ArticleInternational journal of sports physical therapy2025
Test-retest Reliability of Biomechanical Measures and Clinical Pain Outcomes in Runners with Medial Tibial Stress Syndrome (MTSS).
Article in International journal of sports physical therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Medial tibial stress syndrome (MTSS) is a common overuse injury in runners, leading to pain and reduced training capacity. Reliable assessment of biomechanical and clinical outcomes is essential to distinguish true clinical change from measurement error and for guiding rehabilitation and return-to-running decisions. However, evidence for the reliability of commonly used measures in MTSS is limited. # Purpose To determine the test-retest reliability and minimal detectable change (MDC) of common biomechanical and clinical outcomes in runners with MTSS. # Study design Test-retest reliability study. # Methods Twenty-two runners with MTSS were assessed twice, three days apart, by the same examiner. Biomechanical outcomes included center of pressure (COP) trajectory during running and cross-sectional area (CSA) and strength of the flexor hallucis longus (FHL) muscle. Clinical outcomes included linear pain distance on palpation along the posteromedial tibial border, and pain level reported using a visual analog scale (VAS). Paired t-tests were used to analyze the differences between sessions. Intraclass correlation coefficients (ICC
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