damaged (Esteve-Lanao). Although there are many ways to decrease injuries, there

are still many researchers working on new and improved ways.


       Encouragingly, many physical therapists are working on finding new ways to decrease

damaging injuries. Many influential people can provide solutions as well; for example,

“clinicians play a critical role in the education of parents, coaches, and young athletes regarding

the risk of childhood and adolescent sports injuries,” (Kriz). It is true that adults are the most

likely to become injured because their bodies are weaker than when they were children

(Kriz). Teaching children at a young age how to properly exercise and run will lead to their being

more prepared as adults, lessening injuries. Having a “greater muscle activity prior to and in the

initial phase of ground contact may enhance running economy by increasing leg stiffness and

maximizing exploitation of stored elastic energy,” (Bonacc). Making strides harder when

running can decrease injuries since the leg is stiffer it is harder to break. Indeed, companies make

shoes to help the impact of the foot as it is hitting the ground (Bonacc). Some of the best “future

prospective studies could further identify variables which are most responsible for running

injuries, and determine easily measurable variables that may correlate to these risk factors,”

(Ferber). After all, there are many studies that are now being made to find ways to decrease

injuries (Ferber). These studies are being done by professors at colleges or people with a
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profession that has to do with improving the body, for example, a physical therapist. Since there

are many new studies and helpful aspects for distance running, the injuries should decrease in the

future.


          All in all, many damaging effects can happen with training and the body if training is not

properly executed. For example, physiological strain, shin splints, muscle tears and strains, make

the runner unable to train and improve their running. To help these injuries many athletes learn

news ways to run, for example, reading different types of literature. Also trainers, coaches and

professors are trying to learn and experiment with different techniques so there are fewer injuries

in the future. These damages can be prevented by being aware of the different types of injuries,

the effects they have on running, solutions to the problems, and future prevention measures.
Godfrey 6


                                              Works Cited


Bonacc, Jason. “Neuromuscular Adaptations to Training, Injury and Passive Interventions Implications

        for Running Economy.” Sports Medicine. Galileo Ebscohost. N.p., 1 Nov. 2009. Web. 5 Oct. 2011.

        <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=c7d7f0f9-8b7d-4adf-b30b-

        7d014a851565%40sessionmgr104&vid=4&hid=112>.


Bredeweg, Steef W. “The GRONORUN 2 Study: Effectiveness of an Ereconditioning Program on

        Preventing Running Related Injuries in Novice Runners. The Design of a Randomized Controlled

        Trial.” BMC Musculoskeletal Disorders. Galileo Ebscohost. N.p., 2010. Web. 5 Oct. 2011.

        <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=ef814454-1d3c-4d72-b7ea-

        b6d589cd9ef1%40sessionmgr114&vid=7&hid=106>.


Dawson-Cook, Susan. “ChiRunning, Getting Smarter as You Move.” American Fitness. Galileo Ebscohost.

        N.p., 1 Jan. 2010. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/

        pdfviewer?sid=2e2bf46c-d2d0-4a0b-a8ac-d6d5977a668f%40sessionmgr115&vid=7&hid=127>.


Esteve-Lanao, Jonathan. “How Do Humans Control Physiological Strain during Strenuous Endurance

        Exercise?” PLoS ONE. Galileo Ebscohost. N.p., 2008. Web. 5 Oct. 2011.

        <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=10ad5c4e-c615-4ec3-a284-

        897b444cb35b%40sessionmgr110&vid=5&hid=119>.


Ferber, Reed. “A biomechanical perspective of predicting injury risk in running.” International SportMed

        Journal. Galileo Ebscohost. N.p., June 2010. Web. 5 Oct. 2011. <http://web.ebscohost.com/

        ehost/pdfviewer/pdfviewer?sid=e628504a-dfa4-4f03-8c2e-

        872846915904%40sessionmgr4&vid=7&hid=8>.
Godfrey 7


Kriz, Peter. “Overuse Injuries in the Young Athlete.” Medicine & Health Rhode Island. Galileo Ebscohost.

        N.p., July 2011. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/

        pdfviewer?sid=5afb17c9-10db-498c-a8e7-f03f963a0281%40sessionmgr15&vid=4&hid=113>.


Reinking, Mark F. “Risk Factors for Self-Reported Exercise-Related Leg Pain in High School Cross Country

        Athletes.” Journal of Athletic Training. Galileo Ebscohost. N.p., 2010. Web. 5 Oct. 2011.

        <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=d5955c56-2964-46e4-8b31-

        f84c779ab62f%40sessionmgr14&vid=4&hid=18>.


Vicker, Andrew. “Time course of muscle soreness following different types of exercise.” BMC

        Musculoskeletal Disorders (Fall 2001): n. pag. Galileo Ebscohost. Web. 5 Oct. 2011.

        <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=bd259d3e-4fe1-424b-b894-

        f16c486c787f%40sessionmgr13&vid=7&hid=19>.

