Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão
| Ano de defesa: | 2011 |
|---|---|
| Autor(a) principal: | |
| Orientador(a): | |
| Banca de defesa: | |
| Tipo de documento: | Dissertação |
| Tipo de acesso: | Acesso aberto |
| Idioma: | por |
| Instituição de defesa: |
Universidade Cidade de São Paulo
Brasil Pós-Graduação Programa de Pós-Graduação Mestrado em Fisioterapia UNICID |
| Programa de Pós-Graduação: |
Não Informado pela instituição
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| Departamento: |
Não Informado pela instituição
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| País: |
Não Informado pela instituição
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| Palavras-chave em Português: | |
| Link de acesso: | https://repositorio.cruzeirodosul.edu.br/handle/123456789/1167 |
Resumo: | There is no consensus in the literature about what are the main musculoskeletal injuries in runners. The objective of this study was to systematically review what are the main musculoskeletal running-related injuries (MRRI). Searches were conducted in the EMBASE, MEDLINE, SPORTDISCUS, LILACS and SCIELO databases, with no limit of publication date and language, conducted by March 2011. We considered eligible articles related with MRRI that describe the incidence or prevalence of each MRRI. We excluded studies that reported only the type of injury or anatomical region, studies with incomplete data and studies conducted with only injured runners. The data extracted of the articles were the following: first author, publication year, study design, description of the population of runners reported by article, MRRI definition and the MRRI with their respective rates of incidence or prevalence. From 2781 titles of articles found only eight were eligible for this review. Most articles had a good score in assessment of risk of bias. The main MRRI found were: patellar tendinopathy (incidence ranged from 5.5% to 22.7%; prevalence ranged from 6.3% to 18.5%), medial tibial stress syndrome (incidence ranged from 13.6% to 20.0%; prevalence ranged from 7.8% to 11.1%), Achilles tendinopathy (incidence ranged from 9.1% to 10.9%; prevalence ranged from 6.2% to 18.5%), plantar fasciitis (incidence ranged from 4.5% to 10.0%; prevalence ranged from 5.2% to 17.5%), patellofemoral syndrome (incidence ranged from 5.5% to 6.9%; prevalence ranged from 5.5% to 15.6%) and iliotibial band syndrome (incidence ranged from 1.8% to 9.1%; prevalence ranged from 4.7% to 10.5%). Therefore, the main MRRI found in this systematic review were: (1) patellar tendinopathy, (2) medial tibia stress syndrome, (3) Achilles tendinopathy, (4) plantar fasciitis, (5) patellofemoral syndrome, and (6) iliotibial band syndrome. |
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Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesãoTraumatismos em atletasMúsculo esqueléticoTreinamentoFISIOTERAPIA E TERAPIA OCUPACIONALThere is no consensus in the literature about what are the main musculoskeletal injuries in runners. The objective of this study was to systematically review what are the main musculoskeletal running-related injuries (MRRI). Searches were conducted in the EMBASE, MEDLINE, SPORTDISCUS, LILACS and SCIELO databases, with no limit of publication date and language, conducted by March 2011. We considered eligible articles related with MRRI that describe the incidence or prevalence of each MRRI. We excluded studies that reported only the type of injury or anatomical region, studies with incomplete data and studies conducted with only injured runners. The data extracted of the articles were the following: first author, publication year, study design, description of the population of runners reported by article, MRRI definition and the MRRI with their respective rates of incidence or prevalence. From 2781 titles of articles found only eight were eligible for this review. Most articles had a good score in assessment of risk of bias. The main MRRI found were: patellar tendinopathy (incidence ranged from 5.5% to 22.7%; prevalence ranged from 6.3% to 18.5%), medial tibial stress syndrome (incidence ranged from 13.6% to 20.0%; prevalence ranged from 7.8% to 