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Calf Strengthening With or Without Hip Strengthening for Athletes With Recurring Shin Splints

2026年11月5日 更新者：Komal Ahmed、University of Management and Technology Lahore

Effects of Progressive Loading of Soleus With and Without Hip Strengthening on Pain, Strength, Dynamic Balance and Return to Sports in Athletes With Recurrent Medial Tibial Stress Syndrome

The goal of this clinical trial is to learn whether adding hip strengthening exercises to a calf strengthening program works better than the calf program alone for athletes aged 18 to 40 who keep getting shin splints (pain along the inner edge of the shin bone during or after running). The study will find out which program better reduces shin pain, increases calf and hip muscle strength, improves balance while reaching on one leg, and helps athletes return to their sport without pain. Researchers will compare a progressive calf (soleus) strengthening program alone with the same calf program plus hip strengthening exercises. Participants will receive one of the two programs 3 times a week for 8 weeks (24 sessions), along with advice on managing training load, stretching, balance exercises and a gradual return-to-running plan. They will complete tests of pain, muscle strength, balance, daily function and return to sport at the start, at week 4 and at week 8.

研究概览

地位

主动，不招人

条件

干预/治疗

研究类型

介入性

注册 (实际的)

32

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

  • 巴基斯坦
    • Punjab Province
      • Lahore、Punjab Province、巴基斯坦、54000
        • University of Management & Technology

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 至 40年 (成人)

接受健康志愿者

不

有资格学习的性别

全部

描述

Inclusion Criteria:

  • Athletes aged 18-40 years participating in competitive or recreational sports.

    • Both male and female athletes.
    • Diagnosis of recurrent medial tibial stress syndrome according to the Yates and White criteria, characterized by exercise-induced pain along the posteromedial border of the tibia with tenderness extending over 5 cm or more.
    • Pain intensity ranging from 4 to 6 on the Numeric Pain Rating Scale (NPRS).
    • Pain occurring during running or within 24 hours following running activity.
    • History of two or more symptomatic episodes of MTSS within the previous 12 months.

Exclusion Criteria:

  • ● Confirmed chronic exertional compartment syndrome.

    • History of lower-limb surgery within the previous six months.
    • Clinically confirmed tibial stress fracture or any other bony pathology.
    • Acute lower-limb injury (sprain, strain, or fracture) within the previous six weeks.
    • Use of systemic corticosteroids, bisphosphonates, or non-steroidal anti-inflammatory drugs (NSAIDs) for more than 14 consecutive days within 30 days before enrolment.

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

  • 主要用途：治疗
  • 分配：随机化
  • 介入模型：并行分配
  • 屏蔽：单身的

武器和干预

参与者组/臂
干预/治疗
有源比较器：Progressive Loading of Soleus (PLS)

Progressive soleus loading program plus basic rehabilitation, 3 supervised sessions per week for 8 weeks (24 sessions).
其他：Progressive Soleus Loading

Structured progressive soleus loading exercises to improve plantar-flexor strength, muscular endurance and tibial load tolerance. Load and intensity are progressed gradually according to each participant's tolerance and clinical response.
实验性的：Progressive Loading of Soleus Combined with Hip Strengthening

The same progressive soleus loading program and basic rehabilitation as Arm 1, plus hip strengthening, 3 supervised sessions per week for 8 weeks (24 sessions).
其他：Hip Strengthening

Strengthening exercises for the hip abductors, extensors and external rotators, performed for approximately 15 to 20 minutes per session, with individualized progression.

研究衡量的是什么？

主要结果指标

结果测量
措施说明
大体时间
Pain Intensity (Numeric Pain Rating Scale)
大体时间：Baseline (Week 0), Week 4 and Week 8.

An 11-point self-reported scale from 0 (no pain) to 10 (worst imaginable pain), rating average pain during running or sports activities. Lower scores indicate less pain.
Baseline (Week 0), Week 4 and Week 8.
Muscle Strength (Handheld Dynamometer)
大体时间：Baseline (Week 0), Week 4 and Week 8.

Isometric strength of the plantar-flexor and hip muscles, measured with a handheld dynamometer. Higher values indicate greater strength.
Baseline (Week 0), Week 4 and Week 8.
Dynamic Balance (Y-Balance Test)
大体时间：Baseline (Week 0), Week 4 and Week 8.

Single-leg reach in the anterior, posteromedial and posterolateral directions, normalized to limb length and reported as a composite score (% of limb length). Higher scores indicate better dynamic balance.
Baseline (Week 0), Week 4 and Week 8.
Pain-Free Return to Sport
大体时间：Baseline (Week 0), Week 4 and Week 8.

Whether the participant completes the graded return-to-running program and resumes sport without reproduction of medial tibial stress syndrome symptoms (achieved / not achieved).
Baseline (Week 0), Week 4 and Week 8.

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

University of Management and Technology Lahore

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

有用的网址

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2026年11月5日

初级完成 (估计的)

2027年1月10日

研究完成 (估计的)

2027年1月10日

研究注册日期

首次提交

2026年11月5日

首先提交符合 QC 标准的

2026年11月5日

首次发布 (实际的)

2026年11月12日

研究记录更新

最后更新发布 (实际的)

2026年11月12日

上次提交的符合 QC 标准的更新

2026年11月5日

最后验证

2026年10月1日

更多信息

与本研究相关的术语

关键字

其他相关的 MeSH 术语

其他研究编号

  • RE-172-2026

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)？

是的

IPD 计划说明

The results data collected , de-identified individual participant data will be shared.

IPD 共享时间框架

6 months after the publication of the manuscript

IPD 共享访问标准

The data can be requested from the corresponding author

IPD 共享支持信息类型

  • 研究方案
  • 树液
  • 国际碳纤维联合会

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.

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