Abstract
Long-distance running athletes’ data on musculoskeletal injuries account for 9.2–11.9% of injuries during International Championship events in the last decade. Lower limb injuries incidence ranges between 19.4% and 79.3%, raising up to 92.4% when non-lower limb injuries were also considered. At least one-third of the recreational runners experience a minimum of one injury per season. Injuries affect predominantly the lower limbs (thigh 3.4–38.1%, knee 7.2–50%, lower leg 9–32.2%, and foot 5.7–39.3%) with similar incidence in both genders. Traumatic injuries represented almost half of the injuries in long-distance races, while overuse injuries were encountered in 69.1–69.8% of marathon runners. Except for Achilles tendinopathies, evidence for incidence of injuries in long-distance runners are not available, especially when comparing athletes from different performance levels. Prevention strategies should focus on screening athletes participating in long-distance races during the season and one month before the event interviewing dietary and menstrual history in the female athlete. Advising athletes to run a maximum of 64 km/week, adopting interval training, and increasing training distances every week (for injury knee prevention) may result in a successful preventive intervention.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
International Association of Athletics Federations (IAAF). 2019. https://www.worldathletics.org/
Francis P, Whatman C, Sheerin K, Hume P, Johnson MI. The proportion of lower limb running injuries by gender, anatomical location, and specific pathology: a systematic review. J Sports Sci Med. 2019;18(1):21–31.
Kluitenberg B, van Middelkoop M, Diercks R, van der Worp H. What are the differences in injury proportions between different populations of runners? A systematic review and meta-analysis. Sports Med. 2015;45(8):1143–61.
Lopes A, Hespanhol L, Yeung S, Costa L. What are the main running-related musculoskeletal injuries? A systematic review. Sports Med. 2012;42(10):891–905.
van der Worp M, de Wijer A, van Cingel R, Verbeek A, Nijhuisvan der Sanden M, Staal J. The 5- or 10-km Marikenloop Run: a prospective study of the etiology of running-related injuries in women. J Orthop Sports Phys Ther. 2016;46(6):462–70.
Nielsen R, Buist I, Sorensen H, Lind M, Rasmussen S. Training errors and running related injuries: a systematic review. Int J Sports Phys Ther. 2012;7(1):58–75.
Videbaek S, Bueno A, Nielsen R, Rasmussen S. Incidence of running-related injuries per 1000 h of running in different types of runners: a systematic review and meta-analysis. Sports Med. 2015;45(7):1017–26.
van Middelkoop M, Kolkman J, Van Ochten J, Bierma-Zeinstra S, Koes B. Prevalence and incidence of lower extremity injuries in male marathon runners. Scand J Med Sci Sports. 2008;18:140–4.
Edouard P, Navarro L, Branco P, Gremeaux V, Timpka T, Junge A. Injury frequency and characteristics (location, type, cause, and severity) differed significantly among athletics (‘track and field’) disciplines during 14 international championships (2007–2018): implications for medical service planning. Br J Sports Med. 2019; pii: bjsports-2019-100717
Timpka T, Alonso J, Jacobsson J, et al. Injury and illness definitions and data collection procedures for use in epidemiological studies in athletics (track and field): consensus statement. Br J Sports Med. 2014;48(7):483–90.
van Gent R, Siem D, van Middelkoop M, van Os A, Bierma-Zeinstra S, Koes B. Incidence and determinants of lower extremity running injuries in long-distance runners: a systematic review. Br J Sports Med. 2007;41:469–80.
van Poppel D, de Koning J, Verhagen A, Scholten-Peeters G. Risk factors for lower extremity injuries among half marathon and marathon runners of the Lage Landen Marathon Eindhoven 2012: a prospective cohort study in the Netherlands. Scand J Med Sci Sports. 2016;26(2):226–34.
Jakobsen B, Kroner K, Schmidt S, Kjeldsen A. Prevention of injuries in long-distance runners. Knee Surg Sports Traumatol Arthrosc. 1994;2(4):245–9.
Jakobsen B, Kroner K, Schmidt S, Jensen J. The frequency of injuries in recreational running races. Ugeskr Laeger. 1988;150(48):2954–6.
Lysholm J, Wiklander J. Injuries in runners. Am J Sports Med. 1987;15(2):168–71.
Hulme A, Thompson J, Nielsen R, Read G, Salmon P. Towards a complex system approach in sports injury research: simulating running-related injury development with agent-based modelling. Br J Sports Med. 2019;53(9):560–9.
Fredericson M, Misra A. Epidemiology and aetiology of marathon running injuries. Sports Med. 2007;37(4-5):437–9.
