Foot pronation is not associated with increased injury risk in novice runners wearing a neutral shoe: a 1-year prospective cohort study

British Journal of Sports Medicine - Tập 48 Số 6 - Trang 440-447 - 2014
Rasmus Oestergaard Nielsen1,2, Ida Buist3, Erik Thorlund Parner4, Ellen A. Nøhr5, Henrik Toft Sørensen2, Martin Lind6, Sten Rasmussen1
1Aalborg Univ Hosp, Aarhus University, Sci & Innovat Ctr, Orthopaed Surg Res Unit
2Aarhus Univ, Aarhus University, Dept Publ Hlth, Sect Sport Sci
3Center for Sports Medicine, University Medical Center Groningen, University of Groningen
4Aarhus Univ, Aarhus University, Dept Publ Hlth, Sect Biostat
5Aarhus Univ, Aarhus University, Dept Publ Hlth, Epidemiol Sect
6Aarhus University Hospital

Tóm tắt

ObjectiveTo investigate if running distance to first running-related injury varies between foot postures in novice runners wearing neutral shoes.DesignA 1-year epidemiological observational prospective cohort study.SettingDenmark.ParticipantsA total of 927 novice runners equivalent to 1854 feet were included. At baseline, foot posture on each foot was evaluated using the foot-posture index and categorised into highly supinated (n=53), supinated (n=369), neutral (n=1292), pronated (n=122) or highly pronated (n=18). Participants then had to start running in a neutral running shoe and to use global positioning system watch to quantify the running distance in every training session.Main outcome measureA running-related injury was defined as any musculoskeletal complaint of the lower extremity or back caused by running, which restricted the amount of running for at least 1 week.ResultsDuring 1 year of follow-up, the 1854 feet included in the analyses ran a total of 326 803 km until injury or censoring. A total of 252 participants sustained a running-related injury. Of these, 63 were bilateral injuries. Compared with a neutral foot posture, no significant body mass index-adjusted cumulative risk differences (RD) were found after 250 km of running for highly supinated feet (RD=11.0% (−10% to 32.1%), p=0.30), supinated feet (RD=−1.4% (−8.4% to 5.5%), p=0.69), pronated feet (RD=−8.1% (−17.6% to 1.3%), p=0.09) and highly pronated feet (RD=9.8% (−19.3% to 38.8%), p=0.51). In addition, the incidence-rate difference/1000 km of running, revealed that pronators had a significantly lower number of injuries/1000 km of running of −0.37 (−0.03 to −0.70), p=0.03 than neutrals.ConclusionsThe results of the present study contradict the widespread belief that moderate foot pronation is associated with an increased risk of injury among novice runners taking up running in a neutral running shoe. More work is needed to ascertain if highly pronated feet face a higher risk of injury than neutral feet.

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Thông tin xuất bản

British Journal of Sports Medicine

Tập 48 Số 6

440-447

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