11.1%), Achilles tendinopathy (incidence ranged from 9.1% to 10.9%; prevalence ranged from 6.2% to 18.5%), plantar fasciitis (incidence ranged from 4.5% to 10.0%; prevalence ranged from 5.2% to 17.5%), patellofemoral syndrome (incidence ranged from 5.5% to 6.9%; prevalence ranged from 5.5% to 15.6%) and iliotibial band syndrome (incidence ranged from 1.8% to 9.1%; prevalence ranged from 4.7% to 10.5%). Therefore, the main MRRI found in this systematic review were: (1) patellar tendinopathy, (2) medial tibia stress syndrome, (3) Achilles tendinopathy, (4) plantar fasciitis, (5) patellofemoral syndrome, and (6) iliotibial band syndrome.Existem divergências na literatura sobre quais seriam as lesões musculoesqueléticas mais freqüentes em corredores. O objetivo deste estudo foi revisar sistematicamente quais são as principais lesões musculoesqueléticas relacionadas à corrida (LMRC) mais freqüentes em corredores. Foram conduzidas buscas nas bases de dados EMBASE, MEDLINE, SPORTDISCUS, LILACS e SCIELO, sem limite de data e língua de publicação, conduzidas até Março de 2011. Foram considerados elegíveis os artigos relacionados com LMRC e que descrevessem a incidência ou prevalência das LMRC. Foram excluídos os estudos que apresentaram apenas o tipo da lesão ou a região anatômica, estudos que apresentassem dados incompletos e estudos conduzidos apenas com corredores lesionados. Foram extraídos dos artigos os seguintes dados: primeiro autor, ano de publicação, tipo de estudo, descrição da população de corredores reportada pelo artigo, definição de LMRC e as LMRC com suas respectivas taxas de incidência ou prevalência. De 2781 títulos de artigos encontrados apenas oito foram considerados elegíveis para o estudo. A maioria dos artigos apresentaram um escore razoável de avaliação do risco de viés. As principais LMRC encontradas foram: tendinopatia do tendão patelar (incidência variando entre 5,5% a 22,7%; prevalência entre 6,3% a 18,5%), síndrome do estresse medial da tíbia (incidência entre 13,6% a 20,0%; prevalência entre 7,8% a 11,1%), tendinopatia do tendão calcâneo (incidência entre 9,1% a 10,9%; prevalência entre 6,2% a 18,5%), fascite plantar (incidência entre 4,5% a 10,0%; prevalência entre 5,2% a 17,5%), síndrome femoropatelar (incidência entre 5,5% a 6,9%; prevalência entre 5,5% a 15,6%) e síndrome da banda iliotibial (incidência entre 1,8% a 9,1%; prevalência entre 4,7% a 10,5%). Assim, as principais LMRC encontradas nesta revisão foram: tendinopatia do tendão patelar, síndrome do estresse medial da tíbia, tendinopatia do tendão calcâneo, fascite plantar, síndrome femoropatelar e síndrome da banda iliotibial.Universidade Cidade de São PauloBrasilPós-GraduaçãoPrograma de Pós-Graduação Mestrado em FisioterapiaUNICIDLopes , Alexandre Diashttp://lattes.cnpq.br/2634381371004831Costa, Leonardo Oliveira Penahttp://lattes.cnpq.br/2849026963494545Hespanhol Junior, Luiz Carlos2020-12-03T14:27:32Z2020-12-03T14:27:32Z2011-09-16info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfHESPANHOL JUNIOR, Luiz Carlos. Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão. Orientador: Prof. Dr. Alexandre Dias Lopes. 2011. 138f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011.https://repositorio.cruzeirodosul.edu.br/handle/123456789/1167por1. Alonso JM, Tscholl PM, Engebretsen L, Mountjoy M, Dvorak J, Junge A. Occurrence of injuries and illnesses during the 2009 IAAF World Athletics Championships. Br J Sports Med. 2010;44:1100-1105. 2. Bahr R. No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. Br J Sports Med. 2009;43:966-972. 3. Bovens AM, Janssen GM, Vermeer HG, Hoeberigs JH, Janssen MP, Verstappen FT. Occurrence of running injuries in adults following a supervised training program. Int J Sports Med. 1989;10:186-190S. 4. Buist I, Bredeweg SW, Bessem B, van Mechelen W, Lemmink KA, Diercks RL. Incidence and risk factors of running-related injuries during preparation for a 4-mile recreational running event. Br J Sports Med. 2008;44:598-604. 5. Buist I, Bredeweg SW, Lemmink KA, van Mechelen W, Diercks RL. Predictors of running-related injuries in novice runners enrolled in a systematic training program: a prospective cohort study. Am J Sports Med. 2010;38:273-280. 