Is the addition of running retraining to best standard care beneficial in runners with medial tibial stress syndrome? Protocol for a randomised controlled trial.

IF 2.5 3区医学 Q1 ORTHOPEDICS Journal of Foot and Ankle Research Pub Date : 2024-06-01 DOI:10.1002/jfa2.12029

Laura M Anderson, Daniel R Bonanno, Benjamin J Calnin, Prasanna Sritharan, Richard W Willy, Bircan Erbas, Mehak Batra, Hylton B Menz

{"title":"Is the addition of running retraining to best standard care beneficial in runners with medial tibial stress syndrome? Protocol for a randomised controlled trial.","authors":"Laura M Anderson, Daniel R Bonanno, Benjamin J Calnin, Prasanna Sritharan, Richard W Willy, Bircan Erbas, Mehak Batra, Hylton B Menz","doi":"10.1002/jfa2.12029","DOIUrl":null,"url":null,"abstract":"Background: Running retraining is commonly used in the management of medial tibial stress syndrome (MTSS) but evidence for its effectiveness is lacking. The primary aim of this study is to determine if the addition of running retraining to best standard care is beneficial in the management of runners with MTSS.Methods: This study is an assessor-blinded and participant-blinded, parallel-group, randomised controlled trial. The trial will recruit 64 participants aged between 18 and 45 years, with a clinical diagnosis of MTSS that has affected their running participation for at least four weeks. Participants will be randomised to receive best standard care (control) or running retraining and best standard care (intervention group) over an 8-week period. Best standard care will consist of load management advice, symptom management advice, footwear advice and a strengthening program. Running retraining will consist of a cue to reduce running step length. Outcomes will be measured at weeks 1, 2, 4 and 8. The primary outcome measure will be the University of Wisconsin Running Injury and Recovery Index at week 4. Secondary outcome measures include: (i) Exercise Induced Leg Pain Questionnaire-British Version, (ii) global rating of change scale, (iii) worst pain experienced during a run, (iv) weekly run volume, (v) reactive strength index score, (vi) single leg hop test, (vii) soleus single leg maximum voluntary isometric contraction, (viii) gastrocnemius single leg maximum voluntary isometric contraction, (ix) single leg plantar flexor endurance test, (x) running step length, and (xi) running step rate. Data will be analysed using the intention-to-treat principle.Discussion: This randomised controlled trial will evaluate if reducing running step length provides additional benefit to best standard care in the management of runners with MTSS over an 8-week period.Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12624000230550.","PeriodicalId":49164,"journal":{"name":"Journal of Foot and Ankle Research","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11296717/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Foot and Ankle Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jfa2.12029","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Running retraining is commonly used in the management of medial tibial stress syndrome (MTSS) but evidence for its effectiveness is lacking. The primary aim of this study is to determine if the addition of running retraining to best standard care is beneficial in the management of runners with MTSS.

Methods: This study is an assessor-blinded and participant-blinded, parallel-group, randomised controlled trial. The trial will recruit 64 participants aged between 18 and 45 years, with a clinical diagnosis of MTSS that has affected their running participation for at least four weeks. Participants will be randomised to receive best standard care (control) or running retraining and best standard care (intervention group) over an 8-week period. Best standard care will consist of load management advice, symptom management advice, footwear advice and a strengthening program. Running retraining will consist of a cue to reduce running step length. Outcomes will be measured at weeks 1, 2, 4 and 8. The primary outcome measure will be the University of Wisconsin Running Injury and Recovery Index at week 4. Secondary outcome measures include: (i) Exercise Induced Leg Pain Questionnaire-British Version, (ii) global rating of change scale, (iii) worst pain experienced during a run, (iv) weekly run volume, (v) reactive strength index score, (vi) single leg hop test, (vii) soleus single leg maximum voluntary isometric contraction, (viii) gastrocnemius single leg maximum voluntary isometric contraction, (ix) single leg plantar flexor endurance test, (x) running step length, and (xi) running step rate. Data will be analysed using the intention-to-treat principle.

Discussion: This randomised controlled trial will evaluate if reducing running step length provides additional benefit to best standard care in the management of runners with MTSS over an 8-week period.

Trial registration: Australian New Zealand Clinical Trials Registry: ACTRN12624000230550.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

在最佳标准治疗的基础上增加跑步再训练，对患有胫骨内侧应力综合征的跑步者有益吗？随机对照试验方案。

背景：跑步再训练常用于治疗胫骨内侧应力综合征（MTSS），但缺乏其有效性的证据。本研究的主要目的是确定在最佳标准治疗的基础上增加跑步再训练是否有利于MTSS患者的治疗：本研究是一项评估者盲、参与者盲、平行分组、随机对照试验。该试验将招募 64 名年龄在 18 岁至 45 岁之间、临床诊断为 MTSS 并影响其跑步至少四周的参与者。参与者将被随机分配到最佳标准护理组（对照组）或跑步再训练和最佳标准护理组（干预组），为期8周。最佳标准护理包括负荷管理建议、症状管理建议、鞋类建议和强化计划。跑步再训练将包括减少跑步步长的提示。结果将在第 1、2、4 和 8 周进行测量。主要测量结果是第 4 周时的威斯康星大学跑步损伤和恢复指数。次要结果测量包括(i)运动诱发腿痛问卷-英国版；(ii)总体变化评分量表；(iii)跑步过程中经历的最严重疼痛；(iv)每周跑步量；(v)反应性力量指数评分；(vi)单腿跳跃测试；(vii)比目鱼肌单腿最大自主等长收缩；(viii)腓肠肌单腿最大自主等长收缩；(ix)单腿跖屈肌耐力测试；(x)跑步步长；(xi)跑步步频。数据将采用意向治疗原则进行分析：这项随机对照试验将评估在为期 8 周的时间内，减少跑步步长是否能在最佳标准治疗的基础上为患有 MTSS 的跑步者带来更多益处：试验注册：澳大利亚-新西兰临床试验注册中心：ACTRN12624000230550。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Foot and Ankle Research ORTHOPEDICS-

CiteScore

4.50

自引率

10.30%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.