Effects of hip muscle strengthening exercises on Pain, Functional ability and Biomechanical characteristics in subjects with MEDIAL TIBIAL STRESS SYNDROME

The study investigates the effects of hip muscle strengthening exercises on pain, functional ability, navicular drop height, and plantar pressure in subjects with medial tibial stress syndrome . MTSS is a common overuse injury characterized by pain along the medial border of the tibia, often affecting runners and active individuals. The condition is linked to biomechanical factors such as overpronation and hip muscle weakness, which can alter lower limb alignment and mechanics. The research is designed as an experimental study involving 70 clinically diagnosed MTSS subjects divided into two groups. Group A receives hip muscle strengthening exercises along with intrinsic foot muscle strengthening, while Group B receives only intrinsic foot muscle strengthening exercises. The intervention aims to assess pain relief, improvement in functional ability measured by a functional disability scale, changes in navicular drop height, and plantar pressure distribution using pressure sensor footwear. Measurements include pain pressure threshold using algometry, functional ability via the Lower Extremity Functional Scale , navicular drop test for foot posture, and plantar pressure analysis across six foot regions on various inclined planes. The hypothesis tests whether hip muscle strengthening combined with conventional treatment significantly improves these parameters compared to conventional treatment alone. The study setting is at R.V.S. College of Physiotherapy outpatient department, with a one-year duration. Ethical clearance has been obtained, and participant consent will be ensured. This research aims to provide evidence for incorporating hip strengthening in MTSS rehabilitation to optimize pain management and biomechanical function. This summary encapsulates the study’s background, purpose, methodology, and expected outcomes in addressing MTSS through targeted hip muscle exercises.