Risk Factors Associated With Medial Tibial Stress Syndrome In Runners: A Meta-Analysis
DOI:
https://doi.org/10.52783/jns.v14.2824Keywords:
MTSS, Risk Factors, Foot Arch Height, Previous injuries, Training VolumeAbstract
Introduction: MTSS is a common overuse injury among runners, also known as "shin splints." It is characterized by pain along the medial aspect of the tibia, typically occurring in the distal two-thirds of the bone. The pain is usually felt during or after physical activity and may be accompanied by swelling and tenderness. It is caused by repetitive stress on the tibia, leading to micro-trauma and inflammation of the soft tissues. The aim of this meta-analysis was to identify the risk factors associated with MTSS in runners.
Methods: A systematic search of the literature was conducted using electronic databases such as PubMed, Scopus, and Web of Science. The inclusion criteria were studies that investigated the risk factors associated with MTSS in runners. The risk factors were extracted and a meta-analysis was performed to determine the overall effect size.
Results: The meta-analysis included 16 studies with a total of 786 participants. The results showed that the following factors were significantly associated with an increased risk of MTSS in runners: Age (RR = 1.12, 95% CI = 1.04-1.21),Foot arch height (RR = 1.32, 95% CI = 1.15-1.50),Training volume (RR = 1.15, 95% CI = 1.04-1.27),Previous injury (RR = 1.40, 95% CI = 1.19-1.65).
Conclusion: The results of this meta-analysis provide valuable information for clinicians, coaches, and runners to better understand the risk factors associated with MTSS. The findings suggest that older runners, those with low foot arches, high training volume, and a history of injury are at a higher risk for developing MTSS. This information can be used to develop preventive measures and to provide targeted treatments for runners with MTSS.
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