Logo image
Back
Biomechanics associated with tibial stress fracture in runners: A systematic review and meta-analysis
Journal article   Open access   Peer reviewed

Biomechanics associated with tibial stress fracture in runners: A systematic review and meta-analysis

Clare E Milner, Eric Foch, Joseph M Gonzales and Drew Petersen
Journal of sport and health science, v 12(3), pp 333-342
05 Dec 2022
DOI: https://doi.org/10.1016/j.jshs.2022.12.002
PMID: 36481573
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://doi.org/10.1016/j.jshs.2022.12.002View
Published, Version of Record (VoR)CC BY-NC-ND V4.0,  Open

Abstract

Gait Tibial acceleration Bone stress injury Kinematics Kinetics
Tibial stress fracture (TSF) is an overuse running injury with a long recovery period. While many running studies refer to biomechanical risk factors for TSF, only a few have compared biomechanics in runners with TSF to controls. The aim of this systematic review and meta-analysis was to evaluate biomechanics in runners with TSF compared to controls. Electronic databases PubMed, Web of Science, SPORTDiscus, Scopus, Cochrane, and CINAHL were searched. Risk of bias was assessed and meta-analysis conducted for variables reported in 3 or more studies. The search retrieved 359 unique records, but only the 14 that compared runners with TSF to controls were included in the review. Most studies were retrospective, 2 were prospective, and most had a small sample size (5-30 per group). Many variables were not significantly different between groups. Meta-analysis of peak impact, active, and braking ground reaction forces found no significant differences between groups. Individual studies found larger tibial peak anterior tensile stress, peak posterior compressive stress, peak axial acceleration, peak rearfoot eversion and hip adduction in the TSF group. Meta-analysis indicated that discrete ground reaction force variables were not statistically significantly different in runners with TSF compared to controls. In individual included studies, many biomechanical variables were not statistically significantly different between groups. However, many were reported by only a single study, and sample sizes were small. We encourage additional studies with larger sample sizes of runners with TSF and controls and adequate statistical power to confirm or refute these findings.

Metrics

21 Record Views
25 citations in Web of Science
22 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Hospitality, Leisure, Sport & Tourism
Sport Sciences
Logo image