title: Use of foot orthoses and calf stretching for individuals with medial tibial stress syndrome.
abstract: Use of orthotics and calf stretching may alleviate symptoms in runners with medial tibial stress syndrome (MTSS). The objective of this study was to determine which patients with MTSS have a positive response to off-the-shelf foot orthoses and calf stretching based on selected clinical tests to establish a clinical prediction rule. This prospective cohort/predictive validity study enrolled 23 women and men aged 22 to 44 years with symptoms of MTSS. Interventions included off-the-shelf basic foot orthotics and calf stretching. Fifteen of the 23 runners had a 50% reduction of pain in 3 weeks of intervention. Duration was a significant factor that differentiated groups. Although an initial treatment for runners with MTSS may include off-the-shelf orthotics and calf stretching, this regimen should be only one component of an individualized rehabilitation program.
authors.affiliation: University of Kansas Medical Center, Kansas City, Kansas 66160, USA. jloudon@kumc.edu
authors.forename: Janice K
authors.initials: JK
authors.lastname: Loudon
authors.forename: Martin R
authors.initials: MR
authors.lastname: Dolphino
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D015775:Fractures, Stress / Q000628:therapy*; D006801:Humans; D008297:Male; D052580:Muscle Stretching Exercises; D009989:Orthotic Devices; D010147:Pain Measurement; D012420:Running / Q000293:injuries; D012737:Sex Factors; D013577:Syndrome; D013977:Tibia / Q000293:injuries*; D016138:Walking / Q000293:injuries; D055815:Young Adult