3-4 days free worldwide delivery

Anatomical and Biomechanical Assessments of Medial Tibial Stress Syndrome

by MASS4D® Prescription Orthotics October 15, 2016


The purpose of this study was to elucidate selected anatomical, dynamic and static biomechanical factors of MTSS.

Each participant completed a General Health History Questionnaire to assess their general health.

Participants also completed the Medial Tibial Stress Syndrome Injury History Questionnaire, along with a physical examination to differentiate between individuals with MTSS and non-injured controls.

A variation of the visual analog pain scale developed by Melzack was used to assess resting pain and retrospective pain during exercise.

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

The foot and ankle flexibility measures assessed were: active ankle dorsiflexion with the knee at 0° extension and 90° flexion, passive extension of the first metatarsophalangeal joint during weightbearing and non-weightbearing, and arch height index ratio during sitting and standing.

Foot type was classified according to foot function, allowing for the determination of pes planus and rectus.

Foot function was determined statically using the malleolar valgus index and dynamically using the centre-of-pressure excursion index.

The initial pronation index, a novel measure of dynamic foot function, was used for the first time in this study.

The Modified Baecke Physical Activity Questionnaire was used to quantify the activity level of the study participants.

Although limb length was assessed during non-weightbearing, the 0.16-cm difference between participants with MTSS and non-injured controls, may be clinically relevant under increased loads.

A trend was established in dorsiflexion at 0° knee extension for participants with MTSS as compared to the non-injured controls.

Copyright 2016 MASS4D® All rights reserved. 

Offer your Patients a Custom Calibrated Insole with a 98% Patient Satisfaction Rate     know more

  1. Katherine E. Bartosik, Michael Sitler, Howard J. Hillstrom, Howard Palamarchuk, Kellie Huxel, Esther Kim (2010) Anatomical and Biomechanical Assessments of Medial Tibial Stress Syndrome. Journal of the American Podiatric Medical Association: March/April 2010, Vol. 100, No. 2, pp. 121-132

Leave a comment

Comments will be approved before showing up.

Also in Clinicians Blog

Foot and ankle history and clinical examination: A guide to everyday practice

by MASS4D® Prescription Orthotics August 12, 2018

This review summarises the keys points in taking a full history and performing a systematic clinical examination for patients with foot and ankle problem.

Read More

A comparison of running kinetics in children with and without genu varus: A cross sectional study

by MASS4D® Prescription Orthotics August 07, 2018

The aims of the present study were to examine differences in three dimensional ground reaction forces (GRF) during running at preferred speed in boys with genu varus compared to age-matched healthy controls.

Read More

Foot Structure in Boys with Down Syndrome

by MASS4D® Prescription Orthotics July 29, 2018

The aim of this study was the analysis of selected features of the foot structure in boys with Down Syndrome (DS) versus their age- and gender-matched peers without the condition.

Read More