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Senior Research Paper

  • 1. Godfrey 1 Wade Godfrey Mrs. Lester Adv. Comp. 4 October 2011 Training Injuries in Long Distance Running In the running community, composed “of the estimated 24 million runners in the U.S., the majority will stop training during the year because of an injury-an injury most likely caused by improper technique,” (Dawson-Cook). Improper training can lead to many different types of injuries such as shin splints, physiological strain, muscle tears and strains. These injuries can lead to runners no longer being able to run or losing skill in long distance running. To prevent these problems, athletes could learn new techniques, such as improving their form, to decrease the chances of injury. In the future trainers or physical therapists may have new styles to decrease damages of the body. Training injuries in runners can be prevented with the knowledge of different types of injuries, the effects they have on this sport, prevention methods, and the future technology available. First, many different damaging injuries are common in long distance runners. For example, some of the “risk factors that have been significantly related to running related injuries (RRIs) are excessive weekly running distance, previous injury, lack of running experience and competitive running,” (Bredeweg). Also, if runners train, large numbers of injuries are more likely to occur. And, if a runner has a previous injury, then he has a higher risk of receiving
  • 2. Godfrey 2 another injury (Dawson-Cook). In fact, when athletes over train they get “overuse injuries which occur when repetitive stress is applied to a muscle, tendon, or bone, ultimately resulting in micro-traumatic damage when adequate time to heal or repair has not been allotted,” (Kriz) Again, if runners have strenuous excessive training, they are at a higher risk of not competing due to an overuse injury (Kriz). After athletes, especially distance runners, get an overuse injury, they need to give it time to heal or another damaged body part is most likely to occur (Bonacc). Distance runners need to take a day off during their workouts because “when applied stress is too high or the recovery time is too short the tissue of the musculoskeletal system will be weakened and the likelihood of sustaining a subsequent overuse injury is high,” (Bredeweg). Interesting enough, sometimes when the human body is pushed to its maximum physical limit, tissues and tendons wear down to a stage where injuries, such as sprains and tears, can occur frequently (Bredeweg). Thus, recovery time in an athlete can be the deciding factor between a competitive victory or loss. So, in order to stay away from different types of injuries, distance runners need not only to keep in mind the risk factors that cause most all injuries, but also the effects of these injuries. Secondly, the effects of these injuries on runners result in their inability to compete. Likewise, a distance runner can get “an injury-induced restriction in training that can result in detraining, which may negatively affect performance, cardiorespiratory health and neuromuscular control,” (Bonacc). According to Andrew Vickers explains that soreness can result in a poor performance, and it “typically develops 24 hours after exercise; is usually perceived approximately 24 hours after the exercise and may linger up to additional 48 hours.” And so, being sore from strain or muscle development can hold the runner back because sometimes the pain is so severe that he has to take a longer break than really needed, which will
  • 3. Godfrey 3 cause a decrease in his performance (Vickers). When distance runners overwork their bodies, “physiological strain occurs when they stay on a pattern of workouts and when performance day comes the body and brain overworks itself to do better,”(Esteve-Lanao). Also, when an athlete trains, that runner typically has a routine that he follows religiously every day. Having a set routine like that is actually bad because the brain gets used to what it has been doing and on race day becomes strained due to the fact that the brain is not accustomed to the workout the body is completing (Esteve-Lanao). Also, it seems that “nearly one-half of the athletes responding to the postseason questionnaire reported an episode of exercise related leg pain (ERLP) during the season, and almost all of those athletes (98%) reported a history of ERLP,”(Reinking). It proves that, if a runner has already received an injury, it is more likely for them to continually feel the pain or receive other harsh damages. These pains and damages will affect the training process of the runner and potentially ruin the progress he has made (Reinking). Obviously, injuries can have damaging effects on a runner’s potential, but there are ways to reduce the injuries athletes can incur. Most importantly, athletes can learn different prevention techniques to decrease injuries. A program that is helpful for runners is ChiRunning: “ChiRunning isn't just for distance runners, it's for anyone wanting to practice injury free running,” (Dawson-Cook). ChiRunning is a program that teaches the runner how to align and balance the body to lower the pressure on areas and have equal pressure on all parts of the body (Dawson-Cook). Many different types of literature and programs teach runners to reduce the risk of injury. In fact, there are certain aspects of the body that should be the main focus: “the six key focuses to developing a fantastic running form are: posture, relaxing lower body, pelvic rotation, arm swings, intake of breaths, and stride length,” (Dawson-Cook). These focuses will take stress off of the body and cause less strain and,
