Abstract
Objective: to evaluate the effectiveness of Kinesiology Taping with conventional physical therapy in patients with Medial Tibial Stress Syndrome.
Study design: It is a randomized control trial study.
Place and duration of study: A five-month study was carried out in Smart Health and fitness club (SMARTS) and Fitdiction Gym Islamabad. (from April 2019 to August 2019)
Material and Methods: Athletes with ages between 18-35 years, of both gender, having MTSS score between 4-10 were recruited in the study. A total of 30 patients were split into two groups randomly, with 15 in each. Group 1 received Kinesiology Taping alongside conventional physical therapy (Cryotherapy+ TENS+ Calf muscle stretch), while Group 2 only received conventional physical therapy. Treatments were administered every other day for three weeks.
Results: Within the group analysis utilized repetitive measure ANOVA. The average NPRS percentages for both groups were similar at the start. However, for the experimental group NPRS percentages as well as average MTSS percentage, there was a significant decrease till the end (0.90 &1.00 respectively) of the sessions. Between-group analysis was carried out using an independent t-test. Both the NPRS and MTSS results were statistically significant in both groups (p<0.01), but the mean values indicated that the experimental group exhibited a greater reduction in pain and an enhanced functional level compared to the control group.
Conclusion: Kinesiology taping combined with standard physical therapy proved effective in lessening pain and enhancing the functional status of athletes with medial tibial stress syndrome.
Keywords: Medial Tibial Stress Syndrome, Kinesiology Taping, Transcutaneous Electrical Nerve Stimulation, Cryotherapy, Calf Stretch, Numeric Pain Rating Scale, Medial Tibial Stress Syndrome Score.
References
Galbraith, R.M. and M.E. Lavallee, Medial tibial stress syndrome: conservative treatment options. Curr Rev Musculoskelet Med, 2009. 2(3): p. 127-33.
Saeki, J., et al., Ankle and toe muscle strength characteristics in srunners with a history of medial tibial stress syndrome. Journal of Foot and Ankle Research, 2017. 10(1): p. 16.
Plisky, M.S., et al., Medial tibial stress syndrome in high school cross-country runners: incidence and risk factors. J Orthop Sports Phys Ther, 2007. 37(2): p. 40-7.
Reinking, M.F., et al., Medial Tibial Stress Syndrome in Active Individuals: A Systematic Review and Meta-analysis of Risk Factors. Sports health, 2017. 9(3): p. 252-261.
Moen, M.H., et al., Medial tibial stress syndrome: a critical review. Sports Med, 2009. 39(7): p. 523-46.
Newman, P., et al., Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open access journal of sports medicine, 2013. 4: p. 229-241.
Clement, D.B., Tibial stress syndrome in athletes. J Sports Med, 1974. 2(2): p. 81-5.
Michael, R.H. and L.E. Holder, The soleus syndrome: A cause of medial tibial stress (shin splints). The American Journal of Sports Medicine, 1985. 13(2): p. 87-94.
Garth, W.P. and S.T. Miller, Evaluation of claw toe deformity, weakness of the foot intrinsics, and posteromedial shin pain. The American Journal of Sports Medicine, 1989. 17(6): p. 821-827.
Bouche, R.T. and C.H. Johnson, Medial tibial stress syndrome (tibial fasciitis): a proposed pathomechanical model involving fascial traction. J Am Podiatr Med Assoc, 2007. 97(1): p. 31-6.
Couture, C.J. and K.A. Karlson, Tibial stress injuries: decisive diagnosis and treatment of 'shin splints'. Phys Sportsmed, 2002. 30(6): p. 29-36.
Moen, M.H., et al., A prospective study on MRI findings and prognostic factors in athletes with MTSS. Scand J Med Sci Sports, 2014. 24(1): p. 204-10.
Craig, D., Current Developments Concerning Medial Tibial Stress Syndrome. The Physician and Sportsmedicine, 2009. 37: p. 39-44.
