A1 Journal article (refereed)
Hip and core exercise programme prevents running-related overuse injuries in adult novice recreational runners : a three-arm randomised controlled trial (Run RCT) (2024)


Leppänen, M., Viiala, J., Kaikkonen, P., Tokola, K., Vasankari, T., Nigg, B. M., Krosshaug, T., Werthner, P., Parkkari, J., & Pasanen, K. (2024). Hip and core exercise programme prevents running-related overuse injuries in adult novice recreational runners : a three-arm randomised controlled trial (Run RCT). British Journal of Sports Medicine, Early online. https://doi.org/10.1136/bjsports-2023-107926


JYU authors or editors


Publication details

All authors or editorsLeppänen, Mari; Viiala, Janne; Kaikkonen, Piia; Tokola, Kari; Vasankari, Tommi; Nigg, Benno M.; Krosshaug, Tron; Werthner, Penny; Parkkari, Jari; Pasanen, Kati

Journal or seriesBritish Journal of Sports Medicine

ISSN0306-3674

eISSN1473-0480

Publication year2024

Publication date09/05/2024

VolumeEarly online

PublisherBMJ Publishing Group

Publication countryUnited Kingdom

Publication languageEnglish

DOIhttps://doi.org/10.1136/bjsports-2023-107926

Publication open accessNot open

Publication channel open access

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/95333

Additional informationJP and KP are joint senior authors


Abstract

Objective
This study aims to investigate the efficacy of two exercise interventions in reducing lower extremity (LE) injuries in novice recreational runners.

Methods
Novice runners (245 female, 80 male) were randomised into hip and core (n=108), ankle and foot (n=111) or control (n=106) groups. Interventions were completed before running and included exercise programmes focusing on either (1) hip and core or (2) ankle and foot muscles. The control group performed static stretching exercises. All groups were supervised by a physiotherapist and performed the same running programme. Injuries and running exposure were registered using weekly questionnaires during the 24-week study. Primary outcome was running-related LE injury.

Results
The incidence of LE injuries was lower in the hip and core group compared with the control group (HR 0.66; 95% CI 0.45 to 0.97). The average weekly prevalence of overuse injuries was 39% lower (prevalence rate ratio, PRR 0.61, 95% CI 0.39 to 0.96), and the prevalence of substantial overuse injuries was 52% lower (PRR 0.48, 95% CI 0.27 to 0.90) in the hip and core group compared with the control group. No significant difference was observed between the ankle and foot group and control group in the prevalence of overuse injuries. A higher incidence of acute injuries was observed in the ankle and foot group compared with the control group (HR 3.60, 95% CI 1.20 to 10.86).

Conclusion
A physiotherapist-guided hip and core-focused exercise programme was effective in preventing LE injuries in novice recreational runners. The ankle and foot programme did not reduce LE injuries and did not protect against acute LE injuries when compared with static stretching.


Keywordsrunningrunners (athletes)trainingexercise (people)stress injuriesauxiliary training (sports)pelvisstretching exercisemusculoskeletal system


Contributing organizations


Ministry reportingYes

Reporting Year2024

Preliminary JUFO rating3


Last updated on 2024-03-07 at 01:46