Baropodometric association of the first metatarsal bone in medial tibial stress syndrome

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Published: Feb 9, 2018

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Antonio Gómez Bernal
Podoactiva, Universidad Rey Juan Carlos
http://orcid.org/0000-0003-4005-9835
Biography
Javier Alfaro Santafé
Podoactiva, Universidad de Manresa
Spain
Ana Maria Plaza Ruiz
Podoactiva
Spain
Francisco Manuel Sánchez Jurado
Podoactiva
Spain
Ismael Luque Bellido
Podoactiva
Alejandro Jesús Almenar Arasanz
Podoactiva, Universidad San Jorge
Vol. 4 No. 1 (2018), Original Articles, pages 1-9
DOI: https://doi.org/10.17979/ejpod.2018.4.1.2053
Submitted: May 11, 2017 Accepted: Aug 1, 2017 Published: Feb 9, 2018
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Abstract

Objectives: Medial tibial stress syndrome (MTSS) is a mechanical stress overuse lesion, which is usually located at the post-medial border of the tibia. This study aims to quantify the baropodometric difference in the first metatarsal head between two groups.

Methods: For the study 30 patient footprints were analyzed. Among them, half were affected by MTSS and the other half were controls. The baropodometric footprint samples were obtained by walking barefooted over a platform. While the patients were walking the average plantar pressure and the integral ratio pressure/time was quantified. The T-student test was performed in independent samples in order to define the differences. 

Results: The average plantar pressure results show statistically significant differences amongst the 2 groups (p=0.001 for the left foot and p=0.001 for the right foot). On the other hand, there were not any significant differences for the integral pressure/time variable in both groups (p=0.327 for the left foot and p=0.300 for the right foot).

Conclusion: By having done this study, we can affirm that the MTSS is more frequent in persons with a significant plantar pressure decrease in the first metatarsal head measured in the baropodometric platform. We consider the need for further studies that prove this biomechanical connection through instrumented insoles. 

Keywords:

tibial medial stress syndrome, foot, shinbone, kinetics

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References

Mubarak SJ, Gould RN, Fon Lee Y, Schmidt DA, Hargens AR. The Medial Tibial Stress Syndrome A Cause of Shin Splints. Am J Sports Med. 1982 Jul-Aug;10(4):201-5.

Akiyama K, Noh B, Fukano M, Miyakawa S, Hirose N, Fukubayashi T. Analysis of the talocrural and subtalar joint motions in patients with medial tibial stress syndrome. J Foot Ankle Res. Journal of Foot and Ankle Research; 2015;8:25.

García, S. G. (2016). Actualización sobre el síndrome de estrés tibial medial. Revista Científica General José María Córdova, 14(17), 225–242.García SG. Actualización sobre el síndrome de estrés tibial medial. Rev Científica Gen José María Córdova. 2016;14(17):225–42.

Reinking MF, Austin TM, Richter RR, Krieger MM. Medial Tibial Stress Syndrome in Active Individuals: A Systematic Review and Meta-analysis of Risk Factors.

Brown AA, Brown AA, Brown, Ampomah A. Medial Tibial Stress Syndrome: Muscles Located at the Site of Pain. Scientifica (Cairo). Hindawi Publishing Corporation; 2016;2016:1–4.

Franklyn M, Oakes B. Aetiology and mechanisms of injury in medial tibial stress syndrome: Current and future developments. World J Orthop. 2015;6(8):577–89.

Kudo S, Hatanaka Y. Forefoot flexibility and medial tibial stress syndrome. J Orthop Surg HK. 2015;23(3):357–60.

Rathleff MS, Kelly LA, Christensen FB, Simonsen OH, Kaalund S, Laessoe U. Dynamic midfoot kinematics in subjects with medial tibial stress syndrome. J Am Podiatr Med Assoc. 102(3):205–12.

Frost HM. Wolff’s Law and bone’s structural adaptations to mechanical usage: an overview for clinicians. Vol. 64, Angle Orthodontist. 1994. p. 175–88.

Moen MH, Tol JL, Weir A, Steunebrink M, De Winter TC. Medial tibial stress syndrome: a critical review. Sports Med. 2009;39(7):523–46.

