Exploring contextual factors for management and prevention of running-related injuries: runners and experts’ perspectives

Running is one of the most accessible and popular physical activities worldwide; however, injuries are the main barrier to sustaining running practice. While quantitative studies have explored prevalence and risk factors, a critical gap exists in understanding subjective experiences, perceptions and...

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Main Authors: Caroline Bolling, Manuela Besomi, Sonia Roa-Alcaino, Ángela Lombardi, Rocío Vélez-Rivera, Jaime Leppe Zamora
Format: Article
Language:English
Published: BMJ Publishing Group 2025-06-01
Series:BMJ Open Sport & Exercise Medicine
Online Access:https://bmjopensem.bmj.com/content/11/2/e002413.full
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author Caroline Bolling
Manuela Besomi
Sonia Roa-Alcaino
Ángela Lombardi
Rocío Vélez-Rivera
Jaime Leppe Zamora
author_facet Caroline Bolling
Manuela Besomi
Sonia Roa-Alcaino
Ángela Lombardi
Rocío Vélez-Rivera
Jaime Leppe Zamora
author_sort Caroline Bolling
collection DOAJ
description Running is one of the most accessible and popular physical activities worldwide; however, injuries are the main barrier to sustaining running practice. While quantitative studies have explored prevalence and risk factors, a critical gap exists in understanding subjective experiences, perceptions and contextual influences on injury management and prevention. This qualitative study aimed to explore the perspectives of runners and experts regarding injury perception, management and prevention, as well as the contextual influence of these processes. Using a secondary data analysis approach, this study drew from qualitative semistructured interviews with Chilean runners (n=15) and running experts (n=6). Thematic analysis, guided by an interpretivist approach, uncovered intrinsic factors (identity, motivation, stress and self-learning) and extrinsic factors (environment, information sources, marketing, peer advice, professional guidance, racing, stereotype and clothing) that shaped runners’ behaviours. Less experienced runners associated injury risk with asphalt surfaces, faced challenges in discerning online information reliability and found motivation in peer advice. Experts emphasised the multifactorial nature of running-related injuries, including previous injuries and training-related factors. Both groups acknowledged a global tendency among runners to resist rest when discomfort arose. This research contributed to a nuanced understanding of injury perception, management and prevention, bridging scientific knowledge with individual experiences. Clinicians may use this information to enhance the therapy alliance and set realistic expectations about the runner’s rehabilitation process.
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spelling doaj-art-e1a9bdeec4064196a8f8dab622887fab2025-08-20T03:16:42ZengBMJ Publishing GroupBMJ Open Sport & Exercise Medicine2055-76472025-06-0111210.1136/bmjsem-2024-002413Exploring contextual factors for management and prevention of running-related injuries: runners and experts’ perspectivesCaroline Bolling0Manuela Besomi1Sonia Roa-Alcaino2Ángela Lombardi3Rocío Vélez-Rivera4Jaime Leppe Zamora5Amsterdam UMC location University of Amsterdam, Orthopaedic Surgery and Sports Medicine, Amsterdam, NetherlandsCarrera de Kinesiología, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Santiago, ChileUniversidad del Desarrollo Facultad de Medicina Clínica Alemana, Santiago, Santiago Metropolitan Region, ChileUniversidad del Desarrollo Facultad de Medicina Clínica Alemana, Santiago, Santiago Metropolitan Region, ChileUniversidad del Desarrollo, Santiago, ChileUniversidad del Desarrollo Facultad de Medicina Clínica Alemana, Santiago, Santiago Metropolitan Region, ChileRunning is one of the most accessible and popular physical activities worldwide; however, injuries are the main barrier to sustaining running practice. While quantitative studies have explored prevalence and risk factors, a critical gap exists in understanding subjective experiences, perceptions and contextual influences on injury management and prevention. This qualitative study aimed to explore the perspectives of runners and experts regarding injury perception, management and prevention, as well as the contextual influence of these processes. Using a secondary data analysis approach, this study drew from qualitative semistructured interviews with Chilean runners (n=15) and running experts (n=6). Thematic analysis, guided by an interpretivist approach, uncovered intrinsic factors (identity, motivation, stress and self-learning) and extrinsic factors (environment, information sources, marketing, peer advice, professional guidance, racing, stereotype and clothing) that shaped runners’ behaviours. Less experienced runners associated injury risk with asphalt surfaces, faced challenges in discerning online information reliability and found motivation in peer advice. Experts emphasised the multifactorial nature of running-related injuries, including previous injuries and training-related factors. Both groups acknowledged a global tendency among runners to resist rest when discomfort arose. This research contributed to a nuanced understanding of injury perception, management and prevention, bridging scientific knowledge with individual experiences. Clinicians may use this information to enhance the therapy alliance and set realistic expectations about the runner’s rehabilitation process.https://bmjopensem.bmj.com/content/11/2/e002413.full
spellingShingle Caroline Bolling
Manuela Besomi
Sonia Roa-Alcaino
Ángela Lombardi
Rocío Vélez-Rivera
Jaime Leppe Zamora
Exploring contextual factors for management and prevention of running-related injuries: runners and experts’ perspectives
BMJ Open Sport & Exercise Medicine
title Exploring contextual factors for management and prevention of running-related injuries: runners and experts’ perspectives
title_full Exploring contextual factors for management and prevention of running-related injuries: runners and experts’ perspectives
title_fullStr Exploring contextual factors for management and prevention of running-related injuries: runners and experts’ perspectives
title_full_unstemmed Exploring contextual factors for management and prevention of running-related injuries: runners and experts’ perspectives
title_short Exploring contextual factors for management and prevention of running-related injuries: runners and experts’ perspectives
title_sort exploring contextual factors for management and prevention of running related injuries runners and experts perspectives
url https://bmjopensem.bmj.com/content/11/2/e002413.full
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