Medial Tibial Stress Syndrome
Conditions
Brief summary
This randomized controlled trial investigated whether a 10-week heavy resistance training program reduced the incidence of medial tibial stress syndrome (MTSS) in collegiate indoor track and field athletes. Twenty-six athletes from Rowan University were randomly assigned to a treatment group (resistance training plus regular training) or a control group (regular training only). Muscle mechanical properties-including tone, stiffness, elasticity, stress relaxation time, and creep-were measured by MyotonPro device (non-invasive) at baseline, post-intervention, and at the end of the season. A 10-week observational follow-up during the indoor season included weekly MTSS symptom surveys. Differences in MTSS incidence and muscle properties were analyzed between groups.
Interventions
OTHERResistance Training
Participants performed a 10-week resistance training program, completing exercises twice daily for Weeks 1-2 and three times daily for Weeks 3-10, with 5 sessions per week for Weeks 1-7 and 6 sessions per week for Weeks 8-10. The program included exercises such as standing broad jumps, resisted ankle abduction, single-leg eccentric plantar flexion, and ankle rockers. Participants' muscle properties were assessed at the start and end of the intervention, with adherence monitored via remote video confirmation.
Sponsors
Rowan University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Collegiate athletes on the Indoor Track and Field team. * Athletes must participate in at least one of the following: * 60m-800m events (including hurdles) * jumping events (including pole vault)
Exclusion criteria
* Subjects who have a history of musculoskeletal or neurologic conditions * Who take medications that affect muscle tone * Who have a body mass index \>30.0 kg/m2 were excluded to screen to prevent adipose tissue from skewing the measurements. * Any subject with any fractures, sprains, or strains of the lower extremities were excluded. * Any subject with active MTSS, stress fracture, or other lower leg pathology symptoms at the time the initial survey was administered were excluded. * Any athlete who does not participate in the 60m-800m events (including hurdles), or who does not participate in jumping events (including pole vault) were excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Subjective Medial Tibial Stress Syndrome Symptoms | Through the running season -- approximately 11 weeks | Medial Tibial Stress Syndrome (MTSS) Score Survey |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Myotonometry Oscillation frequency | From enrollment through the end of data collection -- approximately 25 weeks | Represents the intrinsic tension of the muscle in its passive state, essentially the muscle's tone. |
| Myotonometry dynamic stiffness | From enrollment through the end of data collection -- approximately 25 weeks | Measures the resistance of the tissue to deformation when subjected to an external force. |
| Myotonometry logarithmic decrement | From enrollment through the end of data collection -- approximately 25 weeks | Indicates the elasticity of the muscle |
| Myotonometry mechanical stress relaxation time | From enrollment through the end of data collection -- approximately 25 weeks | Measures the time it takes for the muscle to return to its original shape after being deformed. |
| Myotonometry creep | From enrollment through the end of data collection -- approximately 25 weeks | Describes the gradual elongation of the muscle under constant tensile stress over time. |
Countries
United States
Outcome results
None listed