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Management of Sports Injuries > Running > Flashcards

Running Flashcards

(40 cards)

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1
Q

What causes running related injuries?

A
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2
Q

What is the largest established risk factor for sustaining a running-related injury?

A

a previous injury, regardless of injury type

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3
Q

What are some common running injuries? (7)

A

●Iliotibial band syndrome 10%

●Patellar tendinopathy 12%

●Patellofemoral pain syndrome 6%

●Medial tibial stress syndrome 10%

●Ankle or foot bone stress injuries (varies for specific bones)

●Achilles tendinopathy 6-9%

●Plantar fasciopathy 5-18%

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4
Q

How should ITB Syndrome be managed in runners?

A
  1. PRE, gait mechanics, increased cadence
  2. Avoiding hills
  3. Symptom based approach
  4. Return to sport at 50% volume
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5
Q

How should Patellar Tendinopathy be managed in runners?

A
  1. Load management
  2. Symptom based approach 0-3 4-6 7-10
  3. Progressive tendon loading
  4. Contraction type matters…?
  5. Taping/straps
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6
Q

How should Patellofemoral Pain Syndrome be managed in runners?

A
  1. Load management
  2. Hip and quad strengthening
  3. Running mechanics
  4. Taping
  5. Assess, Don’t Guess
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7
Q

Where would a Medial Tibial Stress Syndrome (MTSS) be palpable?

A

the distal ⅔ of tibia with a palpable tenderness >5 cm long

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8
Q

Where would a Bone Stress Injury (BSI) be palpable?

A

focal tenderness on the bone (occurs after sharp and severe acute pain during workout)

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9
Q

How should “shin splints” be managed in runners?

A
  1. Relative rest
  2. Pain with activity limited to <2/10
  3. Months until running is minimally painful
  4. Manual therapy, foot taping, intrinsics?
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10
Q

How should a bone stress injury be managed in runners?

A
  1. Decreased weight bearing (pain free)
  2. Progressions must be pain free during and 24 hours following
  3. Non-impact exercise (maybe)
  4. Refer to nutritionist if needed
  5. Educate: risks, prevention, expectations
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11
Q

How should Achilles Tendinopathy be managed in runners?

A
  1. Load management & PRE
  2. Orthotics & heel lifts
  3. Chronic: Participate with ≤5/10 pain
  4. Does not increase risk of rupture
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12
Q

How should Plantar Fasciopathy be managed in runners?

A
  1. Plantar fascia and calf stretching (Acute)
  2. Anti-pronation taping (Acute)
  3. STM to calf trigger points
  4. Off-the-shelf orthotics (3 months)
  5. Night splints
  6. High-load strengthening à heel raises + progression
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13
Q

The [vertical/AP/ML] ground reaction force is the largest in magnitude.

A

vertical

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14
Q

Where does the vertical ground reaction force peak during running?

A

midstance (2.5x body weight)

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15
Q

The braking impulse is [initial contact-midstance/midstance-toeoff].

A

initial contact - midstance

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16
Q

The propulsive impulse is [initial contact-midstance/midstance-toeoff].

A

midstance - toeoff

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17
Q

Which ground reaction force is smallest in amplitude and also most variable?

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A

medial/lateral ground reaction force

18
Q

The active peak of the vertical ground reaction force occurs when the COM is at its [lowest/highest].

19
Q

Are contact forces greatest during the impact peak or active peak of the vertical ground reaction force?

20
Q

Joint moments and powers peak at or around [initial contact/midstance]

21
Q

When does the vertical impact peak increase? (3)

Study These Flashcards
A

(1) running downhill
(2) slower cadence
(3) pronounced heel-strike pattern

22
Q

The majority of angular excursion and power occurs in what plane of motion during running?

Study These Flashcards
A

sagittal plane

23
Q

When should you assess a runners form? (2)

Study These Flashcards
A

(1) recurrent injuries potentially related to mechanics + training errors
(2) athlete seeking advice related to performance and running efficiency

24
Q

What should you be observing for in the frontal plan of running analysis? (5)

Study These Flashcards
A
  1. Joint center alignment
  2. Pelvic lateral tilt
  3. Proximity of knee joints
  4. Medial-lateral foot placement
  5. Toe-out
25
What joint center does “joint center alignment” in the frontal plane observe?
the knee's joint center! identifies either dynamic valgus (medial) or varus (lateral) alignment
26
If a runner has excessive pelvic lateral tilt, what also may be occurring at their knees?
dynamic knee valgus
27
What is a secondary measure of joint center alignment and pelvic lateral tilt?
proximity of knee joints
28
What can cross over during running increase strain on? (3)
lateral hip, lateral thigh, and medial distal tibia
29
What does medial-lateral foot placement indicate?
if there is any amount of cross over/location of the foot with respect to the whole body's line of gravity
30
What would excessive toe-out indicate? (3)
(1) hip capsule or muscle tightness (2) acetabular and femoral eversion (3) knee/tibial eversion
31
What is observed in the sagittal plane during running analysis? (2)
(1) initial contact (2) midstance and midflight
32
What can measurement of the foot strike angle indicate?
foot strike pattern (i.e. heel, midfoot, or forefoot)
33
The A-P foot placement is directly associated with the [braking impulse/propulsive impulse].
braking impulse
34
If there is a greater distance between the foot and the body's line of gravity, do the have a [lesser/greater] braking impulse?
greater
35
What is the ideal knee flexion angle at initial contact?
15-20 degrees
36
If at initial contact, the knee is more extended than expected, what is occurring? (2)
(1) overstriding (2) aggressive heel-strike pattern
37
Between midstance and midflight, which is the highest and lowest points for COM vertical excursion?
midstance = lowest midflight = highest
38
What is happening if there is a large excursion in vertical COM? (2)
(1) increase in active peak of vertical GRF (2) increase in metabolic cost
39
What would a 5-10% increase from preferred step rate lead to? (3)
Reduced: (1) peak vertical ground reaction force (2) loading rate (3) braking impulse
40
What would less heel strike do? (1)
Reduce braking impulse

Management of Sports Injuries (5 decks)

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