:: Volume 8, Issue 1 (spring 2010) ::
jmj 2010, 8(1): 19-27 Back to browse issues page
The effect of PNF-stretching and strengthening exercises on improvement of Function in subjects with tibial stress syndrome
Fatemah Ghiasi *, Asghar Akbari, Haneyah Shoroei
Abstract:   (4126 Views)


Tibial stress syndrome is  classified as one of the overuse injuries. Muscle strengthening and stretching exercises have been suggested in prevention and treatment of tibial stress syndrome. Therefore, the aim of this study was to evaluate the effect of strengthening and PNF-stretching exercise on the pain intensity and disability in patients with shin splint.                                                                                  

Material and Methods:

This clinical trail study was performed in Zahedan. Twenty patients with shin pain were assigned randomly as either a stretching exercise group (n=10) or a strengthening exercise group (n=10). Both groups underwent a fourteen day exercise intervention. The outcome was based on self–reported disability, using Lower Extremity Functional Scale Questionnaire, joint range of motion, muscle strength and pain intensity (VAS) measured immediately before and after intervention. The data were analyzed using Mann-Whitney U and Wilcoxon test.


In the stretching exercise group, pain changed from 6.4±1.8 to 3.2±1.4 (P<0.05) and in the strengthening exercise group it changed from 6.4±1.2 to 3.0±1.2 (P<0.05). The differences in the mean score of disability questionnaire before and after the stretching exercise and strengthening exercise groups were statistically significant (p<0.05). Data analysis revealed no significant difference between both groups in self reported pain and disability (P>0.05).


The results of this study support the effectiveness of strengthening and stretching exercises in reducing disability and pain in the short term in patients with tibial stress syndrome.

Keywords: Tibial stress syndrome, Strengthening exercise, PNF-Stretching exercise, Lower Extremity Functional Scale
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Type of Study: Research | Subject: epidmilojgy
Received: 2016/05/25 | Revised: 2018/03/5 | Accepted: 2016/05/25

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Volume 8, Issue 1 (spring 2010) Back to browse issues page