Criteria and Guidelines for Returning to Running Following a Tibial Bone Stress Injury: A Scoping Review

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aut.relation.endpage19
aut.relation.journalSports Medicine
aut.relation.pages19
aut.relation.startpage1
dc.contributor.authorGeorge, Esther
dc.contributor.authorSheerin, Kelly
dc.contributor.authorReid, Duncan
dc.date.accessioned2024-08-15T04:30:35Z
dc.date.available2024-08-15T04:30:35Z
dc.date.issued2024-08-14
dc.description.abstractTibial bone stress injuries (BSIs) are common among long-distance runners. They have a high recurrence rate, and complexity emerges in the wider management and successful return to running. Following a tibial BSI, a critical component of complete rehabilitation is the successful return to running, and there is a lack of consistency or strong evidence to guide this process. The objectives of this review were to outline the criteria used in clinical decision-making prior to resuming running, and to establish evidence-based guidelines for the return to running process following a tibial BSI. Electronic databases including MEDLINE, CINAHL, Scopus, SPORTDiscus and AMED were searched for studies that stated criteria or provided guidelines on the objectives above. Fifty studies met the inclusion criteria and were included. Thirty-nine were reviews or clinical commentaries, three were retrospective cohort studies, two were randomised controlled trials, two were pilot studies, one was a prospective observational study, and three were case studies. Therefore, the recommendations that have been surmised are based on level IV evidence. Decisions on when an athlete should return to running should be shared between clinicians, coaches and the athlete. There are five important components to address prior to introducing running, which are: the resolution of bony tenderness, pain-free walking, evidence of radiological healing in high-risk BSIs, strength, functional and loading tests, and the identification of contributing factors. Effective return to running planning should address the athlete’s risk profile and manage the risk by balancing the athlete’s interests and reinjury prevention. An individualised graduated return to running programme should be initiated, often starting with walk-run intervals, progressing running distance ahead of speed and intensity, with symptom provocation a key consideration. Contributing factors to the initial injury should be addressed throughout the return to run process.
dc.identifier.citationSports Medicine, ISSN: 0112-1642 (Print); 1179-2035 (Online), Springer, 1-19. doi: 10.1007/s40279-024-02051-y
dc.identifier.doi10.1007/s40279-024-02051-y
dc.identifier.issn0112-1642
dc.identifier.issn1179-2035
dc.identifier.urihttp://hdl.handle.net/10292/17891
dc.publisherSpringer
dc.rightsOpen Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
dc.rights.accessrightsOpenAccess
dc.rights.urihttps://link.springer.com/article/10.1007/s40279-024-02051-y
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject0913 Mechanical Engineering
dc.subject1106 Human Movement and Sports Sciences
dc.subject1302 Curriculum and Pedagogy
dc.subjectSport Sciences
dc.subject4201 Allied health and rehabilitation science
dc.subject4207 Sports science and exercise
dc.titleCriteria and Guidelines for Returning to Running Following a Tibial Bone Stress Injury: A Scoping Review
dc.typeJournal Article
pubs.elements-id565875
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