Managing RISK when treating the injured runner with running retraining, load management and exercise therapy

Gait retraining is no different, and like pharmacotherapies, different prescriptions (e.g. step rate or changing strike pattern) will possess different risks and may lead to different clinical outcomes.[...]tailoring retraining strategies to specific conditions and individual running biomechanics ha...

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Bibliographic Details
Published in:Physical therapy in sport 2018-01, Vol.29, p.79-83
Main Author: Barton, C.J.
Format: Article
Language:English
Subjects:
Athletic Injuries - therapy
Biomechanical Phenomena
Biomechanics
Clinical medicine
Clinical trials
Cross country running
Drug therapy
Exercise
Exercise Therapy
Feedback
Females
Gait
Humans
Injuries
Intervention
Medicine
Pain
Physical Conditioning, Human - methods
Physical fitness
Physical therapy
Randomized Controlled Trials as Topic
Risk Management
Running
Running - injuries
Sports medicine
Studies
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Summary:Gait retraining is no different, and like pharmacotherapies, different prescriptions (e.g. step rate or changing strike pattern) will possess different risks and may lead to different clinical outcomes.[...]tailoring retraining strategies to specific conditions and individual running biomechanics has the potential to optimise outcomes and improve safety of use in clinical practice.[...]optimisting and sustaining exercise therapy benefits may take a number of months in the injured runner due to associated muscle atrophy (Giles et al., 2013), along with likely muscular strength (Rathleff et al., 2014) and power (Nunes, Barton, & Serrão, 2017) deficits.[...]calf, foot and ankle soreness is common during transition (Barton et al., 2016; Breen et al., 2015; Diebal et al., 2012; Esculier et al., 2017).[...]preparatory strength and conditioning programs (intrinsic and calf strengthening, jumping, hopping) are recommended prior to initiating, or during transition, and retraining should be gradually introduced (Barton et al., 2016).[...]results from new research evaluating the biomechanical and clinical outcomes of altering footwear and running retraining strategies are provided, and the reader is encouraged to consider the RISK framework when interpreting the results from these studies and how they might be used in with their patients.
ISSN:1466-853X
1873-1600
DOI:10.1016/j.ptsp.2017.10.002