Document ID: chunk:federal_register_of_legislation:F2023L01433:reg:9
Version: federal_register_of_legislation:F2023L01433
Segment Type: reg
Provision Reference: reg 9
Character Range: 3576–5476

9               Factors that must exist
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting medial tibial stress syndrome (shin splints) or death from medial tibial stress syndrome (shin splints) with the circumstances of a person's relevant service:
(1)          running or jogging an average of at least 30 kilometres per week for the 4 weeks before the clinical onset or clinical worsening of medial tibial stress syndrome (shin splints);
(2)          undertaking weight bearing exercise involving repeated activity of the lower leg on the affected side for:
(a)          a minimum intensity of 5 METS; and
(b)          for at least 4 hours per week; and
for at least the 4 weeks before the clinical onset or clinical worsening of medial tibial stress syndrome (shin splints);
Note 1: Examples of weight bearing exercise involving repeated activity of the lower leg at a minimum intensity of 5 METS include marching, sustained brisk walking, playing football, and dancing.
Note 2: MET is defined in the Schedule 1 - Dictionary.
(3)          increasing the frequency, duration or intensity of weight bearing activity involving the lower leg on the affected side:
(a)          by at least 100 percent; and
(b)          to a minimum intensity of 5 METs; and
(c)          for at least 2 hours per day;
within the 2 weeks before the clinical onset or clinical worsening of medial tibial stress syndrome (shin splints);
Note: MET is defined in the Schedule 1 - Dictionary.
(4)          having pes planus of the affected limb before the clinical onset or clinical worsening of medial tibial stress syndrome (shin splints);
(5)          inability to obtain appropriate clinical management for medial tibial stress syndrome (shin splints) before the clinical worsening of medial tibial stress syndrome (shin splints).