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Analysis of Running-Related Injuries: The Vienna Study

Department of Orthopedics and Trauma Surgery, Medical University of Vienna, 1090 Vienna, Austria
Center for Medical Statistics, Informatics, and Intelligent Systems, Medical University of Vienna, 1090 Vienna, Austria
Department of Health Economics, Center for Public Health, Medical University of Vienna, 1090 Vienna, Austria
Orthopädie-Zentrum Innere Stadt, 1010 Vienna, Austria
Author to whom correspondence should be addressed.
J. Clin. Med. 2020, 9(2), 438;
Received: 19 December 2019 / Revised: 31 January 2020 / Accepted: 3 February 2020 / Published: 6 February 2020
(This article belongs to the Section Orthopedics)
Background: This study aimed to provide an extensive and up-to-date analysis of running-related injuries (RRI) and analyze a broad range of contributing factors for a large heterogeneous and non-selected running population from Central Europe. Methods: Anthropometric, training, footwear, anatomic malalignment, and injury data from 196 injured runners were assessed case-controlled and retrospectively. Univariate and multivariate regression models were developed to identify associated factors for specific injury locations and diagnoses. Results: The majority of patients were female (56%). Three most frequently observed malalignments included varus knee alignment, pelvic obliquity, and patellar squinting. The most common injuries were the patellofemoral pain syndrome (PFPS), the iliotibial band friction syndrome (ITBFS), patellar tendinopathy, spinal overload, and ankle instability. A number of contributing factors were identified. Previous injury history was a contributing factor for knee injuries and ITBFS. Lower training load was reported with a higher incidence of PFPS, while a higher training load was positively associated with injuries of the lower leg. Runners with a higher body mass index (BMI) were at a significantly higher risk for lower back injuries. Conclusions: Running-related injuries are multifactorial associated with a combination of variables including personal data, training load, anatomic malalignments, and injury history. They can furthermore result from a lack of experience/training as well as from overuse. Suffering a specific RRI of high risk could be defined based on individual predispositions and help to induce appropriate training balance. View Full-Text
Keywords: running related overuse injury; running related injury; etiology; injuries; epidemiology running related overuse injury; running related injury; etiology; injuries; epidemiology
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MDPI and ACS Style

Benca, E.; Listabarth, S.; Flock, F.K.J.; Pablik, E.; Fischer, C.; Walzer, S.M.; Dorotka, R.; Windhager, R.; Ziai, P. Analysis of Running-Related Injuries: The Vienna Study. J. Clin. Med. 2020, 9, 438.

AMA Style

Benca E, Listabarth S, Flock FKJ, Pablik E, Fischer C, Walzer SM, Dorotka R, Windhager R, Ziai P. Analysis of Running-Related Injuries: The Vienna Study. Journal of Clinical Medicine. 2020; 9(2):438.

Chicago/Turabian Style

Benca, Emir, Stephan Listabarth, Florian K.J. Flock, Eleonore Pablik, Claudia Fischer, Sonja M. Walzer, Ronald Dorotka, Reinhard Windhager, and Pejman Ziai. 2020. "Analysis of Running-Related Injuries: The Vienna Study" Journal of Clinical Medicine 9, no. 2: 438.

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