Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study

Medial tibial stress syndrome (MTSS) is a common problem among athletes and soldiers. There is no proven theory that could explain the pathophysiology of shin splints. The therapies described so far are time-consuming and involve a high risk of relapse. The method according to the fascial distortion...

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Main Authors: Christoph Schulze, Susanne Finze, Rainer Bader, Andreas Lison
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/790626
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author Christoph Schulze
Susanne Finze
Rainer Bader
Andreas Lison
author_facet Christoph Schulze
Susanne Finze
Rainer Bader
Andreas Lison
author_sort Christoph Schulze
collection DOAJ
description Medial tibial stress syndrome (MTSS) is a common problem among athletes and soldiers. There is no proven theory that could explain the pathophysiology of shin splints. The therapies described so far are time-consuming and involve a high risk of relapse. The method according to the fascial distortion model (FDM) addresses local changes in the area of the lower leg fascia. It is suited to reduce pain and functional impairments associated with this symptom complex by applying targeted manual techniques. 32 patients (male: 30; female: 2) participated in this study. Visual analogue scale (VAS) was used for the quantification of pain. Scores were also given to rate the maximum painless exercise tolerance of the patients. Subsequently treatment of the crural fascia was performed. Patients retested ability of running and jumping. Therapy was continued until full exercise tolerance or painlessness was reached. A significant reduction of the VAS pain score from 5.2 to 1.1 could be achieved (P<0.001). The impairment of exercise tolerance could be reduced from 7 to 2 points (P<0.001). The duration of treatment was 6.3 (SD: 4.3) days on average. The FDM therapy is a potential effective method for acute treatment of MTSS.
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spelling doaj-art-f1d660820e9a487480a04345ded880442025-02-03T01:07:16ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/790626790626Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control StudyChristoph Schulze0Susanne Finze1Rainer Bader2Andreas Lison3Department of Orthopaedics, University Medicine Rostock, Doberaner Street 142, 18057 Rostock, GermanyDepartment of Orthopaedics, University Medicine Rostock, Doberaner Street 142, 18057 Rostock, GermanyDepartment of Orthopaedics, University Medicine Rostock, Doberaner Street 142, 18057 Rostock, GermanyBundeswehr Centre of Sports Medicine, Dr.-Rau-Allee 32, 48231 Warendorf, GermanyMedial tibial stress syndrome (MTSS) is a common problem among athletes and soldiers. There is no proven theory that could explain the pathophysiology of shin splints. The therapies described so far are time-consuming and involve a high risk of relapse. The method according to the fascial distortion model (FDM) addresses local changes in the area of the lower leg fascia. It is suited to reduce pain and functional impairments associated with this symptom complex by applying targeted manual techniques. 32 patients (male: 30; female: 2) participated in this study. Visual analogue scale (VAS) was used for the quantification of pain. Scores were also given to rate the maximum painless exercise tolerance of the patients. Subsequently treatment of the crural fascia was performed. Patients retested ability of running and jumping. Therapy was continued until full exercise tolerance or painlessness was reached. A significant reduction of the VAS pain score from 5.2 to 1.1 could be achieved (P<0.001). The impairment of exercise tolerance could be reduced from 7 to 2 points (P<0.001). The duration of treatment was 6.3 (SD: 4.3) days on average. The FDM therapy is a potential effective method for acute treatment of MTSS.http://dx.doi.org/10.1155/2014/790626
spellingShingle Christoph Schulze
Susanne Finze
Rainer Bader
Andreas Lison
Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study
The Scientific World Journal
title Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study
title_full Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study
title_fullStr Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study
title_full_unstemmed Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study
title_short Treatment of Medial Tibial Stress Syndrome according to the Fascial Distortion Model: A Prospective Case Control Study
title_sort treatment of medial tibial stress syndrome according to the fascial distortion model a prospective case control study
url http://dx.doi.org/10.1155/2014/790626
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AT rainerbader treatmentofmedialtibialstresssyndromeaccordingtothefascialdistortionmodelaprospectivecasecontrolstudy
AT andreaslison treatmentofmedialtibialstresssyndromeaccordingtothefascialdistortionmodelaprospectivecasecontrolstudy