08Oct 2018

HIP MUSCLES TORQUE IN RUNNERS WITH MEDIAL TIBIAL STRESS SYNDROME.

  • Physiotherapist at orthopedic out clinic, Faculty of Physical therapy, Cairo University.
  • Lecturer of physical therapy in department of orthopedic surgery faculty of physical therapy Cairo university.
  • Assistant professor of orthopedic surgery faculty of medicine Suez Canal university.
  • professor of physical therapy in department of orthopedic surgery faculty of physical therapy Cairo university.
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Background: Medial tibial stress syndrome also called shin splints; the incidence ranges 4-35% in athletic& military populations present with medial tibial stress syndrome .Pain at posteromedial tibia. The pain is cumulative with activity & persists for a long time. Purpose: this study was conducted to determine the hip muscles? peak torque in medial tibial stress syndrome. Subjects and methods: forty participants were included in this study divided into two groups, group A (20 subjects with MTSS) ,While group B(20 normal subjects) both groups were assessed for hip abductors, adductors, external rotators and internal rotators peak torque through Isokinetic Biodex system. Results: indicated that there was a significant decrease in the hip abductors? peak torque (p = 0.001) and the hip adductors? peak torque (p = 0.008) in the MTSS group compared with normal group, but There was no significant difference in the hip internal rotators? peak torque (p=0.059) and the hip external rotators? peak torque (p = 0.8) between the MTSS and normal. Conclusion : Participants with medial tibial stress syndrome demonstrated significantly decrease in the hip abductors? and adductors? peak torque, with regard to this study results, we concluded that, weakness of hip abductors is one of the causes of medial tibial stress syndrome Accordingly, it is needed to focus in our (rehabilitation and prevention strategies) on strengthening exercises for hip abductors .

