ArticleMuscles (Basel, Switzerland)2026
Examining Relationships and Differences Between the Gastrocnemius and Soleus of the Affected and Healthy Lower Limb of Athletes with Medial Tibial Stress Syndrome.
Article in Muscles (Basel, Switzerland), 2026. 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
objectivesMedial tibial stress syndrome (MTSS) is a common overuse injury among athletes, yet limited evidence exists regarding muscle-specific deficits. This study aimed to (a) examine differences in gastrocnemius and soleus strength and endurance between the affected and healthy lower limb, and (b) investigate the relationships between gastrocnemius and soleus strength, endurance, and pain intensity in athletes with MTSS.
methodsThirty athletes aged 18-40 years with MRI-confirmed MTSS, who had completed a standardized physiotherapy program, underwent isometric dynamometry and heel-rise endurance testing under knee-extended (gastrocnemius) and knee-flexed (soleus) conditions. Relative strength values and heel-rise repetitions were compared between limbs using paired
resultsSignificant deficits were found in both muscles of the affected limb, with reduced isometric strength and fewer heel-rise repetitions (gastrocnemius heel-rise:
conclusionsAthletes with MTSS exhibited notable impairments in plantarflexor function. These findings underscore the importance of targeted strength and endurance interventions for both the gastrocnemius and soleus muscles to optimize recovery, enhance load tolerance, and reduce recurrence risk. Future research should include pre- and post-rehabilitation assessments, larger sample sizes, and sport-specific cohorts.
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