Investigation of Risk Factors for History of Medial Tibial Stress Syndrome in Referees

Fatma Ünver; Ebru Tekin

Article Details

Investigation of Risk Factors for History of Medial Tibial Stress Syndrome in Referees

Authors:

Fatma Ünver | Ebru Tekin

Publisher:

Dokuz Eylul University

Main Topics:

Physiotherapy

Journal:

Clinical Physiotherapy and Related Research Vol.1 Issue 1, pp.1-9

Document Type:

Article

Publication Date:

6/2025

Document Language:

English

Document ID (Org No.):

2001351747

pISSN:

3108-4133

Keywords:

Abstract:

 Purpose: The aim of this study was to investigate potential risk factors associated with a history of medial tibial stress syndrome MTSS in football referees. Methods: A total of 39 referees participated in this cross-sectional study. Based on the definition criteria for MTSS reported in the literature, participants were divided into two groups: those with a history of MTSS n14 and those without n25. All assessments were conducted in a blinded manner, with examiners unaware of group allocation. The navicular drop test, Craigs test, and heel elevation endurance test were administered to evaluate lower extremity function. Hip internal and external rotation, knee flexion, and ankle dorsiflexion and plantarflexion ROM were measured using a standard goniometer. Sleep quality was assessed using the Pittsburgh Sleep Quality Index PSQI. Additionally, participants were asked about their athletic history and the comfort of the footwear they used during training and competition. Perceived running condition was evaluated using the Visual Analog Scale VAS. Results: MTSS history was determined in 14 of the referees participating in the study. Statistically significant differences were found between groups regarding height length p  0.006, condition p  0.045, left knee flexion angle p  0.007 and right knee flexion angle p  0.046. According to the regression analysis result, MTSS history right and left knee flexion angle were found to be significantly related p  0.015. There was no significant difference or relationship between other variables p 0.05. Conclusion: According to our results, individuals with a history of MTSS had significantly greater height, while their running condition and knee flexion angle were significantly lower compared to those without a history of MTSS. These variables showed statistically significant differences between the two groups.

 Purpose: The aim of this study was to investigate potential risk factors associated with a history of medial tibial stress syndrome MTSS in football referees. Methods: A total of 39 referees participated in this cross-sectional study. Based on the definition criteria for MTSS reported in the literature, participants were divided into two groups: those with a history of MTSS n14 and those without n25. All assessments were conducted in a blinded manner, with examiners unaware of group allocation. The navicular drop test, Craigs test, and heel elevation endurance test were administered to evaluate lower extremity function. Hip internal and external rotation, knee flexion, and ankle dorsiflexion and plantarflexion ROM were measured using a standard goniometer. Sleep quality was assessed using the Pittsburgh Sleep Quality Index PSQI. Additionally, participants were asked about their athletic history and the comfort of the footwear they used during training and competition. Perceived running condition was evaluated using the Visual Analog Scale VAS. Results: MTSS history was determined in 14 of the referees participating in the study. Statistically significant differences were found between groups regarding height length p  0.006, condition p  0.045, left knee flexion angle p  0.007 and right knee flexion angle p  0.046. According to the regression analysis result, MTSS history right and left knee flexion angle were found to be significantly related p  0.015. There was no significant difference or relationship between other variables p 0.05. Conclusion: According to our results, individuals with a history of MTSS had significantly greater height, while their running condition and knee flexion angle were significantly lower compared to those without a history of MTSS. These variables showed statistically significant differences between the two groups.

