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Information, info, and suggestion for runners, from operating apparatus experiences to education recommendations to races and marathons.

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An increased risk of ankle ligament injuries has been observed for collegiate female athletes participating in soccer, field hockey, and lacrosse when they have higher peak torque ratios between the invertors and evertors of the ankle. , 2005b). In contrast, a study of male military recruits found no relationship between muscle strength and the likelihood of suffering an ankle ligament injury. Shoe type An extrinsic risk factor, which has been well investigated, is the shoe type. Although most would agree that current athletic shoes offer limited support to an ankle in response to inversion trauma, it is important to recognize that little is known about the effect of athletic shoes and how they are related to ankle injury.

There are studies that demonstrated that height and weight are not independent risk factors for ankle sprains. In contrast, from soccer, American football, and the military there are other studies, reporting that athletes of greater height and weight (and increased body mass index (BMI)) are at increased ankle sprain risk. The different findings between the investigations may be explained, at least in part, by the different sports which were studied. 34 Chapter 4 are most likely produced by different study designs, differences in the sample sizes, the different sports studied, or the methods used for data analysis.

Implementing programs and policies, including education 5. Providing resources to implement programs 6. Establishing a system for review and evaluation Each stage needs to be documented. The activities presented so far in this section feed into this process, especially injury surveillance. Within this system responsibilities are defined for everyone in the team. The implementation of a safety management system can promote a cycle of continued improvement leading to injury reduction and possibly on field improvements.

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