Can parallel use of different running shoes decrease running-related injury risk?

Authors

  • L. Malisoux,

    1. Sports Medicine Research Laboratory, Public Research Centre for Health, Luxembourg, Grand-Duchy of Luxembourg
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  • J. Ramesh,

    1. Sports Medicine Research Laboratory, Public Research Centre for Health, Luxembourg, Grand-Duchy of Luxembourg
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  • R. Mann,

    1. Sports Medicine Research Laboratory, Public Research Centre for Health, Luxembourg, Grand-Duchy of Luxembourg
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  • R. Seil,

    1. Sports Medicine Research Laboratory, Public Research Centre for Health, Luxembourg, Grand-Duchy of Luxembourg
    2. Sports Clinic, Clinique d'Eich, Centre Hospitalier de Luxembourg, Luxembourg, Grand-Duchy of Luxembourg
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  • A. Urhausen,

    1. Sports Medicine Research Laboratory, Public Research Centre for Health, Luxembourg, Grand-Duchy of Luxembourg
    2. Sports Clinic, Clinique d'Eich, Centre Hospitalier de Luxembourg, Luxembourg, Grand-Duchy of Luxembourg
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  • D. Theisen

    Corresponding author
    1. Sports Medicine Research Laboratory, Public Research Centre for Health, Luxembourg, Grand-Duchy of Luxembourg
    • Corresponding author: Daniel Theisen, 76 rue d'Eich, L-1460 Luxembourg, Grand-Duchy of Luxembourg. Tel: +352 26970 824, Fax: +352 26970 871, E-mail: daniel.theisen@crp-sante.lu

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Abstract

The aim of this study was to determine if runners who use concomitantly different pairs of running shoes are at a lower risk of running-related injury (RRI). Recreational runners (n = 264) participated in this 22-week prospective follow-up and reported all information about their running session characteristics, other sport participation and injuries on a dedicated Internet platform. A RRI was defined as a physical pain or complaint located at the lower limbs or lower back region, sustained during or as a result of running practice and impeding planned running activity for at least 1 day. One-third of the participants (n = 87) experienced at least one RRI during the observation period. The adjusted Cox regression analysis revealed that the parallel use of more than one pair of running shoes was a protective factor [hazard ratio (HR) = 0.614; 95% confidence interval (CI) = 0.389–0.969], while previous injury was a risk factor (HR = 1.722; 95%CI = 1.114–2.661). Additionally, increased mean session distance (km; HR = 0.795; 95%CI = 0.725–0.872) and increased weekly volume of other sports (h/week; HR = 0.848; 95%CI = 0.732–0.982) were associated with lower RRI risk. Multiple shoe use and participation in other sports are strategies potentially leading to a variation of the load applied to the musculoskeletal system. They could be advised to recreational runners to prevent RRI.

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