[en] Introduction: Medial tibial stress syndrome (MTSS) is a very common type of injury from repetitive stress in the population physically active, especially in runners and militar recruits. In addition to the high incidence of this syndrome in sports, there is a great variability of conservative treatments methods in scientific literature focused on their approach, however, is not known exactly which of them is the most effective. Objetive: Deepen the knowledge of the different physical therapy modalities used in MTSS, and determine the degree of effectiveness. Methods: It has made a systematic search in the Cochrane Library databases, PEDro, Pubmed , Scopus , Sport Discuss and Web of Science between the months of March and April 2016 and limited to articles published in the last 10 years. Based on the inclusion and exclusion criteria, the selection process has been carried out by reading the title, abstract and full text. The level of scientific evidence was analyzed by "CEBM" scale. Outcomes: Of the 370 first results, we have selected a total of 8 items. Treatment methods that have shown greater effictiveness were interventions by shockwaves and myofascial therapy. Furthermore, treatments such as low level laser therapy, plantar orthoses, compression stockings or pneumatic boots have not reflected positive results. Conclusions: Although there are studies in which it is stated that through manual therapies and the use of shock waves can be obtained great effects short term, rigorous methodological quality research are necessary to reach a conclusion with a higher level evidence about the effectiveness of physiotherapy in the treatment of tibial stress syndrome medial athletes.

[gl] Introdución: A síndrome de estrés tibial medial (SETM) é un tipo de lesión por esforzó repetitivo moi común na población físicamente activa, especialmente en corredores y persoal militar. Ademais da alta incidencia desta síndrome no deporte, na literatura científica se muestra una gran variedade de métodos de tratamento conservador centrados na súa visión, mais con todo, non se coñece exactamente cal deles é o mais efectivo. Obxectivo: Profundar no coñecemento dos distintos métodos de fisioterapia usados na visión da SETM, e determinar o grao de eficacia dos mesmos. Material e Métodos: Realizouse unha busca sistemática da literatura nas bases de datos Cochrane Library, PEDro, Pubmed, Scopus, Sport Discuss e Web of Science entre os meses de Marzo e Abril do ano 2016 e limitouse a artigos publicados nos últimos 10 anos. Baseándose nos criterios de inclusión e exclusión, o proceso de selección realizouse a través da lectura do título, resumo e texto completo. O nivel de evidencia científica foi analizada pola escala "CEBM". Resultados: Dos 370 resultados iniciais, seleccionaronse 8 artigos. Os métodos de tratamento que demostraron maior eficacia foron a intervención coas ondas de choque e a terapia miofascial. Ademais, tratamentos como o láser de baixa frecuencia, as órteses plantares, as medias de compresión ou as botas pneumáticas non reflexaron resultados positivos. Conclusións: Aínda que hai estudos que afirman que coas terapias manuais e o uso de ondas de choque pódense obter efectos beneficiosos a curto prazo, é necesario realizar máis investigación dunha rigorosa calidad metodolóxica para poder chegar a unha conclusión cun maior nivel de evidencia sobre a eficacia da fisioterapia no tratamento da síndrome de estrés tibial medial en deportistas.