The Comparison of Anatomic Alignment of the Shin, Ankle and Foot in Elite Runners with and without Medial Tibial Stress Syndrome
Journal of Clinical Physiotherapy Research,
Vol. 3 No. 2 (2018),
23 July 2018
,
Page 89-94
https://doi.org/10.22037/jcpr.v3i2.22259
Abstract
Introduction: The aim of this study was to examine the anatomic alignment of shin, ankle and feet in elite runners with and without medial tibial stress syndrome (MTSS). Materials and methods: The number of subjects employed in this study was 70 male elite runners who were divided into two groups: those with MTSS and a mean age of 25.9±3.21 and the control group with a mean age of 25.3±33.3. They were investigated for plantar arch index (Staheli), navicular drop, ankle dorsi flexion, plantar ankle flexion, tibia vara and tibial torsion. Data were analyzed employing SPSS software, version 18 and independent samples t-test. Results: The results of data analysis revealed that there was a significant difference between the two groups in the mean navicular drop, dorsi flexion and tibial torsion, such that the rate of navicular drop in the affected group was higher than that of the control group (P=0.011). In addition, the affected group had limited dorsi flexion of the ankle (P=0.048) and low tibial torsion angle (P=0.002). However, there was no significant difference between the two groups in the mean plantar arch index (Staheli) (P=0.428), plantar flexion (P=0.448) and tibia vara (P=0.672) (P>0.05). Conclusion: According to the results of this study, abnormal plantar arch, dorsi flexion limitation and tibial torsion are imperative risk factors in the occurrence of MTSS, which can be forestalled with timely diagnosis of abnormalities and early intervention.
Keywords: Medial tibial stress syndrome, anatomic alignment, elite runnerHow to Cite
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