Fatores de risco intrínsecos biomecânicos para a síndrome da tensão tibial medial em corredores: uma revisão da literatura

Abstract

This work aims to perform a literature review to investigate the intrinsic biomechanical risk factors for the development of medial tibial stress syndrome (MTSS) for runners. For this, we conducted a review of the types of studies and case control cohort that investigated factors related to such MTSS. We performed a literature search through the latest electronic data banks: Medline, Lilacs and Scielo databases using the descriptor medial tibial stress syndrome and its variations. From the analysis of abstracts and full reading of the articles pre-selected according to inclusion and exclusion criteria, four articles were included in the results, one cohort and three case-control. The results suggest that risk factors intrinsic biomechanical proximal or places may be related to the development of MTSS corridors. Mechanisms are proposed in the literature to justify such relationships involving changes in posture and dynamics of the foot and alterations in muscular endurance. Despite the small number of studies, we also observed the presence of possible risk factors involved in the development of distal MTSS corridors. Beyond identifying all risk factors intrinsic biomechanical, physical therapists should be able to analyze and understand the possible biomechanical relationships that can act in complex musculoskeletal system exposed to specific demands of the race.