Hendrik Moen, M., et al., The treatment of medial tibial stress syndrome in athletes; a randomized clinical trial. Sports medicine, arthroscopy, rehabilitation, therapy & technology : SMARTT, 2012. 4: p. 12.
Murley, G., H. Menz, and K. Landorf, Foot posture influences the electromyographic activity of selected lower limb muscles during gait. Journal of Foot and Ankle Research, 2009. 2: p. 35
Hamstra-Wright, K.L., K.C. Bliven, and C. Bay, Risk factors for medial tibial stress syndrome in physically active individuals such as runners and military personnel: a systematic review and meta-analysis. Br J Sports Med, 2015. 49(6): p. 362-9.
S Chumanov, E., C. Wall-Scheffler, and B. Heiderscheit, Gender differences in walking and running on level and inclined surfaces. Clinical biomechanics (Bristol, Avon), 2008. 23: p. 1260-8.
Gallo, R.A., M. Plakke, and M.L. Silvis, Common leg injuries of long-distance runners: anatomical and biomechanical approach. Sports health, 2012. 4(6): p. 485-95.
Newman, P., R. Adams, and G. Waddington, Two simple clinical tests for predicting onset of medial tibial stress syndrome: shin palpation test and shin oedema test. Br J Sports Med, 2012. 46(12): p. 861-4.
Moore, M.P., Shin splints. Diagnosis, management, prevention. Postgrad Med, 1988.83(1): p. 199-200, 203-5, 208-10.
Cheung, K., P. Hume, and L. Maxwell, Delayed onset muscle soreness: Treatment strategies and performance factors. Vol. 33. 2003. 145-64.
Denegar, C.R. and D.H. Perrin, Effect of transcutaneous electrical nerve stimulation, cold, and a combination treatment on pain, decreased range of motion, and strength loss associated with delayed onset muscle soreness. J Athl Train, 1992. 27(3): p. 200-6.
Gulick, D. and I. Kimura, Delayed Onset Muscle Soreness: What Is It and How Do We Treat It? Journal of Sport Rehabilitation, 1996. 5: p. 234-243.
Reneker, J.C., et al., Effectiveness of kinesiology tape on sports performance abilities in athletes: A systematic review. Phys Ther Sport, 2018. 31: p. 83-98.
Pysny, L., J. Pyšná, and D. Petrů, Kinesio Taping Use in Prevention of Sports Injuries During Teaching of Physical Education and Sport. Vol. 186. 2015. 618-623.
Cai, C., et al., Facilitatory and inhibitory effects of Kinesio tape: Fact or fad? J Sci Med Sport, 2016. 19(2): p. 109-12.
Ozmen, T., et al., The Effect of Kinesio Taping® on Muscle Pain, Sprint Performance, and Flexibility in Recovery From Squat Exercise in Young Adult Women. Journal of Sport Rehabilitation, 2015. 25.
García-Muro San José, F., Á.L. Rodríguez-Fernández, and A. Herrero-de-Lucas, Treatment of myofascial pain in the shoulder with Kinesio Taping. A case report. Vol. 15. 2009. 292- 5.
Poon, K.Y., et al., Kinesiology tape does not facilitate muscle performance: A deceptive controlled trial. Man Ther, 2015. 20(1): p. 130-3.
Mostafavifar, M., J. Wertz, and J. Borchers, A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. Phys Sportsmed, 2012. 40(4): p. 33-40.
Tsai, C.-T., W.-D. Chang, and J.-P. Lee, Effects of Short-term Treatment with Kinesiotaping for Plantar Fasciitis. Journal of Musculoskeletal Pain, 2010. 18(1): p. 71-80.
Griebert, M., et al., Lower-leg Kinesio Tape Reduces Rate of Loading in Participants with Medial Tibial Stress Syndrome. Physical Therapy in Sport, 2014.18.
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyright (c) 2023 Rabbiya Riaz, Anam Javed, Shifa Saleem, Irum shaheen, Sammar Abbas, Rabbyya kausar