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Management and prevention of bone stress injuries in long-distance runners.

PMID 25103133 (2014): injury, load — Injury risk (study note for endurance athletes).

Last updated/Feb 23, 2026, 11:13 PM

Study note • PMID 25103133

Management and prevention of bone stress injuries in long-distance runners.

The Journal of orthopaedic and sports physical therapy2014 • DOI 10.2519/jospt.2014.5334
Evidence C58/100
Action 2: Consider

Worth trying if it fits your goal and context.

ELI5

In plain language

SYNOPSIS: Bone stress injury (BSI) represents the inability of bone to withstand repetitive loading, which results in structural fatigue and localized bone pain and tenderness. (controlled study; runners).

The abstract doesn’t indicate a clear change in Injury risk under the tested conditions. Treat this as a signal, not a guarantee; confirm methods and context in the full paper.

Takeaways

What the abstract suggests

  • Study question: SYNOPSIS: Bone stress injury (BSI) represents the inability of bone to withstand repetitive loading, which results in structural fatigue and localized bone pain and tenderness.
  • The abstract doesn’t indicate a clear change in Injury risk under the tested conditions.
  • Population: runners.
  • Protocol cues: abstract may omit dose/timing; use the full paper to replicate accurately.

Protocol

Protocol (as reported)

  • Intervention/exposure: injury, load.
  • Dose/time/duration: abstract doesn’t include enough detail; use the full paper’s methods section.
  • Outcomes: Injury risk.
  • Replication note: abstracts often omit adherence and timing; confirm details before changing training or supplementation.

Fit

Who it helps, and who should skip it

Who it helps

  • Athletes similar to the study population (runners) working on injury risk.
  • Athletes who can measure Injury risk with a repeatable workout or time-trial effort.

Who should skip

  • If you have symptoms or conditions that make the intervention risky, get professional guidance.
  • If you’re near race day and can’t safely test, defer the experiment.

Methods

What the study actually did

  • Design: controlled study.
  • Population: runners.
  • Outcomes measured: Injury risk.
  • Source: PubMed PMID 25103133 (2014) — The Journal of orthopaedic and sports physical therapy.

Results excerpt

What the abstract reports

The current commentary discusses management and prevention of BSIs in runners.

Note: excerpts are short; for full context, read the paper.

Limits

Limitations & bias

  • Abstract-only summaries can miss critical details (population, protocol, adherence, and context).
  • Single studies often don’t generalize to your event, history, and training load; treat results as a starting point.
  • If your context differs (elite vs recreational; cycling vs running), adjust expectations and be conservative.
  • This is performance information, not medical advice.

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Sources