6. Buist I, Bredeweg SW, van Mechelen W, Lemmink KA, Pepping GJ, Diercks RL. No effect of a graded training program on the number of running-related injuries in novice runners: a randomized controlled trial. Am J Sports Med. 2008;36:33-39. 7. Chorley JN, Cianca JC, Divine JG, Hew TD. Baseline injury risk factors for runners starting a marathon training program. Clin J Sport Med. 2002;12:18-23. 8. Clement DB, Taunton JE, Smart GW, McNicol KL. A survey of overuse running injuries. Phys Sportsmed. 1981;9:47-58. 9. Colbert LH, Hootman JM, Macera CA. Physical activity-related injuries in walkers and runners in the aerobics center longitudinal study. Clin J Sport Med. 2000;10:259-263. 10. Corpore Brasil. Corpore Brasil. Available at: http://www.corpore.org.br/. Accessed August 02, 2011. 11. Corpore Brasil. Statistcs. Available at: http://www.corpore.org.br/cor_corpore_estatisticas.asp. Accessed July 21, 2011. 12. Fallon KE. Musculoskeletal injuries in the ultramarathon: the 1990 Westfield Sydney to Melbourne run. Br J Sports Med. 1996;30:319-323. 13. Hamner SR, Seth A, Delp SL. Muscle contributions to propulsion and support during running. J Biomech. 2010;43:2709-2716. 14. Hino AAF, Reis RS, Rodriguez-Añez CR, Fermino RC. Prevalence of Injuries and Associated Factors Among Street Runners. Rev Bras Med Esporte. 2009;15:36-39. 15. Instituto Ipsos Marplan. Esporte na vida do brasileiro. In: eds. In: Dossiê Esporte, Um estudo sobre o esporte na vida do brasileiro, 2ª Parte. 2006:61-88. 16. Jacobs SJ, Berson BL. Injuries to runners: a study of entrants to a 10,000 meter race. Am J Sports Med. 1986;14:151-155. 17. Jakobsen BW, Kroner K, Schmidt SA, Kjeldsen A. Prevention of injuries in long-distance runners. Knee Surg Sports Traumatol Arthrosc. 1994;2:245-249. 18. Knobloch K, Yoon U, Vogt PM. Acute and overuse injuries correlated to hours of training in master running athletes. Foot Ankle Int. 2008;29:671-676. 19. Kretsch A, Grogan R, Duras P, Allen F, Sumner J, Gillam I. 1980 Melbourne marathon study. Med J Aust. 1984;141:809-814. 20. Lun V, Meeuwisse WH, Stergiou P, Stefanyshyn D. Relation between running injury and static lower limb alignment in recreational runners. Br J Sports Med. 2004;38:576-580. 21. Lwanga SK, Lemeshow S. Sample size determination in health studies: a practical manual. Geneva: World Health Organization; 1991. 22. Lysholm J, Wiklander J. Injuries in runners. Am J Sports Med. 1987;15:168-171. 23. Macera CA, Pate RR, Powell KE, Jackson KL, Kendrick JS, Craven TE. Predicting lower-extremity injuries among habitual runners. Arch Intern Med. 1989;149:2565-2568. 24. Macintyre JG, Taunton JE, Clement DB, Lloyd-Smith DR, McKenzie DC, Morrell RW. Running injuries: a clinical study of 4,173 cases. Clin J Sport Med. 1991;1:81-87. 25. Marti B, Vader JP, Minder CE, Abelin T. On the epidemiology of running injuries. The 1984 Bern Grand-Prix study. Am J Sports Med. 1988;16:285-294. 26. Maughan RJ, Miller JD. Incidence of training-related injuries among marathon runners. Br J Sports Med. 1983;17:162-165. 27. McKelvie SJ, Valliant PM, Asu ME. Physical training and personality factors as predictors of marathon time and training injury. Percept Mot Skills. 1985;60:551-566. 28. Nguyen RB, Milsten AM, Cushman JT. Injury patterns and levels of care at a marathon. Prehosp Disaster Med. 2008;23:519-525. 29. Paty JG, Jr., Swafford D. Adolescent running injuries. J Adolesc Health Care. 1984;5:87-90. 30. Pazin J, Duarte MFS, Poeta LS, Gomes MA. Recreational road runners: injuries, training, demographics and physical characteristics. Rev Bras Cineantropom Desempenho Hum. 2008;10:277-282. 31. Pileggi P, Gualano B, Souza M, et al. Incidência e fatores de risco de lesões osteomioarticulares em corredores: um estudo de coorte prospectivo. Rev Bras Educ Fís Esporte. 2010;24:453-462. 32. Rauh MJ, Koepsell TD, Rivara FP, Margherita AJ, Rice SG. Epidemiology of musculoskeletal injuries among high school cross-country runners. Am J Epidemiol. 2006;163:151-159. 33. Satterthwaite P, Larmer P, Gardiner J, Norton R. Incidence of injuries and other health problems in the Auckland Citibank marathon, 1993. Br J Sports Med. 1996;30:324-326. 