The Effects of Strength Training on Injury Prevention in the Long-Distance Runner

Long distance running is an endurance sport that requires a lot of dedication and hard work. While many runners focus solely on running to improve their performance, incorporating strength training into their routine can have numerous benefits. In this blog post, we will discuss the benefits of strength training for long distance runners, 3 common overuse injuries suffered by long-distance runners, and some simple strengthening exercises that can be performed to help prevent injury and improve performance. 

Strength training is an essential component of a long-distance runner's training program. It can improve running performance, increase muscle strength, and help prevent injury. The repetitive nature of running can lead to overuse injuries, such as IT band syndrome, runner's knee, and shin splints. However, strength training can help reduce the risk of these injuries by improving the strength and flexibility of the muscles used in running.

IT band syndrome, runner’s knee and shin splints are all common overuse injuries among the runner and athlete populations. Let’s break these injuries down a little bit: 

  • The IT (iliotibial) band is a thick band of tissue that runs from the hip to the knee, and when it becomes tight or inflamed, it can cause pain on the outside of the knee. Once inflamed, the pain may be more pronounced during activities such as running, walking, or climbing stairs.

  • Runner's knee, also known as patellofemoral pain syndrome is characterized by pain around or behind the kneecap, especially when bending the knee or climbing stairs. Runner's knee can be caused by a variety of factors, including overuse, muscle imbalances, and problems with the alignment or tracking of the kneecap.

  • Shin splints are characterized by pain along the shinbone (tibia), usually on the inside edge. Shin splints can be caused by repetitive stress on the shinbone and the muscles, tendons, and tissues surrounding it. This can occur due to factors such as overuse, improper footwear, muscle imbalances, and running on hard or uneven surfaces. 

It is important to address the underlying causes of the aforementioned injuries in order  to prevent them from becoming a chronic issue. 

Evidence supporting the benefits of strength training for the long-distance runner:

A systematic review published in the Journal of Strength and Conditioning Research analyzed 28 studies on the effects of strength training on endurance running performance. The review concluded that strength training can improve running economy, time to exhaustion, and maximal oxygen uptake, all of which are essential components of long-distance running performance.

Another study published in the Scandinavian Journal of Medicine & Science in Sports found that runners who performed strength training exercises twice a week for six months had a significant reduction in the incidence of overuse injuries compared to a control group that did not perform any strength training. The strength training exercises included squats, lunges, calf raises, and single-leg balance exercises, which targeted the muscles used in running.

Incorporating strength training into a running routine can also help correct muscle imbalances that can lead to injury. For example, weak glute muscles can lead to IT band syndrome, while weak calf muscles can lead to Achilles tendonitis. Strengthening these muscles can help prevent these injuries from occurring.

A study published in the Journal of Strength and Conditioning Research found that runners who performed strength training exercises twice a week for six weeks had a significant improvement in running mechanics, which could help reduce the risk of injury. The strength training exercises included single-leg squats, lunges, and calf raises.

Strengthening exercises that can be performed at home without any equipment:

  1. Squats

  2. Lunges

  3. Calf raises

  4. Split squats

  5. Single Leg RDL’s 

It is important to note that strength training should be done in conjunction with a proper warm-up and cool-down routine to prevent injury. It is also recommended that runners work with a certified strength and conditioning specialist or a physical therapist to develop a strength training program that is tailored to their specific needs and goals.

In conclusion, strength training can improve long-distance running performance and reduce the risk of injury by improving muscle strength, flexibility, and correcting muscle imbalances. By incorporating strength training into their routine, runners can stay injury-free and continue to train without interruption.


Citations:

  1. Beattie, K., Carson, B. P., Lyons, M., & Kenny, I. C. (2017). The effect of strength training on performance in endurance athletes. Sports medicine, 47(8), 1631-1650.

  2. Lauersen, J. B., Bertelsen, D. M., & Andersen, L. B. (2014). The effectiveness of exercise interventions to prevent sports injuries: a systematic review and meta-analysis of randomised controlled trials. British journal of sports medicine, 48(11), 871-877.

  3. Lauersen, J. B., Andersen, T. E., & Andersen, L. B. (2018). Strength training as superior, dose-dependent and safe prevention of acute and overuse sports injuries: a systematic review, qualitative analysis and meta-analysis. British journal of sports medicine, 52(24), 1557-1563.

  4. Mikkola, J., Vesterinen, V., Taipale, R., Capostagno, B., Häkkinen, K., & Nummela, A. (2011). Effect of resistance training regimens on treadmill running and neuromuscular performance in recreational endurance runners. Journal of sports sciences, 29(13), 1359-1371.

