Risk factors associated with exertional medial tibial pain: A 12 month prospective clinical study

S.G. Burne, K.M. Khan, P.B. Boudville, R.J. Mallet, Phillip NEWMAN, L.J. Steinman, Elizabeth Thornton

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Objective: To investigate in a military setting the potential role of intrinsic biomechanical and anthropometric risk factors for, and the incidence of, exertional medial tibial pain (EMTP).

Methods: A prospective clinical outcome study in a cohort of 122 men and 36 women at the Australian Defence Force Academy. Each cadet underwent measurements of seven intrinsic variables: hip range of motion, leg length discrepancy, lean calf girth, maximum ankle dorsiflexion range, foot type, rear foot alignment, and tibial alignment. Test–retest reliability was undertaken on each variable. A physician recorded any cadet presenting with diagnostic criteria of EMTP. Records were analysed at 12 months for EMTP presentation and for military fitness test results.

Results: 23 cadets (12 men, 11 women) met the criteria for EMTP after 12 months, with a cross gender (F/M) odds ratio of 3.1. In men, both internal and external range of hip motion was greater in those with EMTP: left internal (12°, p = 0.000), right internal (8°, p = 0.014), left external (8°, p = 0.042), right external (9°, p = 0.026). Lean calf girth was lower by 4.2% for the right leg (p = 0.040) but by only 2.9% for the left leg (p = 0.141). No intrinsic risk factor was associated with EMTP in women. EMTP was the major cause for non-completion of the run component of the ADFA fitness test in both men and women.

Conclusions: Greater internal and external hip range of motion and lower lean calf girth were associated with EMTP in male military cadets. Women had high rates of injury, although no intrinsic factor was identified. Reasons for this sex difference need to be identified
Original languageEnglish
Pages (from-to)441-445
Number of pages5
JournalBritish Journal of Sports Medicine
Volume38
Issue number4
DOIs
Publication statusPublished - 2004

Fingerprint

compound A 12
Prospective Studies
Pain
Articular Range of Motion
Hip
Leg
Intrinsic Factor
Foot
Clinical Studies
Ankle
Sex Characteristics
Odds Ratio
Outcome Assessment (Health Care)
Physicians
Incidence
Wounds and Injuries

Cite this

Burne, S.G. ; Khan, K.M. ; Boudville, P.B. ; Mallet, R.J. ; NEWMAN, Phillip ; Steinman, L.J. ; Thornton, Elizabeth. / Risk factors associated with exertional medial tibial pain: A 12 month prospective clinical study. In: British Journal of Sports Medicine. 2004 ; Vol. 38, No. 4. pp. 441-445.
@article{23a2b2df23034d1291df9c65588efb44,
title = "Risk factors associated with exertional medial tibial pain: A 12 month prospective clinical study",
abstract = "Objective: To investigate in a military setting the potential role of intrinsic biomechanical and anthropometric risk factors for, and the incidence of, exertional medial tibial pain (EMTP).Methods: A prospective clinical outcome study in a cohort of 122 men and 36 women at the Australian Defence Force Academy. Each cadet underwent measurements of seven intrinsic variables: hip range of motion, leg length discrepancy, lean calf girth, maximum ankle dorsiflexion range, foot type, rear foot alignment, and tibial alignment. Test–retest reliability was undertaken on each variable. A physician recorded any cadet presenting with diagnostic criteria of EMTP. Records were analysed at 12 months for EMTP presentation and for military fitness test results.Results: 23 cadets (12 men, 11 women) met the criteria for EMTP after 12 months, with a cross gender (F/M) odds ratio of 3.1. In men, both internal and external range of hip motion was greater in those with EMTP: left internal (12°, p = 0.000), right internal (8°, p = 0.014), left external (8°, p = 0.042), right external (9°, p = 0.026). Lean calf girth was lower by 4.2{\%} for the right leg (p = 0.040) but by only 2.9{\%} for the left leg (p = 0.141). No intrinsic risk factor was associated with EMTP in women. EMTP was the major cause for non-completion of the run component of the ADFA fitness test in both men and women.Conclusions: Greater internal and external hip range of motion and lower lean calf girth were associated with EMTP in male military cadets. Women had high rates of injury, although no intrinsic factor was identified. Reasons for this sex difference need to be identified",
author = "S.G. Burne and K.M. Khan and P.B. Boudville and R.J. Mallet and Phillip NEWMAN and L.J. Steinman and Elizabeth Thornton",
year = "2004",
doi = "10.1136/bjsm.2002.004499",
language = "English",
volume = "38",
pages = "441--445",
journal = "British Journal of Sports Medicine",
issn = "0306-3674",
publisher = "BMJ Publishing Group",
number = "4",

}

Risk factors associated with exertional medial tibial pain: A 12 month prospective clinical study. / Burne, S.G.; Khan, K.M.; Boudville, P.B.; Mallet, R.J.; NEWMAN, Phillip; Steinman, L.J.; Thornton, Elizabeth.

