{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:39:11Z","timestamp":1790156351008,"version":"4.0.1"},"reference-count":54,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2013,9,12]]},"published-print":{"date-parts":[[2014,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To prospectively determine risk factors contributing to the development of exertional medial tibial pain (EMTP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data were prospectively collected on healthy female students in physical education, who were freshmen in 2010\u20132011 and 2011\u20132012. Eighty-six female students aged 19.38\u00b10.85\u2005years, were tested at the beginning of their first academic year. Kinematic parameters in the frontal and transverse plane were measured during a single-leg drop jump (SLDJ). For further analysis, the SLDJ task was divided in two phases: touchdown until maximal knee flexion (MKF) and then MKF until take-off, representing landing and push-off phase, respectively. The injury follow-up of the students was assessed using a weekly online questionnaire and a 3-monthly retrospective control questionnaire. EMTP was diagnosed by an experienced medical doctor. Cox regression analysis was used to identify the potential risk factors for the development of EMTP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During injury follow-up (1\u20132\u2005years), 22 participants were diagnosed with EMTP. The results of this study identified that increased range of motion (ROM) in the transverse plane of hip and thorax during landing (p=0.010 and 0.026, respectively) and during push off (p=0.019 and 0.045, respectively) are predictive parameters for the development of EMTP in women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Increased ROM values of hip and thorax in the transverse plane, which can be interpreted as impaired ability to maintain dynamic joint stability resulting in increased accessory movements, are significant contributors to the development of EMTP in women.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bjsports-2012-092126","type":"journal-article","created":{"date-parts":[[2013,10,8]],"date-time":"2013-10-08T00:49:57Z","timestamp":1381193397000},"page":"388-393","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":28,"title":["The role of proximal dynamic joint stability in the development of exertional medial tibial pain: a prospective study"],"prefix":"10.1136","volume":"48","author":[{"given":"Ruth","family":"Verrelst","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"De Clercq","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos","family":"Vanrenterghem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tine","family":"Willems","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanneke","family":"Palmans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erik","family":"Witvrouw","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2013,10,7]]},"reference":[{"key":"2024051403382865000_48.5.388.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0278-5919(03)00085-1"},{"key":"2024051403382865000_48.5.388.2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01565467"},{"key":"2024051403382865000_48.5.388.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2004.12.004"},{"key":"2024051403382865000_48.5.388.4","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2001.31.9.504"},{"key":"2024051403382865000_48.5.388.5","doi-asserted-by":"publisher","DOI":"10.1177\/0095399703258776"},{"key":"2024051403382865000_48.5.388.6","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.34.1.49"},{"key":"2024051403382865000_48.5.388.7","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2002.004499"},{"key":"2024051403382865000_48.5.388.8","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-199927030-00005"},{"key":"2024051403382865000_48.5.388.9","doi-asserted-by":"publisher","DOI":"10.1177\/0363546505278305"},{"key":"2024051403382865000_48.5.388.10","doi-asserted-by":"publisher","DOI":"10.1001\/jama.279.6.440"},{"key":"2024051403382865000_48.5.388.11","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1995.03520290054029"},{"key":"2024051403382865000_48.5.388.12","doi-asserted-by":"publisher","DOI":"10.2165\/00007256-200131140-00003"},{"key":"2024051403382865000_48.5.388.13","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.37.5.384"},{"key":"2024051403382865000_48.5.388.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2012.02.001"},{"key":"2024051403382865000_48.5.388.15","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000128145.75199.C3"},{"key":"2024051403382865000_48.5.388.16","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200501000-00004"},{"key":"2024051403382865000_48.5.388.17","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000247001.94470.21"},{"key":"2024051403382865000_48.5.388.18","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2003.33.11.671"},{"key":"2024051403382865000_48.5.388.19","doi-asserted-by":"crossref","first-page":"316","DOI":"10.5435\/00124635-200509000-00005","article-title":"Core stability and its relationship to lower extremity function and injury","volume":"13","author":"Willson","year":"2005","journal-title":"J Am Acad Orthop Surg"},{"key":"2024051403382865000_48.5.388.20","doi-asserted-by":"publisher","DOI":"10.1249\/01.mss.0000218140.05074.fa"},{"key":"2024051403382865000_48.5.388.21","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200007000-00004"},{"key":"2024051403382865000_48.5.388.22","doi-asserted-by":"publisher","DOI":"10.1097\/00042752-200004000-00002"},{"key":"2024051403382865000_48.5.388.23","doi-asserted-by":"crossref","first-page":"264","DOI":"10.4085\/1062-6050-47.3.17","article-title":"Prediction of core and lower extremity strains and sprains in collegiate football players: a preliminary