Contributing Factors to Medial Tibial Stress Syndrome

Hubbard, Tricia J.; Carpenter, Erica Mullis; Cordova, Mitchell L.

doi:10.1249/mss.0b013e31818b98e6

Cited by 71 publications

(122 citation statements)

References 21 publications

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“…Hubbard et al, demonstrated the trend of a significant relationship between MTSS and a previous history of the condition in college athletes. The results included that 87% of the MTSS group had a previous history as opposed to only 16% of the healthy group [9]. Another study including 26 recruits with a previous history demonstrated the same relationship.…”

Section: Symptom Presentationmentioning

confidence: 82%

“…Four studies included only runners [5][6][7][8], two included military personnel [1,3], and five included athletes of different sports [2,[9][10][11][12]. The disease severity of participants within the studies varied, as some were deemed "healthy" prior to study initiation while other were already diagnosed with MTSS.…”

Section: Subject Descriptionmentioning

confidence: 99%

“…The disease severity of participants within the studies varied, as some were deemed "healthy" prior to study initiation while other were already diagnosed with MTSS. Two studies included only subjects with MTSS [1,9], two studies used subjects with and without MTSS for comparison reasons [12,13] and the remaining seven had subjects of overall "healthy" quality prior to study initiation.…”

Section: Subject Descriptionmentioning

confidence: 99%

“…Those recruits who demonstrated increased pronation were nearly twice as likely to develop MTSS as individuals with a normal or supinated foot posture [1]. Likewise, Hubbard, Carpenter, and Cordova demonstrated that athletes with MTSS had an average plantarflexion range of motion of 46.0° versus those in the healthy group had significantly less motion, averaging 40.6° [9].…”

Section: Biomechanical Characteristicsmentioning

confidence: 99%

“…All participants wore the same types of shoes throughout training development, averaging 5.3 years of running, compared to 8.8 years history of those that didn't develop MTSS. With less years of running history, bones have not been able to adequately adapt to the high impact activity, which places them under greater stress [9]. Sharma et al, examined the contribution of poor fitness to the development of this condition in army recruits.…”

Section: Training Characteristicsmentioning

confidence: 99%

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Untitled

2016

PMRD

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Background and PurposeThe purpose of this review is to identify risk factors in the athletic population for the development of Medial Tibial Stress Syndrome (MTSS). MTSS is a lower extremity pathology that frequently impacts athletes and disrupts their ability to participate. Identifying risk factors and other direct causes of this condition can provide insight regarding treatment techniques and methods of prevention. MethodsAn extensive search of the literature was conducted. Databases used included PubMed, ProQuest Nursing, Cinahl and Allied Health, Proquest Health and Medicine, and Google Scholar. 11 articles were found meet inclusion and exclusion criteria. Critically Appraised Topic (CAT) analyses were completed for each include article. Quality assessment via Physiotherapy Evidence Database scale (PEDro) was also completed, average quality score being 6. ResultsSignificant risk factors for MTSS development include high body mass index, female gender, navicular drop, foot pronation, limited hip internal rotation range of motion, increased plantarflexion range of motion, limited straight leg raise, cortical thickness of the tibia, bilateral ankle strength, impaired standing heel-rise test, decreased foot balance, increased miles run per week, less significant exercise history, higher pain level, and longer duration of symptoms. DiscussionOverall it can be inferred that there is lack of agreement in the current literature regarding the cause of MTSS, the associated risk factors, and the best way to treat it. Based on the results provided by this systematic review, different healthcare providers may be able to better develop appropriate plans of care. Future studies may want to focus on risk factors consistently contributing to MTSS, larger sample sizes, analyzation based on type of impact sport, or running mechanics in relation to MTSS development.Citation : Singh R (2016) Medial Tibial Stress Syndrome: Who's at risk? A systematic Review. J Phys Med Rehabil Disabil 2: 014. • Page 2 of 11 •

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Section: Symptom Presentationmentioning

confidence: 82%

Section: Subject Descriptionmentioning

confidence: 99%

Section: Subject Descriptionmentioning

confidence: 99%

Section: Biomechanical Characteristicsmentioning

confidence: 99%

Section: Training Characteristicsmentioning

confidence: 99%

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2016

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Forefoot and hindfoot kinematics in subjects with medial tibial stress syndrome during walking and running

Okunuki

Koshino

Yamanaka

et al. 2019

Journal Orthopaedic Research

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Excessive foot pronation during static standing, walking and running has been reported as a contributing factor for the development of medial tibial stress syndrome (MTSS). The motion of foot pronation consists of hindfoot and forefoot motion. However, no previous studies have investigated forefoot and hindfoot kinematics during walking and running in subjects with MTSS. The current study sought to compare hindfoot and forefoot kinematics between subjects with and without MTSS while walking and running. Eleven subjects with MTSS and 11 healthy controls (each group containing 10 males and one female) participated in the current study. Segment angles of the hindfoot and forefoot during walking and running barefoot on a treadmill were recorded using three‐dimensional kinematic analysis. An independent t‐test was used to compare kinematic data between groups. Subjects with MTSS exhibited significantly greater hindfoot eversion and abduction (p < 0.05) during walking and running than subjects without MTSS, significantly greater forefoot eversion and abduction (p < 0.05) during walking, and significantly greater forefoot abduction during running (p < 0.05). Hindfoot and forefoot kinematics during walking and running were significantly different between subjects with and without MTSS. For prevention and rehabilitation of MTSS, it may be important to focus on not only hindfoot but also forefoot kinematics during both running and walking. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res

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Biomechanics and Stress Fractures: Utility of Running Gait Analysis

Meardon

2020

Stress Fractures in Athletes

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Contributing Factors to Medial Tibial Stress Syndrome

Cited by 71 publications

References 21 publications

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Forefoot and hindfoot kinematics in subjects with medial tibial stress syndrome during walking and running

Biomechanics and Stress Fractures: Utility of Running Gait Analysis

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