Contributing Factors to Medial Tibial Stress Syndrome: A Prospective Investigation
Contributing Factors to Medial Tibial Stress Syndrome: A Prospective Investigation
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DOI：
10.1249/mss.0b013e31818b98e6
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发表时间：
2009-03-01
期刊：
影响因子：
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通讯作者：
Cordova, Mitchell L.
中科院分区：
文献类型：
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作者：
Hubbard, Tricia J.;Carpenter, Erica Mullis;Cordova, Mitchell L.
哈伯德、T.J.E.M.卡彭特和 M.L.科尔多瓦。胫骨内侧应力综合征的影响因素：前瞻性调查。医学。科学。现场锻炼，卷。 41，第 3 期，第 490-496 页，2009 年。目的：进行前瞻性、多地点队列研究，调查大学运动员胫骨内侧应力综合征 (MTSS) 的可能危险因素。方法：来自 NCAA I 级和 I 级机构的 146 名健康的大学运动员参与了这项研究。受试者首先完成健康史调查问卷，以确定既往受伤史，并在各自的运动赛季开始前接受体检，以评估他们的踝/足力量、踝/足运动范围、胫骨内翻和舟骨下垂。如果运动员出现胫骨疼痛，他们被要求向经过认证的运动教练报告。如果存在 MTSS，则受试者被分为有症状组。使用独立 t 检验和卡方分析来确定 MTSS 和健康运动员之间是否分别存在连续和离散因变量的差异。然后将重要的因变量用于判别函数分析。结果：29 名受试者在本研究期间出现了 MTSS。参加体育活动少于 5 年的运动员明显更有可能出现 MTSS（P = 0.002）。此外，与没有发生 MTSS 的运动员相比，有 MTSS 病史 (P = 0.0001)、有应力性骨折病史 (P = 0.039) 和使用矫形器 (P = 0.031) 的运动员更有可能发生 MTSS。结论：本研究确定，最影响 MTSS 发展的因素是既往 MTSS 和应力性骨折病史、多年的跑步经验以及矫形器的使用。这些数据证明了在赛季开始前建立完整历史记录的重要性，以便识别可能面临 MTSS 发展风险的运动员。
HUBBARD, T. J. E. M. CARPENTER, and M. L. CORDOVA. Contributing Factors to Medial Tibial Stress Syndrome: A Prospective Investigation. Med. Sci. Spot-is Exerc., Vol. 41, No. 3, pp, 490-496, 2009. Purpose: To conduct a prospective, multisite, cohort study investigating the possible risk factors for medial tibial stress syndrome (MTSS) in college athletes. Methods: One hundred and forty-six healthy, collegiate athletes from NCAA Division I and Division I I institutions participated in the study. Subjects first completed a health history questionnaire to establish previous history of injury and underwent a physical examination to assess their ankle/foot strength, ankle/foot range of motion, tibial varum, and navicular drop before the start of their respective athletic season. Athletes were instructed to report to a certified athletic trainer if they developed pain on their tibia. If MTSS was present, subjects were then placed into the symptomatic group. Independent t-tests and chi-square analyses were used to determine whether differences existed between MTSS and healthy athletes for the continuous and the discrete dependent variables, respectively. The significant dependent variables were then used in the discriminant function analysis. Results: Twenty-nine subjects developed MTSS during this Study. Athletes that had been participating in athletic activity for fewer than 5 yr were significantly more likely to develop MTSS (P = 0.002). Additionally, athletes with a previous history of MTSS (P = 0.0001), a previous history of stress fracture (P = 0.039), and the use of orthotics (P = 0.031) were more likely to develop MTSS compared with those who did not develop MTSS. Conclusion: This study established that the factors most influencing MTSS development were previous history of MTSS and stress fracture, years of running experience, and orthotic use. These data demonstrate the importance of establishing a thorough history before the start of the season so that athletes who might be at risk for MTSS development can be identified.