Satterthwaite P, Larmer P, Gardiner J, et al. Incidence of injuries and other health problems in the Auckland Citibank Marathon, 1993. Br J Sports Med. 1996;30:324–6.
van Mechelen M. Running injuries: a review of the epidemiological literature. Sports Med. 1992;14(5):320–35.
Chang W, Shih Y, Chen W. Running injuries and associated factors in participants of ING Taipei Marathon. Phys Ther Sport. 2012;13(3):170–4.
Vitez L, Zupet P, Zadnik V, Drobnic M. Running injuries in the participants of Ljubljana Marathon. Zdr Varst. 2017;56(4):196–202.
Fields K. Running injuries - changing trends and demographics. Curr Sports Med Rep. 2011;10(5):299–303.
Holmich P, Darre E, Jahnsen F, Hartvig-Jensen T. The elite marathon runner: problems during and after competition. Br J Sports Med. 1988;22(1):19–21.
Feddermann-Demont N, Junge A, Edouard P, Branco P, Alonso J. Injuries in 13 international athletics championships between 2007–2012. Br J Sports Med. 2014;48(7):513–22.
Longo U, Ronga M, Maffulli N. Achilles tendinopathy. Sports Med Arthrosc Rev. 2009;17(2):112–26.
Hespanhol L, Carvalho A, Costa L, Lopes A. The prevalence of musculoskeletal injuries in runners: a systematic review. Br J Sports Med. 2011;45:351–2.
Knobloch K, Yoon U, Vogt P. Acute and overuse injuries correlated to hours of training in master running athletes. Foot Ankle Int. 2008;29(7):671–6.
Nielsen R, Buist I, Sorensen H, et al. Training errors and running related injuries: a systematic review. Int J Sports Phys Ther. 2012;7(1):58–75.
Arndt A, Komi P, Bruggemann G, et al. Individual muscle contributions to the in vivo Achilles tendon force. Clin Biomech (Bristol, Avon). 1998;13(7):532–41.
Baker RL, Fredericson M. Iliotibial band syndrome in runners: biomechanical implications and exercise interventions. Phys Med Rehabil Clin N Am. 2016;27(1):53–77.
Noehren B, Davis I, Hamill J. ASB clinical biomechanics award winner 2006 prospective study of the biomechanical factors associated with iliotibial band syndrome. Clin Biomech (Bristol, Avon). 2007;9:951–6.
Fredericson M, Wolf C. Iliotibial band syndrome in runners: innovations in treatment. Sports Med. 2005;35:451–9.
Taunton J, Ryan M, Clement D, et al. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002;2:95–101.
Tenforde AS, Sayres LC, McCurdy ML, et al. Overuse injuries in high school runners: lifetime prevalence and prevention strategies. PM R. 2011;2:125–31.
Hulkko A, Orava S. Stress fractures in athletes. Int J Sports Med. 1987;8(3):221–6.
Wentz L, Liu P, Haymes E, et al. Females have a greater incidence of stress fractures than males in both military and athletic populations: a systemic review. Mil Med. 2011;176(4):420–30.
Hame S, LaFemina J, McAllister D, et al. Fractures in the collegiate athlete. Am J Sports Med. 2004;32(2):446–51.
Changstrom B, Brou L, Khodaee M, et al. Epidemiology of stress fracture injuries among US high school athletes, 2005-2006 through 2012-2013. Am J Sports Med. 2015;43(1):26–33.
Greaser M. Foot and ankle stress fractures in the athlete. Orthop Clin North Am. 2016;47(4):809–22.
Matheson G, Clement D, McKenzie D, et al. Stress fractures in athletes. A study of 320 cases. Am J Sports Med. 1987;15(1):46–58.
Brukner P, Bradshaw C, Khan K, et al. Stress fractures: a review of 180 cases. Clin J Sport Med. 1996;6(2):85–9.
Iwamoto J, Takeda T. Stress fractures in athletes: review of 196 cases. J Orthop Sci. 2003;8(3):273–8.
Bennell KL, Malcolm SA, Thomas SA, et al. The incidence and distribution of stress fractures in competitive track and field athletes. A twelve-month prospective study. Am J Sports Med. 1996;24(2):211–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer-Verlag GmbH, DE, part of Springer Nature
About this chapter
Cite this chapter
Marín Fermín, T., Papakostas, E. (2022). Athletics: Long-Distance Running. In: Canata, G.L., Jones, H. (eds) Epidemiology of Injuries in Sports . Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-64532-1_3
Download citation
DOI: https://doi.org/10.1007/978-3-662-64532-1_3
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-64531-4
Online ISBN: 978-3-662-64532-1
eBook Packages: MedicineMedicine (R0)