Observing the Effect of Fascial Manipulation in Athletes With Shin Splits.Tibial Stress Syndrome.

Shin Splint Clinical Trial

— MTSS  

Official title:

Influence of Fascial Manipulation on Running Kinematics Among Athletes With Medial Tibial Stress Syndrome.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03198260
• Other study ID #: CTRI/2017/06/008875
• Status: Completed
• Phase: N/A
• First received: June 20, 2017
• Last updated: June 27, 2017
• Start date: May 1, 2017
• Est. completion date: June 27, 2017

Study information

• Verified date: June 2017
• Source: Manipal University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Aims & objectives:

1. The aim of the study is to find out the influence of fascial manipulation on running kinematics among athletes with medial tibial stress syndrome (MTSS).

2. The objectives of our study are

i. To use fascial manipulation as a mode of treatment in MTSS. ii. To compare running kinematics before and after treatment intervention. iii. To compare pain perception before and after treatment intervention.

Description:

The justification for study:

1. MTSS is associated with altered lower extremity kinematics.

2. There is an association between tibial fascia tightness and forces acting along the tibial crest due to alterations in the transfer of energy from foot proximally in the closed kinematic chain.

3. Fascial manipulation is found to be effective in improving the pliability of connective tissues in the management of musculoskeletal conditions.

4. Therefore there is a need to determine the influence of fascial manipulation on MTSS.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 10
• Est. completion date: June 27, 2017
• Est. primary completion date: June 27, 2017
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Aged between 18-40 years, both sexes Athletes with shin pain or diagnosed with MTSS Symptoms lasting for 2-3 weeks in the last 1 month

Exclusion Criteria:

• Trauma to lower extremity in the past 3 months Neurological, Cognitive, Psychological factors affecting the test Acute injuries- laceration, sprains, strains, recent fractures Lumbopelvic-hip complex and knee pathologies(intra-articular lesions, osteoarthritis, rheumatic arthritis, osteomyelitis)

Related Conditions & MeSH terms

• Fascial Manipulation
• Medial Tibial Stress Syndrome
• Running Kinematics
• Shin Splint

Intervention

Other:
• Fascial manipulation
Deep frictional massage

Locations

Country	Name	City	State
India	Center for Sport Science Medicine and Research	Udupi	Karnataka

Sponsors (1)

Lead Sponsor	Collaborator
Manipal University

Country where clinical trial is conducted

India, 

References & Publications (8)

Brown AA. Medial Tibial Stress Syndrome: Muscles Located at the Site of Pain. Scientifica (Cairo). 2016;2016:7097489. doi: 10.1155/2016/7097489. Epub 2016 Mar 15. — View Citation

Mikolajczyk A, Kociecki M, Zaklukiewicz A, Listewnik M, Gebska M. [USE OF THE STRUCTURAL TENSEGRATION CONCEPT IN THE STECCO FASCIAL MANIPULATION METHOD]. Ann Acad Med Stetin. 2014;60(2):59-64. Polish. — View Citation

Newman P, Witchalls J, Waddington G, Adams R. Risk factors associated with medial tibial stress syndrome in runners: a systematic review and meta-analysis. Open Access J Sports Med. 2013 Nov 13;4:229-41. doi: 10.2147/OAJSM.S39331. Review. — View Citation

Reshef N, Guelich DR. Medial tibial stress syndrome. Clin Sports Med. 2012 Apr;31(2):273-90. doi: 10.1016/j.csm.2011.09.008. Review. — View Citation

Souza RB. An Evidence-Based Videotaped Running Biomechanics Analysis. Phys Med Rehabil Clin N Am. 2016 Feb;27(1):217-36. doi: 10.1016/j.pmr.2015.08.006. Epub 2015 Oct 20. Review. — View Citation

Stecco C, Day JA. The fascial manipulation technique and its biomechanical model: a guide to the human fascial system. Int J Ther Massage Bodywork. 2010 Mar 17;3(1):38-40. — View Citation

Winkelmann ZK, Anderson D, Games KE, Eberman LE. Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review. J Athl Train. 2016 Dec;51(12):1049-1052. doi: 10.4085/1062-6050-51.12.13. Epub 2016 Nov 11. Review. — View Citation

Winters M, Eskes M, Weir A, Moen MH, Backx FJ, Bakker EW. Treatment of medial tibial stress syndrome: a systematic review. Sports Med. 2013 Dec;43(12):1315-33. doi: 10.1007/s40279-013-0087-0. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual analog scale	Self reporting pain intensity after resuming running	After 5 to 10 mins
Secondary	Increase in running economy	Increasing in duration of running compared to the first trial	15 mins to 45 mins