Prevalence of Medial Tibial Stress Syndrome on Young Females Wearing High Heels and Its Impact on Functional Activities

Abstract

BACKGROUND: Medial tibial stress syndrome is a type of inflammation between soft tissue attachments and bony periosteum due to bodily stress reactions. It has significant biomechanical effects on high heels wearers especially during the younger age which is aggravated by many consequences.

OBJECTIVE: The main objective of the study was to assess the prevalence of medial tibial stress syndrome on young females wearing high heels and its impact on functional activities.

METHODOLOGY: It is a cross-sectional observational study. A total of 200 participants aged between 18 to 25 years females were selected randomly according to the inclusion criteria. The participants were asked to fill the numerical pain rating scale for knee region and the scoring of 3 or more were isolated and assessed with two clinical examinations. They were a navicular drop test and shin palpation test. The presence of medial tibial syndrome females were given a womac scale questionnaire to assess their impact on functional activities. The responses are documented.

RESULT: The results were statistically analyzed. Out of 200 females, 174 (87%) have knee pain. 115 (66%) females have positive navicular drop test, 157(90%) have positive shin palpation test and 113(64.9%) have positive on both naviculars drop test and shin palpation test. This study is statistically significant with (p<0.05) in clinical examinations. Most of the females have difficulty during functional activities such as walking (95.5%), stair climbing (83%), standing (75.7%) and heavy domestic duties (85.3%).

CONCLUSION: It was concluded that there is significant increase in the prevalence of medial tibial stress syndrome among young females wearing high heels and have greater impact on functions activities.