Running injuries are very common, and there are well-established protocols for clinicians to manage specific musculoskeletal conditions in runners. However, competitive and elite runners may experience different injuries than the average recreational runner, due to differences in training load, biomechanics, and running experience. Additionally, injury-specific rehabilitation protocols do not consider the broader goal of return to competitive running, including the unique psychosocial and cardiorespiratory fitness needs of elite athletes. This review aims to suggest a guideline for running-specific progression as part of a comprehensive rehabilitation program for injured competitive runners. Tools to evaluate an athlete’s psychosocial preparedness to return to competition are presented. Recommendations are also provided for monitoring cardiorespiratory fitness of injured runners, including the nuances of interpreting these data. Finally, a six-phase training paradigm is proposed to guide clinicians as they help competitive runners transition from the early stages of injury through a full return to competition.

跑步损伤很常见，临床医生有一套完善的方案来管理跑步者的特定肌肉骨骼状况。然而，由于训练负荷、生物力学和跑步经验的差异，竞技和精英跑者可能会遭受与普通休闲跑者不同的伤害。此外，针对特定损伤的康复方案并未考虑重返竞技跑步的更广泛目标，包括精英运动员独特的社会心理和心肺健康需求。这篇综述旨在为受伤的竞技跑步者提供跑步特定进展的指南，作为综合康复计划的一部分。介绍了评估运动员重返比赛的心理社会准备情况的工具。还提供了监测受伤跑步者心肺健康的建议，包括解释这些数据的细微差别。最后，提出了一个六阶段的训练模式来指导临床医生，因为他们帮助有竞争力的跑步者从受伤的早期阶段过渡到完全恢复到比赛中。