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Running Injury Management Pre-Module - Coggle Diagram
Running Injury Management Pre-Module
Subjective Ax
Social Hx
Lifestyle factors
Nutrition
Sleep
Stress
Employment/ hobbies
Smoking
Alcohol intake
Individual goals + timeline for these
Running Hx - recent increases in load/ distance, changes in surface, hills vs flat, treadmill vs road
General training/ CV fitness
Hx of Presenting Condition - onset, VAS/ pain, pain type, latency, AM/ PM, changes w exercise
Body chart/ symptom location
Past Med Hx
Objective Ax
Gait (walking & running)
Strength tests: Quads, Hamstrings, Glute med, gastroc & soleus. Include calf raises (Single leg, double leg, bent leg, straight leg
Functional tests i.e. Single leg squat, squat, SL bridge
Muscle bulk/ leg symmetry
Weight/ BMI
oedema, erythema, heat, tenderness on palpation
Alignment not a true factor in injury prediction
lower body joint ROM
Risk factors
Recent increases in load (distance, speed, frequency of running)
Young "Running age" - limited exposure to running
Previous injury/ unresolved injury
Changes in running surface, gradient
Low cadence + long stride length
Psychosocial influences, inappropriate training loads driven by exercise addiction
Rehab/ treatment
Strength training - lunges, squats, unilateral work, core
Load management principles (10% rule, walk/ jog), ensure rest days
Cross training (swimming, bike)
Stretching
Self-care (i.e. massage) + address psychosocial
Plyometric training
Variety - speed work, slow long distance, intervals & fartlek
Gait Analysis & limb alignment Ax - only part of the picture. Limited evidence that LL alignment is a contributor to running injuries. More likely load dependent.
Common injuries
PFPS
Achilles Tendonitis
Glute Med Tendonopathy
Plantar facilitis
Medial Tibial Stress Syndrome
Stress fractures