34. Satterthwaite P, Norton R, Larmer P, Robinson E. Risk factors for injuries and other health problems sustained in a marathon. Br J Sports Med. 1999;33:22-26. 35. Shirley D, van der Ploeg HP, Bauman AE. Physical activity promotion in the physical therapy setting: perspectives from practitioners and students. Phys Ther. 2010;90:1311-1322. 36. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A prospective study of running injuries: the Vancouver Sun Run "In Training" clinics. Br J Sports Med. 2003;37:239-244. 37. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. Br J Sports Med. 2002;36:95-101. 38. van Gent RN, Siem D, van Middelkoop M, van Os AG, Bierma-Zeinstra SM, Koes BW. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br J Sports Med. 2007;41:469-480. 39. Van Middelkoop M, Kolkman J, Van Ochten J, Bierma-Zeinstra SM, Koes B. Prevalence and incidence of lower extremity injuries in male marathon runners. Scand J Med Sci Sports. 2008;18:140-144. 40. van Middelkoop M, Kolkman J, van Ochten J, Bierma-Zeinstra SM, Koes BW. Course and predicting factors of lower-extremity injuries after running a marathon. Clin J Sport Med. 2007;17:25-30. 41. Van Middelkoop M, Kolkman J, Van Ochten J, Bierma-Zeinstra SM, Koes BW. Risk factors for lower extremity injuries among male marathon runners. Scand J Med Sci Sports. 2008;18:691-697. 42. Verhagen E, Engbers L. The physical therapist's role in physical activity promotion. Br J Sports Med. 2009;43:99-101. 43. Verhagen E, van Mechelen W. Sports Injury Research. 1. New York: Oxford; 2010. 44. Walter SD, Hart LE, McIntosh JM, Sutton JR. The Ontario cohort study of running-related injuries. Arch Intern Med. 1989;149:2561-2564. 45. Wen DY, Puffer JC, Schmalzried TP. Injuries in runners: a prospective study of alignment. Clin J Sport Med. 1998;8:187-194. 46. Williams PT. Relationship of distance run per week to coronary heart disease risk factors in 8283 male runners. The National Runners' Health Study. Arch Intern Med. 1997;157:191-198.info:eu-repo/semantics/openAccessreponame:Repositório do Centro Universitário Braz Cubasinstname:Centro Universitário Braz Cubas (CUB)instacron:CUB2020-12-03T14:29:20Zoai:repositorio.cruzeirodosul.edu.br:123456789/1167Repositório InstitucionalPUBhttps://repositorio.brazcubas.edu.br/oai/requestbibli@brazcubas.edu.bropendoar:2020-12-03T14:29:20Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB)false |
| dc.title.none.fl_str_mv |
Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão |
| title |
Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão |
| spellingShingle |
Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão Hespanhol Junior, Luiz Carlos Traumatismos em atletas Músculo esquelético Treinamento FISIOTERAPIA E TERAPIA OCUPACIONAL |
| title_short |
Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão |
| title_full |
Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão |
| title_fullStr |
Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão |
| title_full_unstemmed |
Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão |
| title_sort |
Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão |
| author |
Hespanhol Junior, Luiz Carlos |
| author_facet |
Hespanhol Junior, Luiz Carlos |
| author_role |
author |
| dc.contributor.none.fl_str_mv |
Lopes , Alexandre Dias http://lattes.cnpq.br/2634381371004831 Costa, Leonardo Oliveira Pena http://lattes.cnpq.br/2849026963494545 |
| dc.contributor.author.fl_str_mv |
Hespanhol Junior, Luiz Carlos |
| dc.subject.por.fl_str_mv |
Traumatismos em atletas Músculo esquelético Treinamento FISIOTERAPIA E TERAPIA OCUPACIONAL |
| topic |
Traumatismos em atletas Músculo esquelético Treinamento FISIOTERAPIA E TERAPIA OCUPACIONAL |
| description |
