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Comparative Study using Four Modalities in Shinsplint Treatments*.

W Smith, F Winn, R Parette

The Journal of Orthopaedic and Sports Physical Therapy

|January 1, 1986

Summary

This study found that ice massage, ultrasound, iontophoresis, and phonophoresis were equally effective for treating shinsplints. All modalities outperformed a control program, suggesting individualized treatment plans are key for shinsplint recovery.

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Area of Science:

Physical Therapy
Sports Medicine
Rehabilitation Science

Background:

Shinsplints (medial tibial stress syndrome) treatment remains debated in physical therapy.
Limited comparative data exists for various shinsplint treatment modalities.
Current clinical management often involves diverse, uncompared approaches.

Purpose of the Study:

To compare the effectiveness of ice massage, ultrasound, iontophoresis, and phonophoresis for shinsplint syndrome.
To identify factors influencing the optimal choice of treatment modality for shinsplints.
To provide evidence-based guidance for shinsplint management.

Main Methods:

A comparative study involving young adults diagnosed with shinsplint syndrome.
Evaluation of four physical therapy modalities: ice massage, ultrasound, iontophoresis, and phonophoresis.

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Comparison against a controlled treatment program.

Main Results:

No single modality (ice massage, ultrasound, iontophoresis, phonophoresis) demonstrated superiority over others.
All tested modalities were significantly more effective than the controlled treatment program.
Regression analysis indicated treatment choice should consider range of motion restoration, treatment number, and availability.

Conclusions:

The choice of physical therapy modality for shinsplints should be individualized.
Factors such as range of motion, treatment frequency, and modality availability influence optimal shinsplint care.
While modalities differ, their collective efficacy surpasses standard care for shinsplints.