Dataset Information

A Randomized Study of a Strength Training Program to Prevent Injuries in Runners of the New York City Marathon.

ABSTRACT:

Background

Lower extremity overuse injuries are common among runners, especially first-time marathoners. Hip abductor and quadriceps strengthening is often recommended to reduce running-related injuries.

Hypothesis

A 12-week strength training program would decrease the rate of overuse injuries resulting in marathon noncompletion and improve race finishing time.

Study design

Randomized trial.

Level of evidence

Level 2.

Methods

Twelve weeks before the New York City Marathon, first-time marathon runners age 18 years and older were randomized into a strength training group or an observation group. The strength training group was instructed to perform a 10-minute program 3 times weekly using written and video instruction. This program targeted the quadriceps, hip abductor, and core muscle groups. Injuries were self-reported through biweekly surveys, with major injuries being those that resulted in marathon noncompletion and minor injuries being those that impaired training or race performance.

Results

A total of 720 runners were enrolled (mean age, 35.9 ± 9.4 years; 69.4% female), of whom 583 runners started the marathon and 579 completed it. The incidence of major injury was 8.9% and minor injury was 48.5%. Fifty two of 64 major injuries were overuse, of which 20 were bone stress injuries. The incidence of overuse injury resulting in marathon noncompletion was 7.1% in the strength training group and 7.3% in the observation group (risk ratio, 0.97; 95% CI, 0.57-1.63; P = 0.90). The mean finishing time was 5 hours 1 ± 60 minutes in the strength training group and 4 hours 58 ± 55 minutes in the observation group (P = 0.35).

Conclusion

There is a high prevalence of injury among first-time marathon runners, but this self-directed strength training program did not decrease overuse injury incidence resulting in marathon noncompletion.

Clinical relevance

Prevention strategies such as strength training need to be developed and evaluated through clinical trials to reduce the high prevalence of overuse injuries in runners, especially for high-risk populations such as first-time marathon runners.

SUBMITTER: Toresdahl BG

PROVIDER: S-EPMC6931177 | biostudies-literature | 2020 Jan/Feb

REPOSITORIES: biostudies-literature

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Publications

A Randomized Study of a Strength Training Program to Prevent Injuries in Runners of the New York City Marathon.

Toresdahl Brett G BG McElheny Kathryn K Metzl Jordan J Ammerman Brittany B Chang Brenda B Kinderknecht James J

Sports health 20191023 1

<h4>Background</h4>Lower extremity overuse injuries are common among runners, especially first-time marathoners. Hip abductor and quadriceps strengthening is often recommended to reduce running-related injuries.<h4>Hypothesis</h4>A 12-week strength training program would decrease the rate of overuse injuries resulting in marathon noncompletion and improve race finishing time.<h4>Study design</h4>Randomized trial.<h4>Level of evidence</h4>Level 2.<h4>Methods</h4>Twelve weeks before the New York C ...[more]

PMID: 31642726

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Dataset Information

A Randomized Study of a Strength Training Program to Prevent Injuries in Runners of the New York City Marathon.

Background

Hypothesis

Study design

Level of evidence

Methods

Results

Conclusion

Clinical relevance

Publications

A Randomized Study of a Strength Training Program to Prevent Injuries in Runners of the New York City Marathon.

Similar Datasets

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