International Journal For Multidisciplinary Research

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Volume 8 Issue 5
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Effectiveness of Combined Open and Closed Kinetic Chain Exercise Versus PNF Stretching on Pain and Functional Performance in Army-Aspirant Runners with Shin Splints: A Randomised Clinical Trial

Author(s) Ms. Srushti Ramesh Tabhane, Dr. Pavan Vijayrao Chopade, Dr. Jaywant Nagulkar
Country India
Abstract Background: Medial tibial stress syndrome (MTSS), commonly referred to as shin splints, is a running-related overuse condition associated with pain and reduced lower-extremity function. Army-aspirant runners experience repetitive running and high training loads.
Aim: To compare combined open and closed-chain kinetic exercises with PNF stretching for pain and functional performance in army-aspirant runners with shin splints.
Methods: An experimental randomised clinical trial included 24 army-aspirant runners aged 18–25 years. Participants were allocated to Group A (combined OKC and CKC exercises, n=12) or Group B (PNF hold-relax stretching, n=12). Each intervention was delivered for 30 minutes, three times per week for two weeks. VAS and LEFS were assessed before and after treatment. We used Wilcoxon signed-rank and Mann–Whitney tests.
Results: Both groups showed significant within-group improvements. Group A VAS changed from 6.83 ± 1.40 to 3.83 ± 1.59 and LEFS from 54.67 ± 10.77 to 69.00 ± 8.89. Group B VAS changed from 6.92 ± 1.00 to 4.67 ± 0.89 and LEFS from 54.92 ± 5.98 to 65.83 ± 3.07. Post-treatment between-group differences were significant for VAS (p=0.031) and LEFS (p=0.007).
Conclusion: Both interventions were effective, but the combined kinetic-chain exercise group produced greater improvements in pain and functional performance.
Keywords Medial Tibial Stress Syndrome, Shin Splints, Open Kinetic Chain, Closed Kinetic Chain, PNF Stretching, Army-Aspirant Runners, Pain, Functional Performance.
Field Medical / Pharmacy
Published In Volume 8, Issue 5, September-October 2026
Published On 2026-10-01
DOI https://doi.org/10.36948/ijfmr.2026.v08i05.88784
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CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

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