Dejavniki tveganja medialnega tibialnega stres sindroma : pregled literature

Koren, Petra (author), Vauhnik, Renata (mentor)

Uvod: Medialni tibialni stres sindrom (MTSS) je preobremenitvena poškodba in najpogostejši vzrok bolečine v predelu goleni pri tekačih. Etiologija stanja še ni popolnoma razjasnjena, dokazi raziskav pa kažejo da gre za stresno reakcijo golenice zaradi mikro upogibanja, napetosti mehko-tkivnih struktur ali kombinacije obeh. Bolečina se širi vzdolž posteromedialnega dela golenice in se pojavi v povezavi s fizično aktivnostjo. Natančnejše razumevanje patofiziologije bi omogočilo lažje definiranje dejavnikov tveganja MTSS. Namen: Namen diplomskega dela je na podlagi pregleda literature, predstaviti dejavnike tveganja za nastanek medialnega tibialnega stres sindroma. Metode dela: Pregled literature je bil narejen s pomočjo podatkovne baze PubMED. Rezultati: V analizo je bilo vključenih 9 kontroliranih randomiziranih raziskav. Ženske so bolj izpostavljene pojavu MTSS v primerjavi z moškimi. Zunanja dejavnika tveganja MTSS sta slaba biomehanika hoje in zgodovina MTSS. Kot pridružena zunanja dejavnika tveganja sta nizka aerobna zmogljivost in kajenje. Notranji dejavniki tveganja so spremenjen obseg notranje rotacije v kolčnem sklepu, povečan obseg plantarne fleksije stopala, spremenjen kot stopala v sproščenem položaju, prekomeren spust navikularne kosti, razlika v dolžini spodnjih udov in povišan indeks telesne mase. Razprava in sklep: Pri določanju dejavnikov tveganja za MTSS je pomembno, da so merilni postopki standardizirani in izvedeni s strani usposobljenega strokovnjaka. Natančnejši in trdnejši dokazi dejavnikov tveganja in njihovega vpliva na pojav MTSS bi značilno povečali možnosti ustrezne in kvalitetne preventive ter zdravljenja.

• Language: Slovenian
• Keywords: tek, tekaška poškodba, preobremenitvena poškodba, medialni tibialni stres sindrom, dejavniki tveganja
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-92482
• COBISS.SI-ID: 5269611
• Publication date in RUL: 05.06.2017

KOREN, Petra, 2017, Dejavniki tveganja medialnega tibialnega stres sindroma : pregled literature [online]. Bachelor’s thesis. [Accessed 4 June 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=92482

Secondary language

• Language: English
• Title: Risk factors for medial tibial stress syndrome : literature review

Abstract

Introduction: Medial tibial stress syndrome (MTSS) is an overuse injury and one of the most common cause of shin pain in athletes. The etiology of MTSS is not yet clarified, but the recent studies have shown that MTSS is a stress reaction of the tibia due to micro-bending, tension of soft-tissue structures or combination of both. MTSS is defined as pain in the area of the distal two-third of the posterior medial edge of tibia and appears with exercise. More accurate understanding of the pathophysiology of MTSS would make it easier to define risk factors of MTSS. Purpose: The purpose of this diploma work is to review the existing literature and present the risk factors for medial tibial stress syndrome. Methods: Studies were searched in the PubMed database. Results: Nine randomised controlled trails were included in this diploma work. Women are more vulnerable to the MTSS compared with men. Decreased flexibility of the transverse arch and decreased medial longitudinal arch ratio are risk factors for MTSS. The external risk factors for MTSS are poor gait biomechanics and history of MTSS. Low aerobic fitness and smoking habit were demonstrated as additive external risk factors for MTSS. Internal risk factors for MTSS are decreased or increased hip internal ranges of motion, increased plantar ankle flexion, changed standing foot angle, excessive navicular drop, the difference in length of the lower limbs and increased body mass index. Conclusion: Evaluation procedures of risk factors for MTSS should be standardised and carried out by a qualified professional for comparable, valid and reliable results. A stronger and more accurate evidence of risk factors for MTSS and their influence on the phenomenon of MTSS would significantly increase the opportunities for appropriate and quality prevention and treatment.

• Keywords: running, running injury, overuse injury, medial tibial stress syndrome, risk factors for medial tibial stress syndrome