%0 Journal Article
%T The treatment of medial tibial stress syndrome in athletes; a randomized clinical trial
%A Maarten Moen
%A Leonoor Holtslag
%A Eric Bakker
%A Carl Barten
%A Adam Weir
%A Johannes L Tol
%A Frank Backx
%J Sports Medicine, Arthroscopy, Rehabilitation, Therapy & Technology
%D 2012
%I BioMed Central
%R 10.1186/1758-2555-4-12
%X The study design was randomized and multi-centered. Physical therapists and sports physicians referred athletes with MTSS to the hospital for inclusion. 81 athletes were assessed for eligibility of which 74 athletes were included and randomized to three treatment groups. Group one performed a graded running program, group two performed a graded running program with additional stretching and strengthening exercises for the calves, while group three performed a graded running program with an additional sports compression stocking. The primary outcome measure was: time to complete a running program (able to run 18 minutes with high intensity) and secondary outcome was: general satisfaction with treatment.74 Athletes were randomized and included of which 14 did not complete the study due a lack of progress (18.9%). The data was analyzed on an intention-to-treat basis. Time to complete a running program and general satisfaction with the treatment were not significantly different between the three treatment groups.This was the first randomized trial on the treatment of MTSS in athletes in a non-military setting. No differences were found between the groups for the time to complete a running program.CCMO; NL23471.098.08One of the most common causes of overuse leg injuries is medial tibial stress syndrome (MTSS) with incidences varying between 4 and 35% in athletic and military populations [1-3]. In the past the etiology of this syndrome was not clear, and several possible causes were described e.g. increased intracompartimental pressure or a traction induced periostitis [4,5]. Recently, different imaging techniques have demonstrated that the tibial cortex is probably involved in MTSS. With dual energy x-ray absorptiometry (DEXA) scanning Magnusson et al. showed that decreased bone density was present in the symptomatic part of the tibia [6]. High resolution computer tomography (CT) scans revealed osteopenia in the involved tibial cortex [7]. However, histological studies a
%K Running program
%K Exercises
%K Compression sleeve
%K Shin splints
%U http://www.smarttjournal.com/content/4/1/12