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Does high-intensity running to fatigue influence lower limb injury risk?

Hannah Rice, Chelsea Starbuck Orcid Logo, Jasmin Willer, Sam Allen, Christopher Bramah, Richard Jones, Lee Herrington, Jonathan Folland

Journal of Science and Medicine in Sport, Volume: 28, Issue: 1, Pages: 33 - 38

Swansea University Author: Chelsea Starbuck Orcid Logo

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Abstract

Objectives: The aim of this study was to quantify changes in peak bending moments at the distal tibia, peak patellofemoral joint contact forces and peak Achilles tendon forces during a high-intensity run to fatigue at middle-distance speed. Design: Observational study. Methods: 16 high-level runners...

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Published in: Journal of Science and Medicine in Sport
ISSN: 1440-2440 1878-1861
Published: Elsevier BV 2025
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa67845
Abstract: Objectives: The aim of this study was to quantify changes in peak bending moments at the distal tibia, peak patellofemoral joint contact forces and peak Achilles tendon forces during a high-intensity run to fatigue at middle-distance speed. Design: Observational study. Methods: 16 high-level runners (7 female) ran on a treadmill at the final speed achieved during a preceding maximum oxygen uptake test until failure (~ 3 min). Three-dimensional kinetics and kinematics were used to derive and compare tibial bending moments, patellofemoral joint contact forces and Achilles tendon forces at the start, 33 %, 67 % and the end of the run. Results: Average running speed was 5.7 (0.4) m·s−1. There was a decrease in peak tibial bending moments (− 6.8 %, p = 0.004) from the start to the end of the run, driven by a decrease in peak bending moments due to muscular forces (− 6.5 %, p = 0.001), whilst there was no difference in peak bending moments due to joint reaction forces. There was an increase in peak patellofemoral joint forces (+ 8.9 %, p = 0.026) from the start to the end of the run, but a decrease in peak Achilles tendon forces (− 9.1 %, p < 0.001). Conclusions: Running at a fixed, high-intensity speed to failure led to reduced tibial bending moments and Achilles tendon forces, and increased patellofemoral joint forces. Thus, the altered neuromechanics of high-intensity running to fatigue may increase patellofemoral joint injury risk, but may not be a mechanism for tibial or Achilles tendon overuse injury development.
Keywords: Musculoskeletal modelling; Overuse injury; Running gait; Neuromechanics; Kinetics
College: Faculty of Science and Engineering
Funders: No external financial support
Issue: 1
Start Page: 33
End Page: 38