Official websites use. Share sensitive information only on official, secure websites. Correspondence , Laura M. Email: students. Running retraining is commonly used in the management of medial tibial stress syndrome MTSS but evidence for its effectiveness is lacking.
The primary aim of this study is to determine if the addition of running retraining to best standard care is beneficial in the management of runners with MTSS. The trial will recruit 64 participants aged between 18 and 45 years, with a clinical diagnosis of MTSS that has affected their running participation for at least four weeks. Best standard care will consist of load management advice, symptom management advice, footwear advice and a strengthening program.
Running retraining will consist of a cue to reduce running step length. Outcomes will be measured at weeks 1, 2, 4 and 8. Secondary outcome measures include: i Exercise Induced Leg Pain QuestionnaireβBritish Version, ii global rating of change scale, iii worst pain experienced during a run, iv weekly run volume, v reactive strength index score, vi single leg hop test, vii soleus single leg maximum voluntary isometric contraction, viii gastrocnemius single leg maximum voluntary isometric contraction, ix single leg plantar flexor endurance test, x running step length, and xi running step rate.
Keywords: gait retraining, leg injuries, prevention, randomized controlled trial, running injuries. The aetiology of MTSS remains uncertain, with traction periostitis from deep crural fascia and failure of tibial bone remodelling both being suggested as possible causes [ 2 ]. Considering the prevalence of MTSS, interventions that minimise the reduction of running volume or enable a timelier return to usual running volume are sought by clinicians and the wider running community.
There is a lack of evidence for effective interventions for the management of MTSS [ 2 ]. Whilst the evidence regarding effective management of MTSS may be scarce, and with the aetiology remaining uncertain, interventions that reduce tibial loads and improve the capacity of the tissues that attenuate tibial loads are proposed to have a positive effect on symptoms. Running retraining is advocated by most expert clinicians in the management of MTSS, with strategies intended to reduce impact loading being the most common e.
