22/04/2020
RUNNING “COVERLOAD” INJURY
I mentioned this term off the cuff during episode 75 of Pod Chat Live and wanted to give a bit more context to it (just in case it becomes a thing!) Running injury is complex and multifactorial and we shouldn’t pretend otherwise. However, if adopting an intentionally simplistic approach, it could be argued that a key factor which increases injury risk is a sudden CHANGE (particularly in load). This could manifest in a multitude of ways, be it a change in running volume, frequency, intensity, surface or a combination of these. Thinking outside the sphere of just mechanical load changes (as we always should with the wondrously individual ecosystem that is the human body) we could also bring changes in diet, sleeping patterns, stress, anxiety, working life patterns, interactions with loved ones and a whole host of other psychosocial factors into the discussion.
Enter: global pandemic. We certainly don’t like it, but change has been thrust upon us all and it is reasonable to hypothesise that this may have an influence on running injury risk; if not now then over the coming months and beyond. (Note: risk does not equal rate!)
How runners respond to the world around them with COVID-19 now in it will be, as with everything, person specific.
Some may see a dramatic reduction in their running overall, as they fight the virus (as a frontline NHS hero pulling back to back shifts, or perhaps even from their sick bed as a direct sufferer) – this hiatus from running could mean an inevitable period of deconditioning and thus a ‘spike’ in load at some point in the future when they return.
Some may see a dramatic increase in their running, as being furloughed from work has left them with more free time than they’ve ever had, along with it being the best way to get some daily fresh air outside of their own four walls.
Perhaps there have been no alterations to someone’s weekly running training habits, but the burden of associated psychosocial changes/stresses will the tipping point.
These are just a few of the ways that these variables could interact with one another and bring with them an increased running injury risk. COVID-19 induced changes in load (both physical and psychological)… or “Coverload”. Worth considering for clinicians doing online consults in the present day, but also will probably colour what our history taking looks like for months and months to come.