INTRODUCTION:
For physiotherapists and coaches, guiding runners through progression while avoiding injuries is a difficult task. They often work on adjustments of the running technique but, to date, they are still faced with several uncertainties, such as whether there is a ‘safe running technique’, whether there is a ‘performance-oriented running technique’, and whether these safe and performance-oriented running techniques are compatible. It is also unclear if these questions can be answered for all types of running-related injuries, situations, and runners. These are highly multifactorial questions with many interdependencies, highlighting the complexity of the topic. The problem is that the literature appears to be fragmented and often contradictory, due to the dominance of the reductionist approach in biomedical sciences. A holistic approach, for example using system dynamics, could greatly improve the body of knowledge. However, a prerequisite to use system dynamics is a strong grasp of the current literature. Hence, a scoping review is currently being conducted on the interrelationships between running technique, the risk of running-related injuries (RRI), and performance measured as running economy (RE).
METHODS:
The study is conducted in accordance with the JBI methodology. Population-Concept-Context search strategies were developed with an academic librarian for literature search on MEDLINE, Embase, PROSPERO, Cochrane Database and JBI EBP Database, as well as with the search engines Google Scholar and OAIster to locate grey literature and unpublished work. The search was limited to articles in English, French, German, Italian and Spanish. The found items are being screened by two independent researchers in a three-stage process: i) based on title, ii) based on abstract, and iii) based on full text. Peer-reviewed literature of all levels of evidence will be included. Studies are included if they relate to causal relationships between any two of the three domains (running technique, RRI, and RE) or between all three together. Inclusion disagreements are discussed, and a third researcher is consulted if no consensus can be reached. Data will be extracted using a data extraction sheet. Results will be presented according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines.
RESULTS:
In MEDLINE and Embase, a total of 1307 and 1475 items were found, respectively. A total of 141 (PROSPERO), 300 (Cochrane) and 3 (JBI EBP Database) reviews were found. Using Google Scholar and OAIster, 1600 and 52 articles were found, respectively.
CONCLUSION:
The results will map the extent of the current literature and summarise the body of knowledge on the complex interactions between running technique, RRI and RE. A first network analysis will also be performed based on the results. The network analysis will form the basis for a first system dynamics model in a future research project.