Newman P, Waddington G, Adams R. Shockwave treatment for medial tibial stress syndrome: A randomized double blind sham-controlled pilot trial.

Galbraith RM, Lavallee ME. Medial tibial stress syndrome: Conservative treatment options. Curr Rev Musculoskelet Med. 2009;2(3):127–33.

Kirby K. Current concepts in treating medial tibial stress syndrome. Pod Today. 2010;23:52–7.

Edama M, Onishi H, Kubo M, Takabayashi T, Yokoyama E, Inai T, et al. Gender differences of muscle and crural fascia origins in relation to the occurrence of medial tibial stress syndrome. Scand J Med Sci Sport. 2015;(1990):1–6.

Akiyama K, Akagi R, Hirayama K, Hirose N, Takahashi H, Fukubayshi T. Shear Modulus of the Lower Leg Muscles in Patients with Medial Tibial Stress Syndrome. Ultrasound Med Biol. 2016;42(8):1–5.

Winkelmann ZK, Anderson D, Games KE, Eberman LE. Risk Factors for Medial Tibial Stress Syndrome in Active Individuals: An Evidence-Based Review.

Bandholm T, Boysen L, Haugaard S, Zebis MK, Bencke J. Foot Medial Longitudinal-Arch Deformation During Quiet Standing and Gait in Subjects with Medial Tibial Stress Syndrome. J Foot Ankle Surg. 2008;47(2):89–95.

Declaración de helsinki 2013.

Redmond AC, Crane YZ, Menz HB. Normative values for the Foot Posture Index. J Foot Ankle Res. 2008 Jul;1(1):6.

Bus S, Lange A de. A comparison of the 1-step, 2-step, and 3-step protocols for obtaining barefoot plantar pressure data in the diabetic neuropathic foot. Clin Biomech. 2005;

Giacomozzi C. Appropriateness of plantar pressure measurement devices: a comparative technical assessment. Gait Posture. 2010 May;32(1):141–4.

Petrović S, Devedžić G, Ristić B, Matić A. Foot pressure distribution and contact duration pattern during walking at self-selected speed in young adults.

Moen MH, Bongers T, Bakker EW, Zimmermann WO, Weir A, Tol JL, et al. Risk factors and prognostic indicators for medial tibial stress syndrome. Scand J Med Sci Sport. 2012;22(1):34–9.

Yagi S, Muneta T, Sekiya I. Incidence and risk factors for medial tibial stress syndrome and tibial stress fracture in high school runners. Knee Surgery, Sport Traumatol Arthrosc. 2013;21(3):556–63.

Munuera P V, Trujillo P, Güiza I. Hallux interphalangeal joint range of motion in feet with and without limited first metatarsophalangeal joint dorsiflexion. J Am Podiatr Med Assoc. 2012;102(1):47–53.

Singh D, Biz C, Corradin M, Favero L. Comparison of dorsal and dorsomedial displacement in evaluation of first ray hypermobility in feet with and without hallux valgus. Foot Ankle Surg. 2016 Jun;22(2):120–4.

Allen MK, Cuddeford TJ, Glasoe WM, DeKam LM, Lee PJ, Wagner KJ, et al. Relationship between static mobility of the first ray and first ray, midfoot, and hindfoot motion during gait. Foot ankle Int. 2004;25(6):391–6.

Cornwall MW, McPoil TG. Motion of the calcaneus, navicular, and first metatarsal during the stance phase of walking. J Am Podiatr Med Assoc. 2002;92(2):67–76.

Cornwall MW, McPoil TG, Fishco WD, O’Donnell D, Hunt L, Lane C. The influence of first ray mobility on forefoot plantar pressure and hindfoot kinematics during walking. Foot ankle Int / Am Orthop Foot Ankle Soc [and] Swiss Foot Ankle Soc. 2006;27(7):539–47.

Munuera P V, Domínguez G, Palomo IC, Lafuente G. Effects of rearfoot-controlling orthotic treatment on dorsiflexion of the hallux in feet with abnormal subtalar pronation: a preliminary report. J Am Podiatr Med Assoc. 2006;96(4):283–9.

Putti AB, Arnold GP, Cochrane LA, Abboud RJ. Normal pressure values and repeatability of the Emed® ST4 system. Gait Posture. 2008 Apr;27(3):501–5.