Biomechanical insights into Achilles tendinopathy risk and protection in runners: a large prospective study 4HAIE
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17450%2F25%3AA2603CQE" target="_blank" >RIV/61988987:17450/25:A2603CQE - isvavai.cz</a>
Result on the web
<a href="https://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2025-110260" target="_blank" >https://bjsm.bmj.com/lookup/doi/10.1136/bjsports-2025-110260</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1136/bjsports-2025-110260" target="_blank" >10.1136/bjsports-2025-110260</a>
Alternative languages
Result language
angličtina
Original language name
Biomechanical insights into Achilles tendinopathy risk and protection in runners: a large prospective study 4HAIE
Original language description
Objective This study aimed to evaluate whether lowerlimb biomechanics in runners and non-runners are riskfactors for the onset of Achilles tendinopathy, and toassess the contributions of age, sex, running distanceand injury history to the onset of Achilles tendinopathy. Methods This prospective cohort study used quotasampling stratified by age, sex, region and physicalactivity status (runner, non-runner). Baseline assessmentsincluded questionnaires on running history and Achillestendinopathy symptoms, running biomechanics, MRIand dual-energy X-ray absorptiometry. Participantswere followed for 1 year using a Fitbit device anda custom mobile application for weekly injuryreporting and orthopaedic diagnoses. Binary logisticregression identified risk factors (OR, 95% CI). Primarybiomechanical variables included ankle, knee and hipkinematics and kinetics during the stance phase ofrunning. The main outcome was a medically confirmeddiagnosis of Achilles tendinopathy within 1 year. Results Our study included 911 adults (mean age37.7±12.5 years; 429 (47%) females; 528 (58%)runners) followed for 1 year. A higher peak ankleinversion moment (OR 0.33, 95% CI 0.17 to 0.61) duringthe stance phase decreased the odds of developing Achilles tendinopathy, while a lower peak ankle externalrotation angle (OR 2.20, 95% CI 1.23 to 4.03) andgreater running distance (OR 1.67, 95% CI 1.23 to 2.22)increased the odds of onset. The findings were consistent across the full cohort and runners. Conclusion We identified a lower peak ankle inversionmoment, a lower peak ankle external rotation angle anda greater running volume as significant predictors of theonset of Achilles tendinopathy. Targeting biomechanicalfactors and running volume may help prevent Achilles tendinopathy.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30306 - Sport and fitness sciences
Result continuities
Project
Result was created during the realization of more than one project. More information in the Projects tab.
Continuities
P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)
Others
Publication year
2025
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
British Journal of Sports Medicine
ISSN
0306-3674
e-ISSN
1473-0480
Volume of the periodical
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Issue of the periodical within the volume
3
Country of publishing house
GB - UNITED KINGDOM
Number of pages
12
Pages from-to
186-197
UT code for WoS article
001636620000001
EID of the result in the Scopus database
2-s2.0-105024485310