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The importance of distribution and intensity of training load in running injuries is emphasized. The focus shifts to the impact of factors like training distance, intensity, shoe choice, and non-training related stresses. The discussion stresses the need for gradual changes in training routines to prevent injuries.
The podcast highlights the difference in perspective between injury prevention and treatment, emphasizing the need for appropriate load adaptation. Training load errors, such as sudden increases in distance or speed without adequate adaptation, are linked to a higher risk of running injuries. Understanding individual adaptation and gradual conditioning is crucial in preventing injuries.
The impact of training surface and footwear changes on injury risk is explored. Transitioning to new surfaces or shoes without gradual adaptation can increase the risk of injuries. The recommendation to gradually introduce changes and vary footwear to distribute loads across different structures is underscored.
The need to balance speed, distance, and terrains to prevent injuries is discussed. The importance of gradual adaptation to new circumstances, such as terrain changes and shoe selections, is highlighted. By carefully managing changes in training routines and load, runners can mitigate the risk of overuse injuries.
It is crucial to introduce changes in running gradually to avoid injuries. Increasing distance, speed, changing shoes, surfaces, or introducing additional accessories should be done progressively to minimize the risk of injuries. Sudden changes can lead to overloading specific body structures, increasing the likelihood of strains or sprains.
As runners age, flexibility and range of motion may decrease, potentially increasing the risk of injuries, especially when sudden changes in movement patterns occur. Older runners may benefit from additional stretching exercises to maintain flexibility and avoid overexertion in unfamiliar range of motion. Being cautious with speed and terrain choices can help older runners mitigate injury risks.
Adapting to new stimuli, such as shoes, surfaces, and activities, gradually is essential for injury prevention in running. Being mindful of the training load, especially when incorporating new elements, can help runners maintain a balanced and sustainable approach to their running routine. Moderation, gradual progression, and listening to one's body are fundamental principles in injury prevention and long-term performance.
Dr Glenn McConell chats with Associate Professor Rasmus Østergaard Nielsen from Aarhus University who is an expert on the affect of training load and shoes on running-related injuries. This is the second of a series of podcast episodes on running injuries (See Prof Irene Davis’s episode).
Rasmus went from an overweight gamer to an injured runner to a exercise researcher! His research focuses on injury prevention, especially the importance of training load. Need to make slow changes. Seems don’t need motion control shoes for those with “excess pronation”. His main point is that one needs to give the body enough time to adapt or the likelihood of injury is increased. So don’t suddenly change things. This includes speed, distance, shoes, terrain etc. How gradual is gradual though? There tend to be different injuries from running long vs running fast (and when returning to running one should consider the cause of the original injury). What do in leisure time affects the total load. Shoes and running injuries. Very interesting stuff.
0:00. Introduction
3:05. Rasmus focuses on injury prevention
4:50. The importance of training load with injuries
8:10. Went from overweight gamer to runner to exercise researcher
15:12. “Excessive pronation” doesn’t increase injuries
20:20. If it ain’t broke, don’t fix it.
21:38. Injury rates
23:50. Don’t suddenly change things
25:00. Should increase 5-10% a week?
26:35. Injury from one session vs more chronic effects
30:20. Running speed, distance and load
32:40. Stride length and stride rate
36:00. Gradual changes are very important
40:08. Different injuries when run long vs fast
43:02. Don’t do too much too soon (change shoes, different terrain etc)
48:45. Generally the body can adapt if give it time
50:40. Might be good to have different shoes if used to them
53:50. How gradual is gradual though?
59:20. What do in leisure time affects the total load
1:02:27. Rearfoot vs forefoot strike and injuries
1:07:08. Evolution and running shoes, fan of minimalist shoes?
1:10:35. Training load needs to be considered in injury research
1:16:43. Quantifying load per stride etc
1:21:00. Recovery from injury (plantar fasciitis)
1:24:02. Shoes and running injuries
1:27:05. “Super shoes” and injury risk
1:28:48. Recovery from achilles tendon recovery
1:31:32. Running and knee osteoarthritis
1:33:53. Strength training and running injuries
1:39:00. Aging, stretching and running injuries
1:42:37. Sex differences and running injuries
1:44:23. Takeaway messages
1:46:26. Outro
Inside Exercise brings to you the who's who of research in exercise metabolism, exercise physiology and exercise’s effects on health. With scientific rigor, these researchers discuss popular exercise topics while providing practical strategies for all.
The interviewer, Emeritus Professor Glenn McConell, has an international research profile following 30 years of Exercise Metabolism research experience while at The University of Melbourne, Ball State University, Monash University, the University of Copenhagen and Victoria University.
He has published over 120 peer reviewed journal articles and recently edited an Exercise Metabolism eBook written by world experts on 17 different topics (https://link.springer.com/book/10.1007/978-3-030-94305-9).
Connect with Inside Exercise and Glenn McConell at:
Twitter: @Inside_exercise and @GlennMcConell1
Instagram: insideexercise
Facebook: Glenn McConell
LinkedIn: Glenn McConell https://www.linkedin.com/in/glenn-mcconell-83475460
ResearchGate: Glenn McConell
Email: glenn.mcconell@gmail.com
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Not medical advice
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