Shin Splints Flashcards
Structures Involved and Prevalence Incidence
Anterior- _____ tibialis and ____ tibial shaft
anterior
lateral
Structures Involved and Prevalence Incidence
Posterior or ______ ______ ____ Syndrome involving _____ _______ and
_______ tibial shift
Medial Tibial Stress
Tibialis posterior
medial
Which shin splints are more common; anterior or posterior?
posterior
__________ connective tissue that surrounds bone except on articular surfaces
It has mostly ______ inn. tissue
Periosteum
densely
Risk Factors
Biological ______ (dietary; hormonal)
High ______
Previous _______ injury
_______ Errors
Impaired ______ _______
Excessive __________
- increased ______ drop
- pronation is _________
- controlled by tibialis ________
females
BMI
running
Training
LE control
pronation
navicular
eccentrically
posterior
Risk Factors
Increased _____ ROM: unclear
Greater Hip ______ ROM
No meaningful association with _____ wear
PF
ER
shoe
Pathomechanics
Excessive _______ ________ stresses exceed opposing mm. supply
tibial bending
Pathomechanics
Increased load on deeper muscles of posterior leg- particularly _____ ______ and ________
______ and ______ of periosteal tissue
tibialis posterior
soleus
traction; inflammation
Symptoms
_______ onset of medial ____ pain
Generally worsened with ________ not ADLs
NO ______, ________, ________
Gradual; shin
activity
cramping, burning, tingling
Signs
Observation: ________ loading to greater ______ _____ (run harder)
Impaired LQ control
- possible excessive ________
- increased pelvis ______ (weak hip ____ )
- Increased LE _____
overstriding; heel strike
pronation
drop; ABD
IR
Signs
Resisted/MMT- weak and possibly p! ful _____s
- Hip _________ and lack of ______ ( _____/_____ and ____s )
- Possibly weak and p!ful ______
PF
weakness; endurance; EXT/ABD/ER
IV
Signs
Special Tests: P! with hop on ____ of ______ test due to plantar flexion of tibialis ______
Possible foot and ankle _______
Palpation: TTP over __________ tibial border ≥ ____ cm or 2 in length
ball; foot; posterior
instability
posteromedial; 5
PT Rx
POLICED
Pt. ______
-________ rule
- ______ management
- _____ control
education
soreness
load
LQ
PT Rx
Pt education
________ ________ training
Reduce LE _____ with cues to tighten _______
Decrease _____ ______ with cueing for shorter/faster steps
Shoe wear
light, supportive, ______
shoes
Change ______ shoes every 250- 500 miles
Movement pattern
IR
heel strike
cushioned
rotate
running
PT Rx: Taping/Orthotics
assist with tibialis _______
Foot orthotic- for excessive _____ use pre-fabricated orthotic
For heavy ____ ______ use
- cushioned inserts
- ____ heel cups
posterior
pronation
heel strikers
gel