  • 4. Godfrey 4 therefore, fewer injuries. Thus, the six aspects are the main parts of the body that are worked while participating in long distance running, so changing how they are used should affect the outcome dramatically (Dawson-Cook). Throughout studies it is shown “that humans regulate their effort during competition based on the anticipation or estimation of when the exercise will end,” (Esteve-Lanao). Most of the time in the human body as anticipation rises the adrenaline rises as well. When adrenaline rises it makes muscle stronger therefore, making it harder for the muscles to be damaged (Esteve-Lanao). Although there are many ways to decrease injuries, there are still many researchers working on new and improved ways. Encouragingly, many physical therapists are working on finding new ways to decrease damaging injuries. Many influential people can provide solutions as well; for example, “clinicians play a critical role in the education of parents, coaches, and young athletes regarding the risk of childhood and adolescent sports injuries,” (Kriz). It is true that adults are the most likely to become injured because their bodies are weaker than when they were children (Kriz). Teaching children at a young age how to properly exercise and run will lead to their being more prepared as adults, lessening injuries. Having a “greater muscle activity prior to and in the initial phase of ground contact may enhance running economy by increasing leg stiffness and maximizing exploitation of stored elastic energy,” (Bonacc). Making strides harder when running can decrease injuries since the leg is stiffer it is harder to break. Indeed, companies make shoes to help the impact of the foot as it is hitting the ground (Bonacc). Some of the best “future prospective studies could further identify variables which are most responsible for running injuries, and determine easily measurable variables that may correlate to these risk factors,” (Ferber). After all, there are many studies that are now being made to find ways to decrease injuries (Ferber). These studies are being done by professors at colleges or people with a
  • 5. Godfrey 5 profession that has to do with improving the body, for example, a physical therapist. Since there are many new studies and helpful aspects for distance running, the injuries should decrease in the future. All in all, many damaging effects can happen with training and the body if training is not properly executed. For example, physiological strain, shin splints, muscle tears and strains, make the runner unable to train and improve their running. To help these injuries many athletes learn news ways to run, for example, reading different types of literature. Also trainers, coaches and professors are trying to learn and experiment with different techniques so there are fewer injuries in the future. These damages can be prevented by being aware of the different types of injuries, the effects they have on running, solutions to the problems, and future prevention measures.
  • 6. Godfrey 6 Works Cited Bonacc, Jason. “Neuromuscular Adaptations to Training, Injury and Passive Interventions Implications for Running Economy.” Sports Medicine. Galileo Ebscohost. N.p., 1 Nov. 2009. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=c7d7f0f9-8b7d-4adf-b30b- 7d014a851565%40sessionmgr104&vid=4&hid=112>. Bredeweg, Steef W. “The GRONORUN 2 Study: Effectiveness of an Ereconditioning Program on Preventing Running Related Injuries in Novice Runners. The Design of a Randomized Controlled Trial.” BMC Musculoskeletal Disorders. Galileo Ebscohost. N.p., 2010. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=ef814454-1d3c-4d72-b7ea- b6d589cd9ef1%40sessionmgr114&vid=7&hid=106>. Dawson-Cook, Susan. “ChiRunning, Getting Smarter as You Move.” American Fitness. Galileo Ebscohost. N.p., 1 Jan. 2010. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/ pdfviewer?sid=2e2bf46c-d2d0-4a0b-a8ac-d6d5977a668f%40sessionmgr115&vid=7&hid=127>. Esteve-Lanao, Jonathan. “How Do Humans Control Physiological Strain during Strenuous Endurance Exercise?” PLoS ONE. Galileo Ebscohost. N.p., 2008. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=10ad5c4e-c615-4ec3-a284- 897b444cb35b%40sessionmgr110&vid=5&hid=119>. Ferber, Reed. “A biomechanical perspective of predicting injury risk in running.” International SportMed Journal. Galileo Ebscohost. N.p., June 2010. Web. 5 Oct. 2011. <http://web.ebscohost.com/ ehost/pdfviewer/pdfviewer?sid=e628504a-dfa4-4f03-8c2e- 872846915904%40sessionmgr4&vid=7&hid=8>.
  • 7. Godfrey 7 Kriz, Peter. “Overuse Injuries in the Young Athlete.” Medicine & Health Rhode Island. Galileo Ebscohost. N.p., July 2011. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/ pdfviewer?sid=5afb17c9-10db-498c-a8e7-f03f963a0281%40sessionmgr15&vid=4&hid=113>. Reinking, Mark F. “Risk Factors for Self-Reported Exercise-Related Leg Pain in High School Cross Country Athletes.” Journal of Athletic Training. Galileo Ebscohost. N.p., 2010. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=d5955c56-2964-46e4-8b31- f84c779ab62f%40sessionmgr14&vid=4&hid=18>. Vicker, Andrew. “Time course of muscle soreness following different types of exercise.” BMC Musculoskeletal Disorders (Fall 2001): n. pag. Galileo Ebscohost. Web. 5 Oct. 2011. <http://web.ebscohost.com/ehost/pdfviewer/pdfviewer?sid=bd259d3e-4fe1-424b-b894- f16c486c787f%40sessionmgr13&vid=7&hid=19>.