There is no consensus in the literature about what are the main musculoskeletal injuries in runners. The objective of this study was to systematically review what are the main musculoskeletal running-related injuries (MRRI). Searches were conducted in the EMBASE, MEDLINE, SPORTDISCUS, LILACS and SCIELO databases, with no limit of publication date and language, conducted by March 2011. We considered eligible articles related with MRRI that describe the incidence or prevalence of each MRRI. We excluded studies that reported only the type of injury or anatomical region, studies with incomplete data and studies conducted with only injured runners. The data extracted of the articles were the following: first author, publication year, study design, description of the population of runners reported by article, MRRI definition and the MRRI with their respective rates of incidence or prevalence. From 2781 titles of articles found only eight were eligible for this review. Most articles had a good score in assessment of risk of bias. The main MRRI found were: patellar tendinopathy (incidence ranged from 5.5% to 22.7%; prevalence ranged from 6.3% to 18.5%), medial tibial stress syndrome (incidence ranged from 13.6% to 20.0%; prevalence ranged from 7.8% to 11.1%), Achilles tendinopathy (incidence ranged from 9.1% to 10.9%; prevalence ranged from 6.2% to 18.5%), plantar fasciitis (incidence ranged from 4.5% to 10.0%; prevalence ranged from 5.2% to 17.5%), patellofemoral syndrome (incidence ranged from 5.5% to 6.9%; prevalence ranged from 5.5% to 15.6%) and iliotibial band syndrome (incidence ranged from 1.8% to 9.1%; prevalence ranged from 4.7% to 10.5%). Therefore, the main MRRI found in this systematic review were: (1) patellar tendinopathy, (2) medial tibia stress syndrome, (3) Achilles tendinopathy, (4) plantar fasciitis, (5) patellofemoral syndrome, and (6) iliotibial band syndrome. |
| publishDate |
2011 |
| dc.date.none.fl_str_mv |
2011-09-16 2020-12-03T14:27:32Z 2020-12-03T14:27:32Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
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HESPANHOL JUNIOR, Luiz Carlos. Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão. Orientador: Prof. Dr. Alexandre Dias Lopes. 2011. 138f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011. https://repositorio.cruzeirodosul.edu.br/handle/123456789/1167 |
| identifier_str_mv |
HESPANHOL JUNIOR, Luiz Carlos. Lesões musculoesqueléticas em corredores e características do treinamento: descrições, associações e taxas de lesão. Orientador: Prof. Dr. Alexandre Dias Lopes. 2011. 138f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011. |
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https://repositorio.cruzeirodosul.edu.br/handle/123456789/1167 |
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por |
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por |
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1. Alonso JM, Tscholl PM, Engebretsen L, Mountjoy M, Dvorak J, Junge A. Occurrence of injuries and illnesses during the 2009 IAAF World Athletics Championships. Br J Sports Med. 2010;44:1100-1105. 2. Bahr R. No injuries, but plenty of pain? On the methodology for recording overuse symptoms in sports. Br J Sports Med. 2009;43:966-972. 3. Bovens AM, Janssen GM, Vermeer HG, Hoeberigs JH, Janssen MP, Verstappen FT. Occurrence of running injuries in adults following a supervised training program. Int J Sports Med. 1989;10:186-190S. 4. Buist I, Bredeweg SW, Bessem B, van Mechelen W, Lemmink KA, Diercks RL. Incidence and risk factors of running-related injuries during preparation for a 4-mile recreational running event. Br J Sports Med. 2008;44:598-604. 5. Buist I, Bredeweg SW, Lemmink KA, van Mechelen W, Diercks RL. Predictors of running-related injuries in novice runners enrolled in a systematic training program: a prospective cohort study. Am J Sports Med. 2010;38:273-280. 6. Buist I, Bredeweg SW, van Mechelen W, Lemmink KA, Pepping GJ, Diercks RL. No effect of a graded training program on the number of running-related injuries in novice runners: a randomized controlled trial. Am J Sports Med. 2008;36:33-39. 7. Chorley JN, Cianca JC, Divine JG, Hew TD. Baseline injury risk factors for runners starting a marathon training program. Clin J Sport Med. 2002;12:18-23. 8. Clement DB, Taunton JE, Smart GW, McNicol KL. A survey of overuse running injuries. Phys Sportsmed. 1981;9:47-58. 9. Colbert LH, Hootman JM, Macera CA. Physical activity-related injuries in walkers and runners in the aerobics center longitudinal study. Clin J Sport Med. 2000;10:259-263. 