  1. Bobbert MF, Van Zandwijk JP,(1999):Dynamics of Force and Muscle Stimulation in Human Verticle Jumping. Med Sci Sports Exerc.31:303? 310
  2. Bolgla LA, Malone TR, Umberger BR, Uhl TL, (2008): Hip Strength and Hip and knee kinematics During Stair Descent in Females With and Without Patellofemoral Pain Syndrome. J Orthop Sports Phys Ther. 38 (1)12 ?18.
  3. Boling MC, Padua DA, Creighton R, (2009): Concentric and Eccentric Torque of The Hip Musculature in Individuals With and Without Patellofemoral Pain. J Athl Train. 44:7?13.
  4. Cashman GE,(2012): The Effect of Weak Hip Abductors or External Rotators on Knee Valgus Kinematics in Healthy Subjects: A Systematic Review. Journal of Sport Rehabilitation 21: 273-284.
  5. Chumanov ES, Wall-Scheffler C &Heiderscheit BC , (2008): ?Gender Differences in Walking and Running on Level and Inclined Surfaces.? Clin Biomech (Bristol, Avon). 23:1260?1268.
  6. Chuter VH, Janse de Jonge XA.Proximal & distal con,(2012): ?Proximal and Distal Contributions to Lower Extremity Injury: A Review of the Literature.? Gait Posture 36:7?15.
  7. Cichanowski HR, Schmitt JS, Johnson RJ &Niemuth PE, (2007):?Hip Strength In Collegiate Female Athletes With Patellofemoral Pain.? Med Sci Sports Exerc. 39(8):1227?1232.
  8. Claiborne TL, Armstrong CW, Gandhi V& Pincivero DM,(2006): ?Relationship between Hip and Knee Strength and Knee Valgus during a Single Leg Squat.? J Appl Biomech. 22:41?50.
  9. Conneely M, O?Sullivan K, (2008): Gluteus Maximus and Gluteus Medius in Pelvic and Hip Stability: Isolation Or Synergistic Activation? Physiother Irel. 29:6 ?10.
  10. Delp SL, Hess WE, Hungerford DS, Jones LC, (1999): Variation of rotation moment arms with hip flexion. J Biomech 32(5): 493?501.
  11. Dierks TA, Manal KT, Hamill J& Davis IS, (2008): ?Proximal and Distal Influences On Hip and Knee Kinematics In Runners With Patellofemoral Pain During Aprolonged Run. ? J Orthop Sports Phys Ther 38(8)448? 456.
  12. Ferber R, Davis IM &Williams DS,(2003): ?Gender Differences in Lower Extremity Mechanics during Running.? Clin Biomech (Bristol, Avon) 18:350?57.
  13. Franklyn M, Oakes B,(2015): Aetiology and mechanisms of injury in medial tibial stress syndrome: Current and future developments. World J Orthop.6: 577-589.
  14. Hewett TE, Myer GD, Ford KR, et al,.(2005):?Biomechanical Measures of Neuromuscular Control and Valgus Loading of the Knee Predict Anterior Cruciate Ligament Injury Risk in Female Athletes: A Prospective Study.? Am J Sports Med. 33:492501.
  15. Hollman JH, Ginos BE, Kozuchowski J, Vaughn AS, Krause DA & Youdas JW,(2009): ?Relationships between Knee Valgus, Hip-Muscle Strength, and Hip-Muscle Recruitment during a Single-Limb Step-Down.? J Sport Rehabil. 18:104?17.
  16. Ireland ML, Willson JD, Ballantyne BT, et al,.(2003): Hip strength in females with and without patellofemoral pain. J Orthop Sports Phys Ther 33:671?6.
  17. Jacobs CA, Uhl TL, Mattacola CG, Shapiro R& Rayens W, (2007):?Hip Abductor Function and Lower Extremity Landing Kinematics: Sex Differences.? J Athl Train. 42:76?83.
  18. Lawrence RK, Kernozek TW, Miller EJ, et al.,(2008): Influences of Hip External Rotation Strength on Knee Mechanics During Single Leg Drop Landings in Females .Clin Biomech.23:806? 13.
  19. Leetun DT, Ireland ML, Willson JD, et al,.(2004): Core stability measures as risk factors for lower extremity injury in athletes. Med Sci Sports Exerc 36:926?34
  20. Lindsay DM, Maitland M, Lowe RC, Kane TJ, (1992): Comparison of isokinetic internal and external hip rotation torques using different testing positions. J Orthop Sports Phys Ther 16(1): 43?50.
  21. Mascal CL, Landel R, Powers C, (2003): ?Management of Patellofemoral Pain Targeting Hip , Pelvis, and Trunk Muscle Function:2 Case Reports. J Orthop Sports Phys Ther. 33(11):647? 660.
  22. Mohamed KAH, Ayad KE, Gamal MH & Abdelazem AH, ( 2016): Relationship between hip muscles eccentric strength and static hip joint aligment in patellofemoral pain syndrome in females.- Doctoral thesis- 67-72.
  23. Novak CB & Mackinnon S ,(1997):?Repetitive Use and Static Postures: A Source of Nerve Compression and Pain.? Journal of Hand Therapy 10:151?159.
  24. Patil SSD, (2016):?Shin Splints.? Foot and Ankle Sports Orthopaedics 25?34.
  25. PerryJ,(1992): ?Gait Analysis: Normal and Pathological Function.? Thorofare, NJ: Slack Inc,pp103-27.
  26. Powers CM, (2003): ?The Influence of Altered Lowerextremity Kinematics on Patellofemoral Joint Dysfunction: A Theoretical Perspective.? J Orthop Sports Phys Ther 33:639?46.
  27. Powers CM,(2010): ?The Influence of Abnormal Hip Mechanics on Knee Injury: A Biomechanical Perspective.? Journal of Orthopaedic & Sports Physical Therapy 40(2):42?51. Retrieved (http://www.jospt.org/doi/10.2519/jospt.2010.3337).
  28. Ridder et al., (2017): ?Hip Strength as An intrinsic Risk Factor for Lateral Ankle Sprains in Youth Sports.? American Journal of Sports Medicine. 45(2):410-416.
  29. Robinson RL, Nee RJ, (2007): ?Analysis of Hip Strength in Females Seeking Physical Therapy TreatmentFor Unilateral Patellofrmoral Pain Syndrome. ? J Orthop Spots Phys Ther. 37(5):232?
  30. Silva RS, Veronese LM, Granado Ferreira AL, Serr?o FV, (2013): The influence of forefoot varus on eccentric hip torque in adolescents. Man Ther 18(6): 487?91
  31. Simoneau G,(2002): ?Kinesiology of Walking. In: Neumann DA, Eds.? Kinesiology of the Musculoskeletal System. St Louis, MO: Mosby 523?69.
  32. Willson JD, Davis IS, (2008): ?Utility of The Frontal Plane Projection Angle in females with patellofemoral pain.? J Orthop Sports Phys Ther. 38(10):606?615.
  33. Willson JD, Ireland ML, Davis I,(2006):?Core Strength and Lower Extremity Alignment during Single Leg Squats.? Med Sci Sports Exerc. 38:945?52.

[Shreen A. Lashien, Ebtessam F. Gomaa, Asherf M. Abd Elkafy and Nadia A. Fayaz. (2018); HIP MUSCLES TORQUE IN RUNNERS WITH MEDIAL TIBIAL STRESS SYNDROME. Int. J. of Adv. Res. 6 (Oct). 596-602] (ISSN 2320-5407). www.journalijar.com

SHREEN A. LASHIEN
Physiotherapist at orthopedic out clinic of Faculty of Physical therapy, Cairo University.

DOI:

Article DOI: 10.21474/IJAR01/7845      
DOI URL: http://dx.doi.org/10.21474/IJAR01/7845

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