ArticleSports medicine, arthroscopy, rehabilitation, therapy & technology : SMARTT2012
The treatment of medial tibial stress syndrome in athletes; a randomized clinical trial.
Article in Sports medicine, arthroscopy, rehabilitation, therapy & technology : SMARTT, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05392036 (), which is not on this map. Cited by 23 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
: Effects of Therapeutic Ultrasound Versus Shockwave Therapy on Pain, Range of Motion and Function in Recreational Runners With Medial Tibial Stress Syndrome
Who cites it
23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 68 citations in OpenAlex.
- Pooled it
- Are Leg Muscle, Tendon and Functional Characteristics Associated with Medial Tibial Stress Syndrome? A Systematic Review.Sports medicine - open · 2021Pooled it
- Medial Tibial Stress Syndrome in Novice and Recreational Runners: A Systematic Review.International journal of environmental research and public health · 2020Pooled it
- Treatment of medial tibial stress syndrome: a systematic review.Sports medicine (Auckland, N.Z.) · 2013Pooled it
- Short-term effectiveness of dry needling on pain and ankle range of motion in athletes with medial tibial stress syndrome- a randomized control trial.The Journal of manual & manipulative therapy · 2025Trial
- Effects of Functional Magnetic Stimulation on Pain, Function, and MRI-Derived Outcomes in Athletes with Tibial Bone Stress Injury: A Randomized Controlled Trial.Journal of functional morphology and kinesiology · 2026Article
- Medial tibial stress syndrome.Musculoskeletal surgery · 2026Review
- Effects of Integrating Lower-Leg Exercises Into a Multimodal Therapeutic Approach on Medial Tibial Stress Syndrome Management Among Recreational Runners: A Randomized Controlled Study.Orthopaedic journal of sports medicine · 2025Article
- Test-retest Reliability of Biomechanical Measures and Clinical Pain Outcomes in Runners with Medial Tibial Stress Syndrome (MTSS).International journal of sports physical therapy · 2025Article
- Article
- Externally validated machine learning algorithm accurately predicts medial tibial stress syndrome in military trainees: a multicohort study.BMJ open sport & exercise medicine · 2023Article
- Difference in the foot intersegmental coordination pattern between female lacrosse players with and without a history of medial Tibial stress syndrome; a cross-sectional study.Journal of foot and ankle research · 2022Article
- The diagnosis and management of medial tibial stress syndrome : An evidence update.Der Unfallchirurg · 2020Review
- [The diagnosis and management of medial tibial stress syndrome : An evidence update-German version].Der Unfallchirurg · 2019Review
- Microcrack-associated bone remodeling is rarely observed in biopsies from athletes with medial tibial stress syndrome.Journal of bone and mineral metabolism · 2019Article
- Chronic osteomyelitis of the tibia in a runner: catastrophic consequences of shin splints.BMJ case reports · 2018Article
- A protocol to prospectively assess risk factors for medial tibial stress syndrome in distance runners.BMC sports science, medicine & rehabilitation · 2018Article
- Incidence and risk factors of medial tibial stress syndrome: a prospective study in Physical Education Teacher Education students.BMJ open sport & exercise medicine · 2018Article
- Exercise-induced leg pain.Asia-Pacific journal of sports medicine, arthroscopy, rehabilitation and technology · 2015Review
- Musculoskeletal injuries in British Army recruits: a prospective study of diagnosis-specific incidence and rehabilitation times.BMC musculoskeletal disorders · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe only three randomized trials on the treatment of MTSS were all performed in military populations. The treatment options investigated in this study were not previously examined in athletes. This study investigated if functional outcome of three common treatment options for medial tibial stress syndrome (MTSS) in athletes in a non-military setting was the same.
methodsThe study design was randomized and multi-centered. Physical therapists and sports physicians referred athletes with MTSS to the hospital for inclusion. 81 athletes were assessed for eligibility of which 74 athletes were included and randomized to three treatment groups. Group one performed a graded running program, group two performed a graded running program with additional stretching and strengthening exercises for the calves, while group three performed a graded running program with an additional sports compression stocking. The primary outcome measure was: time to complete a running program (able to run 18 minutes with high intensity) and secondary outcome was: general satisfaction with treatment.
results74 Athletes were randomized and included of which 14 did not complete the study due a lack of progress (18.9%). The data was analyzed on an intention-to-treat basis. Time to complete a running program and general satisfaction with the treatment were not significantly different between the three treatment groups.
conclusionThis was the first randomized trial on the treatment of MTSS in athletes in a non-military setting. No differences were found between the groups for the time to complete a running program.
trial registrationCCMO; NL23471.098.08.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.