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

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

doi:10.1016/j.jsams.2024.08.205

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

Hannah Rice, Chelsea Starbuck

, 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

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DOI (Published version): 10.1016/j.jsams.2024.08.205

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

first_indexed	2024-09-26T14:33:12Z
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spelling	2025-02-05T13:23:06.1106915 v2 67845 2024-09-26 Does high-intensity running to fatigue influence lower limb injury risk? b12b936789e5be3976b2f2c1c8988d4c 0000-0001-6266-2876 Chelsea Starbuck Chelsea Starbuck true false 2024-09-26 EAAS 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. Journal Article Journal of Science and Medicine in Sport 28 1 33 38 Elsevier BV 1440-2440 1878-1861 Musculoskeletal modelling; Overuse injury; Running gait; Neuromechanics; Kinetics 1 1 2025 2025-01-01 10.1016/j.jsams.2024.08.205 COLLEGE NANME Engineering and Applied Sciences School COLLEGE CODE EAAS Swansea University Another institution paid the OA fee No external financial support 2025-02-05T13:23:06.1106915 2024-09-26T15:29:58.0479248 Faculty of Science and Engineering School of Engineering and Applied Sciences - Sport and Exercise Sciences Hannah Rice 1 Chelsea Starbuck 0000-0001-6266-2876 2 Jasmin Willer 3 Sam Allen 4 Christopher Bramah 5 Richard Jones 6 Lee Herrington 7 Jonathan Folland 8 67845__33493__a1dd4ee8902d4cd3b6312dbd3ef28419.pdf 67845.VOR.pdf 2025-02-04T13:38:00.4541609 Output 607865 application/pdf Version of Record true © 2024 The Authors. This is an open access article distributed under the terms of the Creative Commons CC-BY license. true eng http://creativecommons.org/licenses/by/4.0/
title	Does high-intensity running to fatigue influence lower limb injury risk?
spellingShingle	Does high-intensity running to fatigue influence lower limb injury risk? Chelsea Starbuck
title_short	Does high-intensity running to fatigue influence lower limb injury risk?
title_full	Does high-intensity running to fatigue influence lower limb injury risk?
title_fullStr	Does high-intensity running to fatigue influence lower limb injury risk?
title_full_unstemmed	Does high-intensity running to fatigue influence lower limb injury risk?
title_sort	Does high-intensity running to fatigue influence lower limb injury risk?
author_id_str_mv	b12b936789e5be3976b2f2c1c8988d4c
author_id_fullname_str_mv	b12b936789e5be3976b2f2c1c8988d4c_***_Chelsea Starbuck
author	Chelsea Starbuck
author2	Hannah Rice Chelsea Starbuck Jasmin Willer Sam Allen Christopher Bramah Richard Jones Lee Herrington Jonathan Folland
format	Journal article
container_title	Journal of Science and Medicine in Sport
container_volume	28
container_issue	1
container_start_page	33
publishDate	2025
institution	Swansea University
issn	1440-2440 1878-1861
doi_str_mv	10.1016/j.jsams.2024.08.205
publisher	Elsevier BV
college_str	Faculty of Science and Engineering
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department_str	School of Engineering and Applied Sciences - Sport and Exercise Sciences{{{_:::_}}}Faculty of Science and Engineering{{{_:::_}}}School of Engineering and Applied Sciences - Sport and Exercise Sciences
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description	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.
published_date	2025-01-01T05:23:29Z
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score	11.056659

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

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