Podcast Summary: Science on Track – Injured Runners Clinic🎙️ Episode OverviewThis episode explores a study on adolescent runners seekingcare at an injured runners clinic, focusing on clinical assessment, treatment,and referral trends. The study was published in the Journal of PediatricRehabilitation Medicine in 2024 and involved a retrospective review of 392patients and over 2,300 clinical encounters.

https://journals.sagepub.com/doi/10.3233/PRM-220082?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed

🧠 Key Guests & Their Roles

- Dr. Alexandra Dejong Lemke: Assistant Professor atVirginia Commonwealth University, led the study and shared insights from herclinical and research experience.
- Coach Mark Hoffman: High school coach from South Milwaukee, WI, provided apractical coaching perspective on injury management and athlete care.🔍 Study Highlights

- Most Common Injury: Shin bone stress injuries accountedfor 40% of clinic visits.- Referral Trends: Referrals to physical therapy, gait training, nutrition, and psychiatry were common.- Evolution of Care: Shift from symptom management to addressing root causessince 2015.- Evidence-Based Practice: Clinical practices aligned with consensus statements from 2014, 2018, and 2023.

🏃 Coaching Insights

- Early Intervention: Trust and communication are key toearly injury reporting.- On-Site Athletic Trainers: Improve injury management and reduce coach burden.
- Load Management: Adjust training volume using strategies like reduced reps and cross-training.
- Warm-Up & Cool-Down: Critical for injury prevention but often undervalued.

🥗 Nutrition & Injury Prevention

- RED-S (Relative Energy Deficiency in Sport): Under-fuelingis a major contributor to bone stress injuries.- Misconceptions: Harmful diets like no-fat diets can lead to long-term issues.

🧍‍♂️ Gait Analysis

- Clinic Approach: Uses video analysis and treadmillassessments.- Wearables: Provide useful metrics like cadence and stride length.

🧒 Youth Athlete Considerations

- Early Specialization Risks: Diverse movement and play helpprevent overuse injuries.
- Coaching Challenges: Managing training loads is complex with multi-sport athletes.

🧾 Final Takeaways

- Shin injuries dominate adolescent running injuries andrequire comprehensive care.
- Early reporting, multidisciplinary treatment, and evidence-based practicesare crucial.
- Coaches play a vital role in injury prevention through education, loadmanagement, and fostering trust.

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