Medial tibial stress syndrome (MTSS) in runners Medial tibial stress syndrome, shin splint, runner
Conditions
Interventions
An 8 weeks program is divided into 2 phases, including warm-up, stretching, strengthening, and graded running with proper rest recommendations from the physiotherapist.,The control group will perform
Experimental Other,Active Comparator Other
Innovative rehabilitation training program group (InnoRehab),Control group (CG)
Sponsors
Faculty of Associated Medical Sciences, Khon Kaen University, Thailand
The Thailand Science Research and Innovation (TSRI) Fundamental Fund (FF), NRIIS project code 203264
Eligibility
Sex/Gender
All
Age
18 Years to 55 Years
Inclusion criteria
Inclusion criteria: 1. Male or female aged 18-55 years. 2. BMI less than 30 kg/meter square. 3. Runners who run with over 3 months of running experience. 4. Run at least 2 times per week for 45 minutes and/or at least 10 km but no more than 100 km per week. 5. Pain is located in the distal half of the posteromedial tibia and has to cover an area of more than 5 cm. long. 6. Pain is induced by exercise and lasts for hours or days after exercise. 7. Pain during running measured by VAS score more than or equal 4. 8. Palpation of the tibial posteromedial border induced recognizable discomfort that is restricted to this area. 9. Symptoms had to be present for at least 3 weeks.
Exclusion criteria
Exclusion criteria: 1. History of neurological disease or paresthesia. 2. History of symptoms indicative of other causes of exercise-induced leg pain such as tibial stress fracture and chronic compartment syndrome. 3. History of lower-limb traumatic injury or surgery in the lower extremity or trunk. 4. History of a lower extremity injury in the previous 3 months. 5. Seizures and demand pacemakers. 6. Severe pain during running measured by VAS scale more than 7. 7. Underlying diseases such as rheumatoid arthritis, gout, diabetes mellitus, hypertension, cardiovascular diseases, or strokes. 8. Pregnancy or breastfeeding. 9. Rigid flatfoot.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain level Baseline, week 4, week 8 and 3 months follow up. Visual Analog Scale (VAS) evaluate pain on the posteromedial border of the tibia during running, at resting and after running. | — |
Secondary
| Measure | Time frame |
|---|---|
| The distance of pain on palpation at the posteromedial border of the tibia Baseline, week 4, week 8 and 3 months follow up. The physiotherapist measure the total tibia length and define the part of the middle and two distal thirds of the tibia then assessor palpate the diffuse pain area recorded in centimeters.,Center of pressure (COP) under the foot during running Baseline, week 4, week 8 and 3 months follow up. Subjects run at a speed of 3.3 m/s (plus or minus 5%) on the 12 meters runway. The COP displacement measured by the force plate. The video camera record the foot stride pattern.,Muscle strength of lower leg and intrinsic foot muscle Baseline, week 4, week 8 and 3 months follow up. The maximal voluntary contraction (MVC) technique will be measured for the hip, lower leg and foot muscles. Participants push against the hand-held dynamometer.,Foot posture Baseline, week 4, week 8 and 3 months follow up. The assessor evaluates foot posture using the Foot Posture Index-6 (FPI-6) ,Lower leg muscle structure Baseline, week 4, week 8 and 3 months follow up. The cross-sectional area of the flexor hallucis longus assessed by ultrasound imaging.,Lower extremities functions Baseline, week 4, week 8 and 3 months follow up. The Modified lower extremity functional scale (Thai version),Global rating scale of change (GRC) Week 4, week 8 and 3 months follow up. Global rating scale of change (GRC) | — |
Countries
Thailand
Contacts
Public ContactPloypailin Namkorn
School of Physical Therapy, Faculty of Associated Medical Sciences, Khon Kaen University, Thailand
Outcome results
None listed