10. Corpore Brasil. Corpore Brasil. Available at: http://www.corpore.org.br/. Accessed August 02, 2011. 11. Corpore Brasil. Statistcs. Available at: http://www.corpore.org.br/cor_corpore_estatisticas.asp. Accessed July 21, 2011. 12. Fallon KE. Musculoskeletal injuries in the ultramarathon: the 1990 Westfield Sydney to Melbourne run. Br J Sports Med. 1996;30:319-323. 13. Hamner SR, Seth A, Delp SL. Muscle contributions to propulsion and support during running. J Biomech. 2010;43:2709-2716. 14. Hino AAF, Reis RS, Rodriguez-Añez CR, Fermino RC. Prevalence of Injuries and Associated Factors Among Street Runners. Rev Bras Med Esporte. 2009;15:36-39. 15. Instituto Ipsos Marplan. Esporte na vida do brasileiro. In: eds. In: Dossiê Esporte, Um estudo sobre o esporte na vida do brasileiro, 2ª Parte. 2006:61-88. 16. Jacobs SJ, Berson BL. Injuries to runners: a study of entrants to a 10,000 meter race. Am J Sports Med. 1986;14:151-155. 17. Jakobsen BW, Kroner K, Schmidt SA, Kjeldsen A. Prevention of injuries in long-distance runners. Knee Surg Sports Traumatol Arthrosc. 1994;2:245-249. 18. Knobloch K, Yoon U, Vogt PM. Acute and overuse injuries correlated to hours of training in master running athletes. Foot Ankle Int. 2008;29:671-676. 19. Kretsch A, Grogan R, Duras P, Allen F, Sumner J, Gillam I. 1980 Melbourne marathon study. Med J Aust. 1984;141:809-814. 20. Lun V, Meeuwisse WH, Stergiou P, Stefanyshyn D. Relation between running injury and static lower limb alignment in recreational runners. Br J Sports Med. 2004;38:576-580. 21. Lwanga SK, Lemeshow S. Sample size determination in health studies: a practical manual. Geneva: World Health Organization; 1991. 22. Lysholm J, Wiklander J. Injuries in runners. Am J Sports Med. 1987;15:168-171. 23. Macera CA, Pate RR, Powell KE, Jackson KL, Kendrick JS, Craven TE. Predicting lower-extremity injuries among habitual runners. Arch Intern Med. 1989;149:2565-2568. 24. Macintyre JG, Taunton JE, Clement DB, Lloyd-Smith DR, McKenzie DC, Morrell RW. Running injuries: a clinical study of 4,173 cases. Clin J Sport Med. 1991;1:81-87. 25. Marti B, Vader JP, Minder CE, Abelin T. On the epidemiology of running injuries. The 1984 Bern Grand-Prix study. Am J Sports Med. 1988;16:285-294. 26. Maughan RJ, Miller JD. Incidence of training-related injuries among marathon runners. Br J Sports Med. 1983;17:162-165. 27. McKelvie SJ, Valliant PM, Asu ME. Physical training and personality factors as predictors of marathon time and training injury. Percept Mot Skills. 1985;60:551-566. 28. Nguyen RB, Milsten AM, Cushman JT. Injury patterns and levels of care at a marathon. Prehosp Disaster Med. 2008;23:519-525. 29. Paty JG, Jr., Swafford D. Adolescent running injuries. J Adolesc Health Care. 1984;5:87-90. 30. Pazin J, Duarte MFS, Poeta LS, Gomes MA. Recreational road runners: injuries, training, demographics and physical characteristics. Rev Bras Cineantropom Desempenho Hum. 2008;10:277-282. 31. Pileggi P, Gualano B, Souza M, et al. Incidência e fatores de risco de lesões osteomioarticulares em corredores: um estudo de coorte prospectivo. Rev Bras Educ Fís Esporte. 2010;24:453-462. 32. Rauh MJ, Koepsell TD, Rivara FP, Margherita AJ, Rice SG. Epidemiology of musculoskeletal injuries among high school cross-country runners. Am J Epidemiol. 2006;163:151-159. 33. Satterthwaite P, Larmer P, Gardiner J, Norton R. Incidence of injuries and other health problems in the Auckland Citibank marathon, 1993. Br J Sports Med. 1996;30:324-326. 34. Satterthwaite P, Norton R, Larmer P, Robinson E. Risk factors for injuries and other health problems sustained in a marathon. Br J Sports Med. 1999;33:22-26. 35. Shirley D, van der Ploeg HP, Bauman AE. Physical activity promotion in the physical therapy setting: perspectives from practitioners and students. Phys Ther. 2010;90:1311-1322. 36. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A prospective study of running injuries: the Vancouver Sun Run "In Training" clinics. Br J Sports Med. 2003;37:239-244. 37. Taunton JE, Ryan MB, Clement DB, McKenzie DC, Lloyd-Smith DR, Zumbo BD. A retrospective case-control analysis of 2002 running injuries. 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