Effects of Therapeutic Ultrasound Versus Shockwave Therapy in Medial Tibial Stress Syndrome in Recreational Runners

Riphah International University

Status: Completed

Conditions: Medial Tibial Stress Syndrome

Treatments: Other: baseline physical therapy treatment along with shockwave therapy; Other: baseline physical therapy treatment along with therapeutic ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT05392036

REC/RCR & AHS/22/0139 Khizra

Details and patient eligibility

About

This project was a Randomized control trial conducted to check the effects of therapeutic ultrasound versus shockwave therapy on pain , range of motion and function in recreational runners with medial tibial stress syndrome so that we can formulate a better and most effective regime for treatment of medial tibial stress. Duration was of 6 months, convenient sampling was done, subject following eligibility criteria from Ghurki Trust teaching hospital, horizon hospital and surgimed hospital. Group A participants were given baseline treatment along with shockwave and Group B were given baseline treatment along with therapeutic ultrasound. Assesment was done at baseline and at 2nd week and 6th week post-interrvention . Assessment was done via, Numeric pain rating scale(NPRS), Lower Extermity functional scale LEFS ) and goniometric measurements of shoulder ranges, data was analyzed by using SPSS version 26.

Full description

Medial tibial stress syndrome (MTSS) is a common low leg injury. It is described as activity-induced pain along posterior medial border of leg approximately for 5 cm. Most commonly reported by runners and military personnel. Incidence of MTSS ranges between 13.6% to 20% in runners. Significant increase in loading activities or rigorous exercise causing high impact like skiping, jogging can induce MTSS which leads to stress fracture of tibia. Various risk factors are associated with the incidence of medial tibial stress syndrome which includes both intrinsic and extrinsic factors. Current study has involved comparison of therapeutic ultrasound versus shockwave therapy as there is limited knowledge about comparison of therapeutic ultrasound versus shockwave therapy.

Enrollment: 54 patients

Sex: All

Ages: 20 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Both male and female
• Pain at distal 2/3 of tibia
• Previous history of MTSS
• Recreational runner

Exclusion criteria

• History of lower limb fracture

  • Any lower limb surgical history
  • Any malignancy
  • Professional athlete
  • Cardiopulmonary insufficiency

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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54 participants in 2 patient groups

Group A

Experimental group

Description:

shockwave therapy

Treatment:

Other: baseline physical therapy treatment along with shockwave therapy

Group B

Other group

Description:

therapeutic ultrasound

Treatment:

Other: baseline physical therapy treatment along with therapeutic ultrasound