Date of Doctor of Nursing Practice Project Completion

Spring 4-24-2026

Faculty Advisor

Sydnee Lucas, DNP, APRN, FNP-BC

Abstract

Purpose

The purpose of this quality improvement project was to implement evidence-based recovery strategies among endurance runners. The project aims to decrease injury prevalence, improve recovery behaviors, and reduce perceived muscle soreness.

Background

Running-related injuries are common among endurance runners and are often associated with inadequate recovery. Evidence suggests that the use of recovery strategies may support muscle repair and reduce injury risk.

Methodology

This project used the Plan–Do–Study–Act framework to guide the implementation of strategies. 24 endurance runners participated in the project. Interventions included education and the implementation of recovery strategies, such as adequate protein intake, sleep optimization, self-myofascial release, use of compression garments, and active recovery. Pre- and post-intervention surveys were used to assess recovery behaviors, injury prevalence, and perceived muscle soreness using the Numeric Rating Scale (NRS). Descriptive statistics were used to evaluate changes following the 8-week intervention. A limitation of the project was participant attrition, as the sample decreased from 24 to 19 participants post-intervention due to the use of anonymous surveys and limited direct participant contact.

Results

The post-intervention responses demonstrated increased utilization of recovery strategies (84% plan to continue use), decreased injury prevalence (47% decrease), improved perceived recovery (+ 2.38 points), and reduced soreness ratings (-0.4 points). Results were shared with runners.

Implications

Findings support the integration of strategies into endurance-running communities to improve recovery and potentially reduce injury risk. Future projects should include larger samples and improved follow-up methods to evaluate long-term outcomes further.

Keywords

endurance runners, recovery strategies, injury prevention, muscle soreness, quality improvement

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