  5. Sáez-Sáez de Villarreal, E., Requena, B., & Newton, R. U. (2010). Does plyometric training improve strength performance? A meta-analysis. Journal of science and medicine in sport, 13(5), 513-522.

What is golf fitness?

To my fellow golfers and golf-enthusiasts,

Long Island golf season is coming to an unfortunate screeching halt. With cold weather amongst us, it is time to either migrate south with the birds or find a local golf simulator to get your swing work in. Fortunately, the game of golf is evolving and now athletes can improve their golf performance without a club in their hands. How, you ask? By maximizing power development, mobility, flexibility, strength, balance/stability, and even coordination, to bring your game to the next level. That's called: GOLF FITNESS!

What is golf fitness?

Golf fitness isn't about looking like Arnold Schwarzenegger or the top players on tour. It's about being fit to play the game of golf at an individual's highest level. Your highest level! It is about playing as many rounds of golf as you desire, without acquiring an injury. It is about identifying any strength deficits or mobility limitations that may hinder your performance and understanding how your physical limitations impact your golf swing. And, more importantly, how to address those limitations through strength and conditioning and physical rehab.

What are the benefits of a golf fitness program?

Although golf may not be a fast-paced, contact sport like football and hockey, it certainly is a high-velocity, repetitive full-body movement. In addition to strength, a golf swing requires an adequate range of motion in almost every joint in your body ranging from your neck to your feet/ankles!

Improve your mobility/flexibility: Your ability to achieve adequate positions in your golf swing is a priority in golf fitness, arguably more than strength. A full swing requires sufficient range of motion in your neck, shoulders, wrists, hips, spine and ankles. Lacking motion in one of these can be detrimental to your performance and lead to compensatory patterns. A well designed golf fitness program will address your individual mobility limitations on a regular basis.

Increase your total body strength: In order to produce a consistent, reproducible golf swing you must be able to create stability through your lower body to create a stable foundation for your torso and arms to rotate around. Increasing your strength will become a priority once your significant mobility limitations are addressed.

When initiating a golf fitness program at Movement Headquarters, day 1 will consist of a full-body movement assessment and a Titleist Performance Institute Screen. We will better understand how you move as an athlete in the gym and on the golf course. This will allow your doctor/coach to create a game-plan tailored to you, where we will address any movement restrictions that prevent you from performing on the course. Whether you are a novice to exercise or a gym rat, we will meet you at your current level and progress your program accordingly!

Can golf fitness help prevent common golf-related injuries?

As mentioned before, golf is a high-velocity, repetitive full-body movement. Just like your swing coach may discuss the importance of proper timing throughout the kinematic sequence (utilizing your hips, then torso, then shoulders, then hands), your golf fitness coach will discuss the importance of optimizing your kinematic chain. For example, it is imperative for a golfer to have the ability to stack and maintain tension through their foot, ankle, knee, pelvis and spine during the majority of functional movements like squats and deadlifts. Just like a chain, you are only as strong as your weakest link. Golf fitness can help you reduce your risk of acquiring common golf injuries like low back pain, elbow and wrist tendonitis, rotator cuff tears, neck pain, knee ligament sprains.

What kind of results can I expect from undergoing a golf fitness program and working with a Titleist Performance Institute Certified Provider?


Since our golf fitness coaches are also doctors of physical therapy, we have a unique opportunity to bridge the gap between rehab and performance. So whether you are a golfer suffering from chronic pain or someone in great shape looking to optimize your athletic performance, we've got you covered! We utilize principles from rehabilitation, strength and conditioning and sports performance to assess your current function

When you work with us at Movement Headquarters, there are 3 things we promise to provide:

  1. Clarity

    • You will understand your diagnosis/injury

    • You will know the next actionable steps to take in order to get out of pain

    • You will see that it is possible to get back to activities that you enjoy!

  2. Accountability

    • You will have our daily support and motivation to complete your individualized home exercise program

  3. Empowerment

    • You will take control of your situation and actively work towards accomplishing your goals. We will help you change your life for the better!

All sessions will be on a 1-on-1 basis with your doctor/Titleist Performance Institute Certified coach to ensure clear communication and to provide the highest standard of golf performance training.

Winter Golf Programs Starting 1/3/21! Programs will include a combination of instruction from a PGA Professional and golf fitness with a Doctor of Physical Therapy/TPI Certified Provider.

If you are interested in working with us in-person at our Northport physical therapy and sports performance facility or remotely, please give us a call at 631-380-3820 or visit our website https://movementhqpt.com. Take advantage of this winter and improve your golf fitness, today!

By Dr. Patrick Gathman, PT, DPT, CSCS, Titleist Performance Institute Certified.