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Multi-day running events are increasingly popular however, research in these events is lacking and fails to consider the dynamic nature of musculoskeletal physiology. Twenty-three athletes completing a ten-day marathon event participated in the study. Proprioception, dynamic balance, knee valgus and flexibility were assessed the day before the event and after one, five and nine consecutive marathons. There were significant reductions in these measurements across the event and reductions were more apparent in the non-dominant side. Each runner suffered on average 4.2 injuries. Runners performed significantly worse in musculoskeletal measurements, particularly on the non-dominant side, as the competition progresses. Therefore, athletic trainers should design appropriate between-day recovery strategies during events based on with-in event data collection.

Context: Clinicians require portable, valid, and cost-effective methods to monitor knee joint-position-sense (JPS) ability. Objective: To examine the criterion-related validity of image-capture JPS measures against an isokinetic-dynamometer (IKD) procedure. Design: Random crossover design providing a comparison of knee JPS measures from image capture and IKD procedures. Participants: 10 healthy participants, 5 female, age 28.0 ± 13.29 y, mass 60.3 ± 9.02 kg, height 1.65 ± 0.07 m, and 5 male, 29.6 ± 10.74 y, mass 73.6 ± 5.86 kg, height 1.75 ± 0.07 m. Main Outcome Measures: The dependent variables were absolute error scores (AES) provided by 2 knee directions (flexion and extension). The independent variables were the method (image capture and IKD). Results: There was no significant difference between clinical and IKD AED into knee-extension data (P = .263, r = 0.55). There was a significant difference between clinical and IKD AES into knee-flexion data (P = .016, r =.70). Conclusions: Analysis of photographic images to assess JPS measurements using knee flexion is valid against IKD techniques. However, photo-analysis measurements provided a lower error score using knee-extension data and thus may provide an optimal environment to produce maximal knee JPS acuity. Therefore, clinicians do not need expensive equipment to collect representative JPS ability.