scholarly journals A protocol to prospectively assess risk factors for medial tibial stress syndrome in distance runners

Author(s):  
Joshua Mattock ◽  
Julie R. Steele ◽  
Karen J. Mickle
Author(s):  
Claudia Menéndez ◽  
Lucía Batalla ◽  
Alba Prieto ◽  
Miguel Ángel Rodríguez ◽  
Irene Crespo ◽  
...  

This systematic review evaluates the existing literature about medial tibial stress syndrome (MTSS) in novice and recreational runners. PubMed/MEDLINE, EMBASE, Web of Science, Scopus, SPORTDiscus and CINAHL databases were searched until July 2020. Studies covering risk factors, diagnostic procedures, treatment methods and time to recovery of MTSS in novice and recreational runners were selected. Eleven studies met the inclusion criteria and were included. The risk factors of MTSS are mainly intrinsic and include higher pelvic tilt in the frontal plane, peak internal rotation of the hip, navicular drop and foot pronation, among others. Computed tomography (CT) and pressure algometry may be valid instruments to corroborate the presence of this injury and confirm the diagnosis. Regarding treatment procedures, arch-support foot orthoses are able to increase contact time, normalize foot pressure distribution and similarly to shockwave therapy, reduce pain. However, it is important to take into account the biases and poor methodological quality of the included studies, more research is needed to confirm these results.


2019 ◽  
Vol 51 (Supplement) ◽  
pp. 268
Author(s):  
Jonathan R. Malaver ◽  
Jenner R. Cubides ◽  
Rodrigo Argothy ◽  
Daniel D. Cohen

Author(s):  
M. H. Moen ◽  
T. Bongers ◽  
E. W. Bakker ◽  
W. O. Zimmermann ◽  
A. Weir ◽  
...  

2021 ◽  
pp. 135-160
Author(s):  
Jonathan R. Malaver-Moreno ◽  
Jenner Rodrigo Cubides-Amézquita ◽  
Rodrigo Argothy-Buchelli ◽  
Esteban Aedo-Muñoz

2008 ◽  
Vol 98 (6) ◽  
pp. 436-444 ◽  
Author(s):  
Jo L. Tweed ◽  
Jackie A. Campbell ◽  
Steven J. Avil

Background: We investigated the relationship between functional and static foot posture and medial tibial stress syndrome in distance runners. Methods: Twenty-eight runners with a clinical diagnosis of medial tibial stress syndrome and 12 asymptomatic runners were assessed with the Foot Posture Index to measure static overpronation. Range of motion was measured at the talocrural joint, with the knee extended and flexed as was range of motion at the first metatarsophalangeal joint and the angular difference between the neutral and relaxed calcaneal stance positions. Each participant was then videotaped while running on a treadmill shod and unshod. This videotape was analyzed using freeze frame to identify abnormal or mistimed pronation at each phase of gait. The results were analyzed using logistic regression to give the probability that a runner is likely to experience medial tibial stress syndrome, predicted from the static measurements and dynamic observations. Results: Variables identified as being significant predictors of medial tibial stress syndrome were the difference between the neutral and relaxed calcaneal stance positions, range of motion of the talocrural joint with the knee extended, early heel lift and abductory twist during gait, and apropulsive gait. Conclusion: Runners with suspected symptoms of medial tibial stress syndrome should be assessed dynamically and statically for abnormal or mistimed pronation. (J Am Podiatr Med Assoc 98(6): 436–444, 2008)


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