Related Experiment Video
Updated: May 10, 2026
08:26
Comparative Analysis of Lower Limb Kinematics between the Initial and Terminal Phase of 5km Treadmill Running
Published on: July 17, 2020
Medial tibial pain pressure threshold algometry in runners
Osama Aweid1, Rosa Gallie, Dylan Morrissey
1Centre for Sports and Exercise Medicine, Barts and The London School of Medicine and Dentistry, London, UK.
Summary
Pressure algometry (PA) offers a reliable method for assessing tibial tenderness. Reduced pain pressure threshold (PPT) in medial tibial stress syndrome (MTSS) patients suggests PA can aid clinical assessment and return-to-sport decisions.
Area of Science:
- Sports Medicine
- Biomechanics
- Orthopedics
Background:
- Medial tibial stress syndrome (MTSS) is a common injury in runners.
- Accurate assessment of tibial tenderness is crucial for diagnosis and management.
- Pressure algometry (PA) offers a standardized approach to quantify pain sensitivity.
Purpose of the Study:
- To evaluate the intra-rater repeatability of pressure algometry (PA) for tibial tenderness.
- To compare tibial tenderness in healthy runners versus those with MTSS.
- To identify factors influencing pain pressure threshold (PPT) in runners.
Main Methods:
- PA was conducted on asymptomatic runners and MTSS patients at standardized tibial locations.
- Intra-rater reliability was assessed via repeated measurements in a subset of asymptomatic runners.
- Pain pressure threshold (PPT) measurements were analyzed for differences between groups and correlations with anthropometric data.
Main Results:
- PA demonstrated moderate to excellent intra-rater reliability (ICC 0.53-0.90).
- Significantly lower PPT was observed in MTSS patients compared to asymptomatic runners at specific tibial sites.
- PPT was influenced by sex, age, height, and weight, with lower PPT in females, older individuals, and varying correlations with height/weight.
Conclusions:
- Pressure algometry (PA) is a repeatable and objective tool for assessing tibial tenderness in MTSS.
- Reduced medial tibial PPT in asymptomatic runners may inform return-to-sport criteria.
- PA can be integrated into clinical practice for MTSS assessment and progress monitoring.
Related Concept Videos
01:11Pulse Assessment Sites
Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
01:21Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...