Biomechanical insights into Achilles tendinopathy risk and protection in runners: a large prospective study 4HAIE

Kód výsledku v 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>

Výsledek na webu

<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>

Jazyk výsledku

angličtina

Název v původním jazyce

Biomechanical insights into Achilles tendinopathy risk and protection in runners: a large prospective study 4HAIE

Popis výsledku v původním jazyce

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.

Název v anglickém jazyce

Biomechanical insights into Achilles tendinopathy risk and protection in runners: a large prospective study 4HAIE

Popis výsledku anglicky

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.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30306 - Sport and fitness sciences

Projekt

Výsledek vznikl pri realizaci vícero projektů. Více informací v záložce Projekty.

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

British Journal of Sports Medicine

ISSN

0306-3674

e-ISSN

1473-0480

Svazek periodika

—

Číslo periodika v rámci svazku

3

Stát vydavatele periodika

GB - Spojené království Velké Británie a Severního Irska

Počet stran výsledku

12

Strana od-do

186-197

Kód UT WoS článku

001636620000001

EID výsledku v databázi Scopus

2-s2.0-105024485310