During spring '19 COVID-19 social distancing restrictions US long-distance runners reported:
1) Lower distances run/wk
2) fewer runs/week
3) fewer hard runs/week
4) fewer number of injuries
5) fewer injuries per 1,000km
As compared to their pre-COVID-19 training
Youth long-distance runners significantly changed their health-care behaviors:
1) Lower proportion of participants received in-person health care visits
2) Lower proportion of visits were made to an athletic traininer
Our findings differ from those of adult runners (DeJong et al): https://osf.io/g9k8w  where adult runners experienced an increase in running injury risk during COVID-19. It is likely youth runners experienced loss of structure (team/coach) and their social network (teammates)
With schools closing, runners most likely lost access to their athletic trainers, a first-line health care provider for youth injuries. No other HCP saw a reduction/increase in care seeking behavior.
Thanks to @DrBazettJones for leading this work and for the guidance of @ford_kr as our senior author. This was a fun team project! Also, a huge shout out to our non-twitter authors: Mitch Rauh, PT, PhD, and Jason Long, PhD. This is a fun team to be a part of! @CincyKidsOTPT
You can follow @jefftaylorhaas.
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