Background: Running overuse injuries (ROIs) occur within a complex, partly injury-specific interplay between training loads and extrinsic and intrinsic risk factors. Biomechanical risk factors (BRFs) are related to the individual running style. While BRFs have been reviewed regarding general ROI risk, no systematic review has addressed BRFs for specific ROIs using a standardized methodology. Objective: To identify and evaluate the evidence for the most relevant BRFs for ROIs determined during running and to suggest future research directions. Design: Systematic review considering prospective and retrospective studies. (PROSPERO_ID: 236,832). Data Sources: PubMed. Connected Papers. The search was performed in February 2021. Eligibility Criteria: English language. Studies on participants whose primary sport is running addressing the risk for the seven most common ROIs and at least one kinematic, kinetic (including pressure measurements), or electromyographic BRF. A BRF needed to be identified in at least one prospective or two independent retrospective studies. BRFs needed to be determined during running. Results: Sixty-six articles fulfilled our eligibility criteria. Levels of evidence for specific ROIs ranged from conflicting to moderate evidence. Running populations and methods applied varied considerably between studies. While some BRFs appeared for several ROIs, most BRFs were specific for a particular ROI. Most BRFs derived from lower-extremity joint kinematics and kinetics were located in the frontal and transverse planes of motion. Further, plantar pressure, vertical ground reaction force loading rate and free moment-related parameters were identified as kinetic BRFs. Conclusion: This study offers a comprehensive overview of BRFs for the most common ROIs, which might serve as a starting point to develop ROI-specific risk profiles of individual runners. We identified limited evidence for most ROI-specific risk factors, highlighting the need for performing further high-quality studies in the future. However, consensus on data collection standards (including the quantification of workload and stress tolerance variables and the reporting of injuries) is warranted.

The start from blocks is a fundamental component of all track and field sprint events (≤ 400 m). This narrative review focusses on biomechanical aspects of the block phase and the subsequent first flight and stance phases. We discuss specific features of technique and how they may be important for a high level of performance during the start. The need to appropriately quantify performance is discussed first; external power has recently become more frequently adopted because it provides a single measure that appropriately accounts for the requirement to increase horizontal velocity as much as possible in as little time as possible. In the “set” position, a relatively wide range of body configurations are adopted by sprinters irrespective of their ability level, and between-sprinter differences in these general positions do not appear to be directly associated with block phase performance. Greater average force production during the push against the blocks, especially from the rear leg and particularly the hip, appears to be important for performance. Immediately after exiting the blocks, shorter first flight durations and longer first stance durations (allowing more time to generate propulsive force) are found in sprinters of a higher performance level. During the first stance phase, the ankle and knee both appear to play an important role in energy generation, and higher levels of performance may be associated with a stiffer ankle joint and the ability to extend the knee throughout stance. However, the role of the sprinter’s body configuration at touchdown remains unclear, and the roles of strength and anatomy in these associations between technique and performance also remain largely unexplored. Other aspects such as the sex, age and performance level of the studied sprinters, as well as issues with measurement and comparisons with athletes with amputations, are also briefly considered.

Background: Many countries have restricted public life in order to contain the spread of the novel coronavirus (SARS-CoV2). As a side effect of related measures, physical activity (PA) levels may have decreased.Objective: We aimed (1) to quantify changes in PA and (2) to identify variables potentially predicting PA reductions.Methods: A systematic review with random-effects multilevel meta-analysis was performed, pooling the standardized mean differences in PA measures before and during public life restrictions.Results: A total of 173 trials with moderate methodological quality (modified Downs and Black checklist) were identified. Compared to pre-pandemic, total PA (SMD − 0.65, 95% CI − 1.10 to − 0.21) and walking (SMD − 0.52, 95% CI − 0.29 to − 0.76) decreased while sedentary behavior increased (SMD 0.91, 95% CI: 0.17 to 1.65). Reductions in PA affected all intensities (light: SMD − 0.35, 95% CI − 0.09 to − 0.61,p = .013; moderate: SMD − 0.33, 95% CI − 0.02 to − 0.6; vigorous: SMD − 0.33, − 0.08 to − 0.58, 95% CI − 0.08 to − 0.58) to a similar degree. Moderator analyses revealed no influence of variables such as sex, age, body mass index, or health status. However, the only continent without a PA reduction was Australia and cross-sectional trials yielded higher effect sizes (p < .05).Conclusion: Public life restrictions associated with the COVID-19 pandemic resulted in moderate reductions in PA levels and large increases in sedentary behavior. Health professionals and policy makers should therefore join forces to develop strategies counteracting the adverse effects of inactivity.

