RESUMEN
Introducción. El síndrome de estrés tibial medial (SEMT) tiene una alta prevalencia entre corredores y genera un negativo impacto funcional. Un gran número de factores de riesgo se asocian con el desarrollo de SEMT, sin embargo, no existe claridad de cuales factores desencadenan la lesión en esta población. Objetivo. Identificar los factores de riesgo relacionados al SEMT en corredores sintetizando la información en una revisión sistemática. Métodos. Se realizó una búsqueda de estudios de cohorte y, casos y controles, en idioma inglés y español, en distintas bases de datos tales como Pubmed, EMBASE, EBSCO, SPORTDiscus, Scopus y Web of Science. Se incluyeron estudios con población de corredores de cross-country y track and field. Se analizaron factores de riesgo asociados a SEMT. Además, Se extrajeron datos como diseño y duración del estudio, definición del SEMT utilizada, características de la población y método diagnóstico. Se evaluó la calidad metodológica con el "NIH Quality Assessment Tool". Resultados. Cinco estudios y 43 factores de riesgo fueron analizados. 18 factores de riesgo presentaron una asociación significativa con SEMT. Los estudios tuvieron entre 64,3-85,7% de calidad metodológica. Los factores de riesgo más analizados fueron sexo, caída del navicular, índice de masa corporal, talla, peso, rango de dorsiflexión de tobillo y rotación de cadera en el plano transverso. Conclusión. Nuestra revisión no permitió determinar un factor de riesgo de SEMT, ya que los resultados entre los estudios fueron contradictorios o solo un estudio mostraba resultados significativos.
Background. Medial tibial stress syndrome (MTSS) has a high prevalence among runners and creates a major functional impact. A large number of risk factors are associated with the development of MTSS, which are not conclusive in this population. Objective: To identify the risk factors associated with MTSS in runners summarizing the gathered data through a systematic review. Methods. A search for cohort and case-control studies retrieved from different databases was conducted in English and Spanish. Studies with cross-country, track, and field runners were covered, in which risk factors associated with MTSS will be analyzed. The extracted data included: the design and duration of the study, the definition of MTSS currently used, the characteristics of the population, the analyzed risk factors, and the diagnostic method. The methodological quality was screened through the use of the "NIH Quality Assessment Tool". Results. Five studies and 43 risk factors were analyzed. Eighteen risk factors had a significant association with MTSS. The studies had a methodological quality of 64.3 -85.7%. The most analyzed risk factors were gender, navicular drop, body mass index, height, weight, range of ankle dorsiflexion and hip rotation in the transverse plane. Conclusion. Our review did not allow us to determine a risk factor for SEMT, since the results between the studies were contradictory or only one study showed significant results.
RESUMEN
Background: It is essential to find out the presence of shin splint in recreational marathon runners to prevent the injury from causing more damage. This study was conducted to identify shin splint in recreational marathon runners in Krishna Hospital, Karad. This study was designed to provide meaningful insight into the cause of shin splint in recreational marathon runners. Objectives of the study were to find out the impact of shin splint in recreational marathon runners and to assess the severity of shin splint in recreational marathon runners of age group 20-30 years both males and females in Krishna Hospital, Karad. Material and Methods: 190 recreational marathon runners who fit in the criteria were given Runner’s Questionnaire and were asked to fill it. Result: There was marked significance pain was present during(p=0.04) and running throughout(p<0.0001) in recreational marathon runners. Conclusion: It was concluded from the present study that there is a prevalence of shin splint in marathon runners. Shin splint was found more in females (55.3%)than in males (44.7%). Based on the duration of pain and shoe surface was found to be more prevalent to cause shin splint in marathon runners.
RESUMEN
El síndrome de estrés tibial interno es una enfermedad frecuente en el personal militar durante los primeros meses de su entrenamiento. Su etiología no es muy clara y en diferentes trabajos se han descrito varios factores intrínsecos de riesgo relacionados con este síndrome, pero poco se han enfocado en identificar factores extrínsecos de riesgo en el personal militar. Objetivo: Hacer una aproximación a la identificación de los factores extrínsecos de riesgo relacionados con el síndrome de estrés tibial interno en personal militar de primer y segundo nivel de la Escuela Militar de Cadetes General José María Córdova. Metodología: La muestra la conformaron100 cadetes de la facultades de Educación Física Militar, de Ingeniería Civil y de Ciencias Militares, que contestaron dos cuestionarios: en uno se buscó identificar la presencia de síntomas y signos activos del síndrome de estrés tibial interno y, en el otro, los factores de riesgo descritos en la literatura y aquellos que a consideración del investigador podrían relacionarse con este síndrome. Resultados: El 21 % de los cadetes presentó el síndrome de estrés tibial interno. Los factores extrínsecos de riesgo identificados fueron: percibir el calzado deportivo de dotación como similar al calzado particular y realizar repetición de la actividad como correctivo en la formación militar. Los factores protectores identificados en los cadetes fueron: correr menos de 10 km, tener un acumulado de 20 a 30 km utilizando el calzado de dotación, percibir el calzado de dotación como pesado o similar al calzado común, desarrollar los entrenamientos físicos de su formación militar sobre la grama y realizar el correctivo militar trote alrededor de la escuela. Conclusion: Se logró determinar que considerar el calzado deportivo de dotación como inadecuado para el entrenamiento deportivo y someterse al correctivo militar...
Introduction: The medial tibial stress syndrome (MTES) is a common condition in military personnel during the first months of their training. Its etiology is unclear and different studies have described several intrinsic risk factors associated with this syndrome, but few have focused on identifying extrinsic risk factors in military personnel. Objective: The central aim of the study was to make an approach to the identification of extrinsic risk factors related to MTES in first year academy military personnel. Methodes: The sample consisted of 100 first year military personnel attending the physical education, civil engineering and military science pregraduate majors. They answered two questionnaires, one sought to identify cadets who had symptoms and signs of active MTES, and the second questionnaire sought to identify risk factors described in the literature and those that the researcher considered to be related to this syndrome. Results: 21% of the military personnel had MTES, and the extrinsic risk factors identified in the cadets were: perceiving the military issued sneakers as usual to the regular footwear and performing repetition of the activity as a corrective measure as part of the military training. Protective factors identified in the military personnel were: running less than 10 km, to have a total accumulated of 20 to 30 km using military issued boots, to perceive military issued footwear as heavy or usual to common footwear, to do the physical military training over grass and to run to the academy premises as a corrective measure in their military training. Conclusions: It was possible to identify that the military personnel who perceived as inadequate the military issued sneakers to perform their sports training and the military ...