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

Not Applicable

Completed

• Conditions: Medial Tibial Stress Syndrome
• Interventions: Other: baseline physical therapy treatment along with shockwave therapy; Other: baseline physical therapy treatment along with therapeutic ultrasound

• Registration Number: NCT05392036
• Lead Sponsor: Riphah International University

Brief Summary

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.

Detailed 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.

Study Timeline

• Study First Submitted: 2022-05-23
• Study First Submitted QC: 2022-05-23
• Study First Posted: 2022-05-26
• Study Start: 2022-05-30
• Primary Completion: 2022-12-30
• Study Completion: 2023-01-30
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-31
• Last Update Posted: 2023-04-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 54

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	baseline physical therapy treatment along with shockwave therapy	shockwave therapy
Group B	baseline physical therapy treatment along with therapeutic ultrasound	therapeutic ultrasound

Primary Outcome Measures

Name	Time	Method
Goniometry	3rd day	A goniometer is an instrument which measures the available range of motion at a joint.
NPRS	3rd day	Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. where 0 indicate no pain and 10 indicate severe pain.
LEFS	3rd day	It is used to assessment of lower extremity function a questionnaire of 20 questions about a person also ability to perform daily task 0 is minimum score, 80 is maximum score. lower the score greater the disability.

Trial Locations

Locations (1)

Ghurki Trust Hospital, Horizon Hospital, Surgimed Hospital; 🇵🇰 Lahore, Punjab, Pakistan