In theory, triathletes should have fewer overuse injuries, compared to other endurance athletes. After all, "cross training" is believed to minimize the risk of injury (and is even prescribed for injured athletes as a way to recovery), and triathletes cross train routinely. A triathlete whose main strength is running, for example, could be described as cross training for two-thirds of all workouts (if running, swimming, and cycling workouts occur with equal frequencies). Indeed, initial reports indicate that overuse injuries may be lower for triathletes; one study found an annual overuse- injury frequency of 41 percent in a group of triathletes, compared with the usual 50 to 65 percent injury rates found in "pure" runners ("An Epidemiological Investigation of Training and Injury Patterns in British Triathletes, "British Journal of Sports Medicine, Vol.28, pp. 191-196,). TRIATHLETES

However, other research has identified a 90 percent (!) injury rate in triathletes, well above the norm for endurance-sport participants ("Overuse Injuries in Ultraendurance Triathletes," American Journal of Sports Medicine, Vol. 17, pp. 514-518). Indeed, some sports-medicine experts argue that triathletes are more prone to injury, since each of the three triathlon sports tends to trigger a particular type of malady.

Swimming, for example, is known to induce shoulder injuries, which are seldom seen in running. Biking is associated with a higher risk of low-back problems, which are usually not a problem in endurance swimmers. In addition, triathletes often carry out more total workouts per week, compared with " straight" swimmers, runners, or cyclists. From these perspectives, triathlon competition might be considered a "high-risk" sport.

So the question remains: Do triathletes get injured more or less often, compared with "specialist" endurance athletes? In addition, which triathletes are at the highest risk for injury? Do psychological state, physical build, age, and gender play a role in determining risk? How about the number of years of triathlon experience, the time spent competing, training pace, and even stretching?

To answer these questions, researchers at Staffordshire University in Stoke-on-Trent recently examined the five-year training programs of 12 elite triathletes from British National Squad, 17 national-development-team memebrs, and 87 male club triathletes ("Injury and Training Characteristics of Male Elite, Development Squad, and Club Triathletes," International Journal of Sports Medicine, Vol. 19, pp. 8-42). An injury was defined as any musculoskeletal problem causing cessation of training for at least one day, a reduction in training mileage, the taking of pain medicine, or the seeking of mediacl aid. Overuse injuries were recorded separately from traumatic injuries, such as those resulting from bicycle accidents. TRIATHLETES

As it turned out, injury prevalence did not differ significantly between the ability groups; 75 percent of elite, 75 percent of developmental, and 56 percent of club athletes suffered an overuse injury during the five-year period ( the downturn in injury rate in the club athletes was not statistically significant); total time taken off from training as a result of injury was also not different between groups.

In addition, there was no significant difference between the three groups in the proportions of athletes sustaing injury in particular parts of the body; for example, club athletes were no more likely to sustain Achilles-tendon injuries, compared with developmental and elite triathletes. The knee, Achilles tendon, and lower back tended to be the most-injured body areas for the athletes overall. Injury occurrence was not linked to age, height, weight, or body-mass index.

                                            The Curse of Running

As you might expect, running injuries were responsible for most of the problems, accounting for from 58 to 64 percent of all injuries in the three groups; cycling was far back with 16 to 34 percent, and swimming produced very few difficulties. A key question then was: What factors increased the risk of running injury? The Staffordshire-University researchers were able to identify total weekly triathlon training distance (the sun of running, swimming, and biking mileage), weekly cycling distance (!), swimming distance per week, total number of workouts per week, cycling training pace, and number of weekly running workouts as key risk factors for running injury.

These findings might seem surprising at first. After all, why would an extra hour spent swimming or an extra 40K on the bike increase an athlete's risk of developing a running injury? The key, of course, is that while such efforts do not produce the kind of impact damage to muscles associated with running, they can - when carried out in large-enough volume - retard muscular recovery enough so that muscles respond less well to the stress of running and are thus more vulnerable to being injured as a result of run training. TRIATHLETES

Triathlon training is a true "balancing act;" workouts which ultimately improve cycling or swimming fitness can sometimes hurt running capacity or even increase the risk of sustaining a running injury by temporarily retarding muscular recovery. In such cases, it might be better to attempt to improve cycling or swimming fitness less avidly and thus maintain the ability to run strongly and without injury. When a triathlete plans a high-quality bike or swim workout, he/she needs to take into account not only the effect the session will have on bike/swim fitness but also the impact it will have on subsequent running efforts. If a killer bicycle exertion boosts cycling fitness a notch or two but prevents the completion og high-quality running workouts, what has actually been gained?

For many triathletes who want to improve overall performance - and who are training within limited time frames, the key may be to assess in which sport the greatest gain can be made, i.e., the sport in which the greatest improvement in overall race clocking can be attained. That sport will then be emphasized most heavily in training - and workouts in the other two activities which might hinder development in the "high-improvement" sport will be eschewed.

What about injury? Is the triathlon truly a high-risk sport? The 75-percent injury figures cited above seem high, but it's important to note that such a rate of overuse injury was observed over a five-year period; in comparsion, studies have found that 50 to 65 percent of endurance runners are injured during just one year of training. Thus, overuse-injury frequency often ranges from nine to 12 training sessions per week. Avoidance of a pattern of "hammering away" in a high impact sport such as running and an engagement with three different movement patterns (running, swimming, cycling) does indeed seem to be beneficial, from an injury-prevention standpoint. On the other hand, the three-movement plan probably does not give triathletes an advantage over pure swimmers and cyclists; since the latter do not include running in their training schemes, they are likely to have lower injury rates, compared with athletes.

Here is our final take-home point: Since triathlon injuries tend to revolve around the knee, lower back, and Achilles tendon, triathletes should spend extra time strengthening those parts of their bodies in functional ways, i.e., during movement patterns which mimic those occurring naturally in their sports. TRIATHLETES

To learn about Glucosamine and Chrondroitin Sulfate: Great Theraphy For Athletes' Joints?, Is The Use Of Variable Pace Better Than Keeping An Even Keel?, Or Rage Against The Machine: Re-Build Your Body Without Expense Exercise Equipment  (the full articles can be read by purchasing Vol. 17 Issue 8 of Running Research News) and many more running related topics, simply click-on the Back Issues link, and select the volume and issues number, from the drop-down menu, or type in another topic of interest. A subscription to Running Research News is another way to receive valuable information about running. BUY NOW.

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