 Purpose: The aim of this study was to investigate potential risk factors associated with a history of medial tibial stress syndrome MTSS in football referees. Methods: A total of 39 referees participated in this cross-sectional study. Based on the definition criteria for MTSS reported in the literature, participants were divided into two groups: those with a history of MTSS n14 and those without n25. All assessments were conducted in a blinded manner, with examiners unaware of group allocation. The navicular drop test, Craigs test, and heel elevation endurance test were administered to evaluate lower extremity function. Hip internal and external rotation, knee flexion, and ankle dorsiflexion and plantarflexion ROM were measured using a standard goniometer. Sleep quality was assessed using the Pittsburgh Sleep Quality Index PSQI. Additionally, participants were asked about their athletic history and the comfort of the footwear they used during training and competition. Perceived running condition was evaluated using the Visual Analog Scale VAS. Results: MTSS history was determined in 14 of the referees participating in the study. Statistically significant differences were found between groups regarding height length p  0.006, condition p  0.045, left knee flexion angle p  0.007 and right knee flexion angle p  0.046. According to the regression analysis result, MTSS history right and left knee flexion angle were found to be significantly related p  0.015. There was no significant difference or relationship between other variables p 0.05. Conclusion: According to our results, individuals with a history of MTSS had significantly greater height, while their running condition and knee flexion angle were significantly lower compared to those without a history of MTSS. These variables showed statistically significant differences between the two groups.

 Purpose: The aim of this study was to investigate potential risk factors associated with a history of medial tibial stress syndrome MTSS in football referees. Methods: A total of 39 referees participated in this cross-sectional study. Based on the definition criteria for MTSS reported in the literature, participants were divided into two groups: those with a history of MTSS n14 and those without n25. All assessments were conducted in a blinded manner, with examiners unaware of group allocation. The navicular drop test, Craigs test, and heel elevation endurance test were administered to evaluate lower extremity function. Hip internal and external rotation, knee flexion, and ankle dorsiflexion and plantarflexion ROM were measured using a standard goniometer. Sleep quality was assessed using the Pittsburgh Sleep Quality Index PSQI. Additionally, participants were asked about their athletic history and the comfort of the footwear they used during training and competition. Perceived running condition was evaluated using the Visual Analog Scale VAS. Results: MTSS history was determined in 14 of the referees participating in the study. Statistically significant differences were found between groups regarding height length p  0.006, condition p  0.045, left knee flexion angle p  0.007 and right knee flexion angle p  0.046. According to the regression analysis result, MTSS history right and left knee flexion angle were found to be significantly related p  0.015. There was no significant difference or relationship between other variables p 0.05. Conclusion: According to our results, individuals with a history of MTSS had significantly greater height, while their running condition and knee flexion angle were significantly lower compared to those without a history of MTSS. These variables showed statistically significant differences between the two groups.

Article Details

Investigation of Risk Factors for History of Medial Tibial Stress Syndrome in Referees

Authors:

Fatma Ünver | Ebru Tekin

Publisher:

Dokuz Eylul University

Main Topics:

Physiotherapy

Journal:

Clinical Physiotherapy and Related Research Vol.1 Issue 1, pp.1-9

Document Type:

Article

Publication Date:

6/2025

Document Language:

English

Document ID (Org No.):

2001351747

pISSN:

3108-4133

Medial Tibial Stress Syndrome

Risk Factors

Injury

Issues

Article Details

Investigation of Risk Factors for History of Medial Tibial Stress Syndrome in Referees

Authors: Fatma Ünver | Ebru Tekin

Publisher: Dokuz Eylul University

Main Topics: Physiotherapy

Journal: Clinical Physiotherapy and Related Research Vol.1 Issue 1, pp.1-9

Document Type: Article

Publication Date: 6/2025

Document Language: English

Document ID (Org No.): 2001351747

pISSN: 3108-4133

Medial Tibial Stress Syndrome

Risk Factors

Injury

Issues

Authors:

Fatma Ünver | Ebru Tekin

Publisher:

Dokuz Eylul University

Main Topics:

Physiotherapy

Journal:

Clinical Physiotherapy and Related Research Vol.1 Issue 1, pp.1-9

Document Type:

Article

Publication Date:

6/2025

Document Language:

English

Document ID (Org No.):

2001351747

pISSN:

3108-4133