study","volume":"47","author":"Wilkerson","year":"2012","journal-title":"J Athl Train"},{"key":"2024051403382865000_48.5.388.24","doi-asserted-by":"crossref","unstructured":"Verrelst R Willems TM Clercq DD . The role of hip abductor and external rotator muscle strength in the development of exertional medial tibial pain: a prospective study. Br J Sports Med Published Online First: 8 Feb 2013 doi:10.1136\/bjsports-2012-091710","DOI":"10.1136\/bjsports-2012-091710"},{"key":"2024051403382865000_48.5.388.25","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2008.02.009"},{"key":"2024051403382865000_48.5.388.26","doi-asserted-by":"publisher","DOI":"10.1177\/0363546508326711"},{"key":"2024051403382865000_48.5.388.27","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1123\/jsr.18.1.76","article-title":"Lower extremity strength and mechanics during jumping in women with patellofemoral pain","volume":"18","author":"Willson","year":"2009","journal-title":"J Sport Rehabil"},{"key":"2024051403382865000_48.5.388.28","doi-asserted-by":"publisher","DOI":"10.1016\/S0268-0033(97)00072-7"},{"key":"2024051403382865000_48.5.388.29","doi-asserted-by":"publisher","DOI":"10.1177\/0363546504269591"},{"key":"2024051403382865000_48.5.388.30","doi-asserted-by":"publisher","DOI":"10.1002\/jor.1100130618"},{"key":"2024051403382865000_48.5.388.31","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2005.1734"},{"key":"2024051403382865000_48.5.388.32","first-page":"80","article-title":"The sensorimotor system, Part II: the role of proprioception in motor control and functional joint stability","volume":"37","author":"Riemann","year":"2002","journal-title":"J Athl Train"},{"key":"2024051403382865000_48.5.388.33","doi-asserted-by":"publisher","DOI":"10.1080\/02640410903540352"},{"key":"2024051403382865000_48.5.388.34","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2007.2202"},{"key":"2024051403382865000_48.5.388.35","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinbiomech.2006.07.004"},{"key":"2024051403382865000_48.5.388.36","doi-asserted-by":"publisher","DOI":"10.1177\/0363546507307758"},{"key":"2024051403382865000_48.5.388.37","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2010.02.014"},{"key":"2024051403382865000_48.5.388.38","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1177\/03635465030310021301","article-title":"Jump landing strategies in male and female college athletes and the implications of such strategies for anterior cruciate ligament injury","volume":"31","author":"Fagenbaum","year":"2003","journal-title":"Am J Sports Med"},{"key":"2024051403382865000_48.5.388.39","doi-asserted-by":"publisher","DOI":"10.2519\/jospt.2011.3470"},{"key":"2024051403382865000_48.5.388.40","doi-asserted-by":"publisher","DOI":"10.1016\/S0021-9290(01)00222-6"},{"key":"2024051403382865000_48.5.388.41","doi-asserted-by":"publisher","DOI":"10.1097\/00002517-199212000-00002"},{"key":"2024051403382865000_48.5.388.42","doi-asserted-by":"publisher","DOI":"10.1016\/0197-2456(86)90034-6"},{"key":"2024051403382865000_48.5.388.43","doi-asserted-by":"publisher","DOI":"10.1136\/bjsm.2009.066936"},{"key":"2024051403382865000_48.5.388.44","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1242\/jeb.188.1.217","article-title":"The effects of muscle fatigue on bone strain","volume":"188","author":"Yoshikawa","year":"1994","journal-title":"J Exp Biol"},{"key":"2024051403382865000_48.5.388.45","doi-asserted-by":"publisher","DOI":"10.1177\/107110070102200713"},{"key":"2024051403382865000_48.5.388.46","doi-asserted-by":"publisher","DOI":"10.1016\/8756-3282(96)00028-2"},{"key":"2024051403382865000_48.5.388.47","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.2106\/00004623-199407000-00015","article-title":"Medial tibial stress syndrome. The location of muscles in the leg in relation to symptoms","volume":"76","author":"Beck","year":"1994","journal-title":"J Bone Joint Surg Am"},{"key":"2024051403382865000_48.5.388.48","doi-asserted-by":"publisher","DOI":"10.1249\/MSS.0b013e3181a6519c"},{"key":"2024051403382865000_48.5.388.49","doi-asserted-by":"crossref","first-page":"31","DOI":"10.7547\/0970031","article-title":"Medial tibial stress syndrome (tibial fasciitis): a proposed pathomechanical model involving fascial traction","volume":"97","author":"Bouche","year":"2007","journal-title":"J Am Podiatr Med Assoc"},{"key":"2024051403382865000_48.5.388.50","doi-asserted-by":"publisher","DOI":"10.1053\/apmr.2003.50004"},{"key":"2024051403382865000_48.5.388.51","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1136\/bmj.318.7175.29","article-title":"Incidence of trauma related stress fractures and shin splints in male and female army recruits: retrospective case study","volume":"318","author":"Macleod","year":"1999","journal-title":"BMJ"},{"key":"2024051403382865000_48.5.388.52","doi-asserted-by":"publisher","DOI":"10.1007\/BF00422829"},{"key":"2024051403382865000_48.5.388.53","doi-asserted-by":"publisher","DOI":"10.1016\/S1050-6411(03)00078-6"},{"key":"2024051403382865000_48.5.388.54","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2006.03.006"}],"container-title":["British Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bjsports-2012-092126","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T12:20:58Z","timestamp":1715689258000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjsm.bmj.com\/lookup\/doi\/10.1136\/bjsports-2012-092126"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,7]]},"references-count":54,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2014,2,11]]},"published-print":{"date-parts":[[2014,3]]}},"alternative-id":["10.1136\/bjsports-2012-092126"],"URL":"https:\/\/doi.org\/10.1136\/bjsports-2012-092126","relation":{},"ISSN":["0306-3674","1473-0480"],"issn-type":[{"value":"0306-3674","type":"print"},{"value":"1473-0480","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,7]]}}}