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Research Study Focus

Goals and Impact 

Research Goal

We are tracking high school cross-country runners over the course of a season to better understand how different aspects of training relate to injury risk.

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We’re exploring questions like:

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  • How do external training factors (like total distance or time) and internal factors (like perceived effort or fatigue) influence the risk of injury?

  • Does increasing training too quickly — whether in mileage or intensity — lead to a higher chance of getting injured?

  • Does the way we define changes in weekly training (by distance, time, or perceived effort) affect how we understand injury risk?

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Our goal is to identify patterns that can help coaches and athletes make training decisions that support performance while reducing the risk of injury.

What We Know

Running-related injuries (RRIs) are very common in high school distance runners.

 

In fact, up to 68% of runners report having had one.

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With nearly 450,000 U.S. high school athletes running cross-country during the 2024–2025 school year, that means around 200,000 may have been injured at some point in the season.

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Injuries are affected by many things, including:

  • Training loads — how far and how long someone runs (external)

  • How hard a workout feels — effort, fatigue, and recovery (internal)

  • Personal factors — past injuries 

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Even though both distance and effort matter, most training plans still focus only on miles and time, because it’s simple and familiar — but maybe not the full picture.

Why It Matters

We want to help youth runners to break the cycle of injury one run at a time. 

Join Our Study

Let's change how injuries happen - together

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