Advanced footwear technology (AFT) is currently being debated in sports. There is a direct evidence that distance running in AFT improves running economy. In addition, there is indirect evidence from competition performance for improved running performance from using AFTs in middle- and long-distance running and sprinting events. However, the extent to which world-class performance is affected across the full range of track and road racing events between genders has not been systematically analyzed. This study examined publicly available performance datasets of annual best track and road performances for evidence of potential systematic performance effects following the introduction of AFT. The analysis was based on the 100 best performances per year for men and women in outdoor events from 2010 to 2022, provided by the world governing body of athletics (World Athletics). We found evidence of progressing improvements in track and road running performances after the introduction of AFT for road races in 2016 and AFT for track racing in 2019. This evidence is more pronounced for distances longer than 1500 m in women and longer than 5000 m in men. Women seem to benefit more from AFT in distance running events than men. For the sprint events (100 m to 400 m hurdles), the peak performance gains in 2021 and 2022 compared to the pre-AFT period ranged from 0.6 to 1.1% and from 0.4 to 0.7% for women and men, respectively. For middle-distance events (400 m to 3000 m steeplechase), peak performance gains ranged from 0.6 to 1.9% and from 0.6 to 0.7% for women and men, respectively. For distances from 5000 m to the marathon, performance gains ranged from 2.2% to 3.5% and 0.7% to 1.4% for women and men, respectively. While the observational study design limits causal inference, this study provides a database on potential systematic performance effects after introducing advanced shoes/spikes in track and road running events in world-class athletes. Further research is needed to examine the underlying mechanisms and, in particular, potential gender differences in the performance effects of AFT.

Micro electro-mechanical systems (MEMS) are used to record training and match play of intermittent team sport athletes. Paired with estimates of internal responses or adaptations to exercise, practitioners gain insight into players’ dose–response relationship which facilitates the prescription of the training stimuli to optimize performance, prevent injuries, and to guide rehabilitation processes. A systematic review on the relationship between external, wearable-based, and internal parameters in team sport athletes, compliant with the PRISMA guidelines, was conducted. The literature research was performed from earliest record to 1 September 2020 using the databases PubMed, Web of Science, CINAHL, and SportDISCUS. A total of 66 full-text articles were reviewed encompassing 1541 athletes. About 109 different relationships between variables have been reviewed. The most investigated relationship across sports was found between (session) rating of perceived exertion ((session-)RPE) and PlayerLoad™ (PL) with, predominantly, moderate to strong associations (r = 0.49–0.84). Relationships between internal parameters and highly dynamic, anaerobic movements were heterogenous. Relationships between average heart rate (HR), Edward’s and Banister’s training impulse (TRIMP) seem to be reflected in parameters of overall activity such as PL and TD for running-intensive team sports. PL may further be suitable to estimate the overall subjective perception. To identify high fine-structured loading—relative to a certain type of sport—more specific measures and devices are needed. Individualization of parameters could be helpful to enhance practicality.

In pandemic times, the possibilities for conventional sports activities are severely limited; many sports facilities are closed or can only be used with restrictions. To counteract this lack of health activities and social exchange, people are increasingly adopting new digital sports solutions—a behavior change that had already started with the trend towards fitness apps and activity trackers. Existing research suggests that digital solutions increase the motivation to move and stay active. This work further investigates the potentials of digital sports incorporating the dimensions gender and preference for team sports versus individual sports. The study focuses on potential users, who were mostly younger professionals and academics. The results show that the SARS-CoV-19 pandemic had a significant negative impact on sports activity, particularly on persons preferring team sports. To compensate, most participants use more digital sports than before, and there is a positive correlation between the time spent physically active during the pandemic and the increase in motivation through digital sports. Nevertheless, there is still considerable skepticism regarding the potential of digital sports solutions to increase the motivation to do sports, increase performance, or raise a sense of team spirit when done in groups.