Effects of Therapeutic Ultrasound Versus Shockwave Therapy in Medial Tibial Stress Syndrome in Recreational Runners
Condition: Medial Tibial Stress Syndrome
MeSH terms: Medial Tibial Stress Syndrome; Syndrome
Study type: Interventional

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.
    

Intervention name(s): baseline physical therapy treatment along with shockwave therapy; baseline physical therapy treatment along with therapeutic ultrasound
Intervention type(s): Other; Other
Intervention description(s): Group A, this group will receive conventional therapies along with shockwave therapy. Basic treatment includes icing (15-20 min) to control inflammation, rest, cessation of pain causing activity, anti-inflammatory (NSAIDs) and basic stretching and strengthening exercises. Shockwave therapy is a non-invasive therapeutic modality with convenience, effectiveness and safety. It is used to treat various musculoskeletal disorders without surgery. A session of 30-45 min will include icing 15 min and 5-10 min of shock wave therapy session will be commenced with strengthening and stretching exercises.; This group will receive therapeutic ultrasound along with conventional treatment. Conventional therapy includes icing, rest, anti-inflammatory drugs, and basic strengthening and stretching exercises. A session of 30-45 min will include icing for 10-15 min therapeutic ultrasound 15min with a frequency 1-3MHz and the session will be ended with strengthening and stretching exercises.
Only eligible patients who have fulfilled the inclusion criteria will be included. A daily session of 30-45min for 2 consecutive weeks will be given. A baseline assessment will be done and the patient will be allocated randomly to both groups for two weeks. Re-assessment will be done after 2 weeks. For long term, effects re-assessment will be done after 6 weeks
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Shock wave; medial tibial stress syndrome; Ultrasound