In: British Journal of Sports Medicine, Vol. 38, No. 4, 2004, p. 441-445.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Risk factors associated with exertional medial tibial pain: A 12 month prospective clinical study

AU - Burne, S.G.

AU - Khan, K.M.

AU - Boudville, P.B.

AU - Mallet, R.J.

AU - NEWMAN, Phillip

AU - Steinman, L.J.

AU - Thornton, Elizabeth

PY - 2004

Y1 - 2004

N2 - Objective: To investigate in a military setting the potential role of intrinsic biomechanical and anthropometric risk factors for, and the incidence of, exertional medial tibial pain (EMTP).Methods: A prospective clinical outcome study in a cohort of 122 men and 36 women at the Australian Defence Force Academy. Each cadet underwent measurements of seven intrinsic variables: hip range of motion, leg length discrepancy, lean calf girth, maximum ankle dorsiflexion range, foot type, rear foot alignment, and tibial alignment. Test–retest reliability was undertaken on each variable. A physician recorded any cadet presenting with diagnostic criteria of EMTP. Records were analysed at 12 months for EMTP presentation and for military fitness test results.Results: 23 cadets (12 men, 11 women) met the criteria for EMTP after 12 months, with a cross gender (F/M) odds ratio of 3.1. In men, both internal and external range of hip motion was greater in those with EMTP: left internal (12°, p = 0.000), right internal (8°, p = 0.014), left external (8°, p = 0.042), right external (9°, p = 0.026). Lean calf girth was lower by 4.2% for the right leg (p = 0.040) but by only 2.9% for the left leg (p = 0.141). No intrinsic risk factor was associated with EMTP in women. EMTP was the major cause for non-completion of the run component of the ADFA fitness test in both men and women.Conclusions: Greater internal and external hip range of motion and lower lean calf girth were associated with EMTP in male military cadets. Women had high rates of injury, although no intrinsic factor was identified. Reasons for this sex difference need to be identified

AB - Objective: To investigate in a military setting the potential role of intrinsic biomechanical and anthropometric risk factors for, and the incidence of, exertional medial tibial pain (EMTP).Methods: A prospective clinical outcome study in a cohort of 122 men and 36 women at the Australian Defence Force Academy. Each cadet underwent measurements of seven intrinsic variables: hip range of motion, leg length discrepancy, lean calf girth, maximum ankle dorsiflexion range, foot type, rear foot alignment, and tibial alignment. Test–retest reliability was undertaken on each variable. A physician recorded any cadet presenting with diagnostic criteria of EMTP. Records were analysed at 12 months for EMTP presentation and for military fitness test results.Results: 23 cadets (12 men, 11 women) met the criteria for EMTP after 12 months, with a cross gender (F/M) odds ratio of 3.1. In men, both internal and external range of hip motion was greater in those with EMTP: left internal (12°, p = 0.000), right internal (8°, p = 0.014), left external (8°, p = 0.042), right external (9°, p = 0.026). Lean calf girth was lower by 4.2% for the right leg (p = 0.040) but by only 2.9% for the left leg (p = 0.141). No intrinsic risk factor was associated with EMTP in women. EMTP was the major cause for non-completion of the run component of the ADFA fitness test in both men and women.Conclusions: Greater internal and external hip range of motion and lower lean calf girth were associated with EMTP in male military cadets. Women had high rates of injury, although no intrinsic factor was identified. Reasons for this sex difference need to be identified

U2 - 10.1136/bjsm.2002.004499

DO - 10.1136/bjsm.2002.004499

M3 - Article

VL - 38

SP - 441

EP - 445

JO - British Journal of Sports Medicine

JF - British Journal of Sports Medicine

SN - 0306-3674

IS - 4

ER -