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Overuse Injury

The Result of Pathologically Altered Myofascial Force Transmission?

Wilke, Jan1; Vleeming, Andry2; Wearing, Scott3

Exercise and Sport Sciences Reviews: October 2019 - Volume 47 - Issue 4 - p 230–236
doi: 10.1249/JES.0000000000000205

Overuse injuries are suggested to result from repetitive microdamage eliciting pain in the affected tissue. Therapy commonly focuses on the area of symptom localization; however, such approach may oversimplify the true etiopathology. This review hypothesizes that the development of some sports-related soft tissue disorders, such as plantar fasciitis or lumbago, is promoted by pathologically altered force transmission from anatomically connected structures.

Altered myofascial force transmission from other body regions may contribute to the pathogenesis of athletic overuse injuries.

1Department of Sports Medicine, Goethe University, Frankfurt, Germany

2Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Medical University Ghent, Ghent, Belgium

3Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Queensland, Australia

Address for correspondence: Jan Wilke, Department of Sports Medicine, Goethe University Frankfurt/Main, Ginnheimer Landstraße 39, D-60487 Frankfurt am Main, Germany (E-mail:

Accepted for publication: May 16, 2019.

Editor: Walter Herzog, Ph.D.

Online date: July 9, 2019

© 2019 American College of Sports Medicine