Running is a practical mode of exercise considering its wealth of documented health benefits and minimal barriers to entry. Running, however, is associated with a high incidence of lower extremity injury with studies highlighting that upwards of eighty percent of runners are likely to sustain an injury over the course of a given year. Clinicians working in an outpatient clinical setting would therefore be well served to refine their communication as well as their clinical skills and reasoning to foster improved outcomes in working with runners. This course is designed to help clinicians answer every runner’s most pressing question, “When can I run?” This will be accomplished by introducing a science-based framework that is rooted in the bio-psycho-social (BPS) model to help runners return to training through a graded exposure approach. An emphasis will be placed on communication strategies, motivational interviewing, running specific functional assessments, exercise prescription, and running gait analysis while demystifying the role and prescription of footwear. Given the predictable nature of running as an activity, clinicians will develop proficiency in guiding runners back to consistent and healthy training upon completion of this course.
*All course participants will be provided with a digital binder prior to the course that provides them with all of the course slides and related material.
1. Objective: The participant will accurately describe the biomechanics, EMG, kinematics, and kinetics of walking and running while highlighting the key differences between these two modes of locomotion. Learning Strategy/Instruction Method: Lecture with question and answers.
2. Objective: The participant will identify the incidence and risk factors of running related injuries and the regions most likely to be affected. Learning Strategy/Instruction Method: Lecture with question and answers.
3. Objective: The participant will highlight key running related research and impact papers that have been published in recent years related to discussing prospective risk factors for injury. Learning Strategy/Instruction Method: Lecture with question and answers.
4. Objective: The participant will describe the components of the biopsychosocial (BPS) model of pain and factors related to each component as it relates to managing injured runners. Learning Strategy/Instruction Method: Lecture with question and answers.
5. Objective: The participant will correctly identify the severity and drivers of running related injuries while screening for red flags. Learning Strategy/Instruction Method: Lecture with question and answers, case studies, and live demonstrations.
6. Objective: The participant will demonstrate competency in simple manual techniques and interventions related to the lower extremity of injured runners. Learning Strategy/Instruction Method: Lecture and lab with feedback from instructor.
7. Objective: The participant will describe, demonstrate and provide cueing related to specific open and closed chain therapeutic exercises, which pertain to build running specific strength, neuromuscular control and comprehensive capacity. Learning Strategy/Instruction Method: Lecture with question and answers, and interactive lab with real-time demonstrations.
8. Objective: The participant will identify, describe, and discuss the role of compound strengthening exercises to improve one’s running economy and neuromuscular proficiency. Learning Strategy/Instruction Method: Lecture with question and answers as well as video demonstrations.
9. Objective: The participant will describe the three common strike patterns related to running as well as their respective implications as they relate to injury and performance. Learning Strategy/Instruction Method: Lecture with question and answers.
10. Objective: The participant will conduct a comprehensive running gait analysis and offer specific interventions from a gait retraining standpoint specific to various contexts. Learning Strategy/Instruction Method: Lecture and lab where the class takes the course instructor through a treadmill running analysis.
11.Objective: The participant will design and implement a return to running program by applying a graded exposure model to safely return runners back to training and competition. Learning Strategy/Instruction Method: Lecture with question and answers as well as role playing.
8:30-8:45 Welcome and introductions
8:45-9:15 Lecture - review basic pain science principles and the biopsychosocial (BPS) model as it relates to running injury management
9:15-9:45 Lecture - review the incidence, patterns, risk factors, and beliefs related running related injuries (RRIs)
9:45-10:00 Coffee break
10:00-10:30 Lecture - review the biomechanics and performance demands of walking and running
10:30-11:00 Discussion - staging and typing running RRIs
11:00-12:15 Lab - conducting a running specific evaluation and functional assessment as well as synthesis of findings as it relates to the clinical reasoning process
12:15-1:00 Lunch break
1:00-2:00 Lab – introduce “The Table Test” and discuss interpretation of findings
2:00-3:00 Lab – discuss manual therapy interventions and how they interface with the overall treatment plan
3:00-3:45 Lab - single leg postural stability training and marching: baseline drills and progressions
3:45-4:30 Lab - dynamic single leg closed chain motor control drills and progressions
4:30-5:00 Lab - recap of day one and overview of day two
8:30-8:45 Day 1 recap and chance for questions
8:45-9:15 Lecture – review barefoot running, minimalist shoes, and footstrike considerations and implications
9:15-10:30 Lecture – discuss lower limb tendinopathy and bone stress injury (BSI) evaluation and treatment considerations
10:30-10:45 Coffee break
10:45-12:00: Lecture/Lab - review “The S’s of Treadmill Running Analysis” in addition to shoe selection and lacing considerations
12:00-12:45: Lunch break
12:45-1:45 Lab - advanced dynamic closed chain drills
1:45-2:30 Lecture – discuss principles of strength development and building comprehensive capacity for runners
2:30-3:15 Lecture/Lab – power and plyometric training considerations and guidelines
3:15-4:00 Lab - power and plyometric exercise selection and implementation during the late stages of rehab and as part of an overall training program
4:00-5:00 Case Study – conduct a running specific evaluation, interpret findings, and develop a comprehensive treatment plan