Special Issue Rehabilitation of Running Injuries Ki Un Jang, M.D. Department of Rehabilitation Medicine Hallym University College of Medicine Hangang

Size: px

Start display at page:

Download "Special Issue Rehabilitation of Running Injuries Ki Un Jang, M.D. Department of Rehabilitation Medicine Hallym University College of Medicine Hangang"

세윤 소
5 years ago
Views:

1 Rehabilitation of Running Injuries Ki Un Jang, M.D. Department of Rehabilitation Medicine Hallym University College of Medicine Hangang Sacred Heart Hospital jangkiun@hanmail.net Abstract Running is becoming one of the most popular leisure sports. The growing popularity of running is due in part to its easy accessibility and health benefits. The incidence of running injuries ranges from 37% to 56%, which is still 2 to 6 times lower than in other sports. Most running injuries are musculoskeletal overuse syndrome of the lower extremities. The risk factors of running injuries include training errors, improper running surface, worn shoes, body flexibility, and prior injury. The knee is the most common site of injury and accounts for 25% to 33% of all, and patellofemoral stress syndrome is most commonly known as runner's knee. Iliotibial band syndrome, medial tibial stress syndrome, plantar fascitis, Achilles tendinitis, and stress fracture are all common injuries among runners. The process of rehabilitation is to be divided into four stages according to the athlete's level of function; the initial stage, intermediate stage, advanced stage, and final stage. Keywords : Runner; Injury; Patelofemoral; Foot; R e h a b i l i t a t i o n 963

2 964

3 965

4 966

5 967

6 968

7 969 A B

8 970

9 971

10 972

11 973

12 974

13 Manson JE. Triggering of sudden death from cardiac causes by vigorous exertion. N Engl J Med 2000; 343: Lane NE, Bloch DA, Jones HH. Longdistance running, bone density, and osteoarthritis. JAMA 1986; 255: Rich BS. Sudden death screening. Med Clin North Am 1994; 78: Van Mechelen W. Running injuries; A review of the epidemio- logical literature. Sports Med 1992; 14: Walter S, Hart L, McIntosh J, Sutton J. The Ontario Cohort Study of runningrelated injuries. Arch Intern Med 1989; 149: Lysholm J, Wilkander J. Injuries in runners. Am J Sports Med 18. Macera CA. Lower extremity injuries in runners. Advances in prediction. Sports Med 1992; 13: Fredericson M, Bergman AG. A comprehensive review of running injuries. Crit Rev Phys Rehabil Med 1999; 11: Fredericson M. Common injuries in runners. Diagnosis, rehabilitation, and prevention. Sports Med 1996: 21: Wen D, Puffer J, Schmalzried T. Lower extremity alignment and risk of overuse injuries in runners. Am Coll Sports Med 1997; 29: Brody DM. Techniques in the evaluation and treatment of the injured runner. Orthop Clin North Am 1982; 13: O connor FG, Wilder RP, ed. Textbook of running medicine. New York: McGrawHill, 2001 : 48-57, , Valmassy RL, ed. Clinical biomechanics of the lower extremi- ties, St. Louis: MosbyYear Book, 1996: Lun V, Meeuwisse WH, Stergiou P, Stefanyshyn D. Relation between running injury and static lower limb alignment in 11. Albert CM, Mittleman MA, Chae CU, Lee IM, Hennekens CH, 1987; 15: Jacobs S, Berson B. Injuries to runners: A study of entrants to a 10,000 meter race. Am J Sports Med 1986; 14: recreational runners. Br J Sports Med 2004; 38: Barber FA, Sutker AN. Iliotibial band syndrome. Sports Med 1992; 14: Bergman AG, Fredericson M, Ho C, Matheson GO. Asymp- 975

14 tomatic tibial stress reactions: MRI detection and clinical follow up in distance runners. Am J Roentgenol 2004; 183: Johnson AW, Weiss CB, Wheeler DL. Stress fractures of the femoral shaft in athletes more common than expected: A new clinical test. Am J Sports Med 1994; 22: Fredericson M, Bergman AG, Matheson GO. Stress fractures in athletes. Orthopaedic 1997; 26: Fredericson M, Bergman AG, Hoffman KL, Dillingham MS. Tibial stress reaction in runners: Correlation of clinical symptoms and scintigraphy with a new magnetic resonance grading system. Am J Sports Med 1995; 23: Bergman AG, Fredericson M. MR imaging of stress reactions, muscle injuries, and other overuse injuries in runners. MRI Clinics North Am 1999; 7: Freslon M, Soyer J, Iborra JP, Hadjadj S, Pries P, Clarac JP. An unusual cause of a stress femoral fracture in a longd i s t a n c e runner: a case of bilateral fracture. J Trauma 2004; 56: Hart LE. Prevention of lower limb soft tissue injuries in runners: a review. Clin J Sport Med 2002; 12: Scioli MW. Achilles tendinitis. Orthop Clin North Am 1994; 25; Peer Reviewer Commentary 976

스포츠과학 143호 내지.indd

스포츠과학 143호 내지.indd https simtk.org,, sanghyuk0620@kspo.or.kr.... 48 SPORT SCIENCE . 33 55% 1 2 Iwamoto and Takeda 2003 3 1 3.......?... 4 SPORT SCIENCE 1. 2 3 12 16 3 6.. 5 strain gauge. 1970. 6 1) Brukner, P., Bradshaw,