Impact of targeted lower-limb exercises on biomechanical and neuromuscular risk factors associated with medial tibial stress syndrome

= 0.004). Controlled step-downs elicited localised proximal control changes, including increased hip flexion, but did not alter kinetic impact factors. These findings suggest SLLH acts as a potentiating neuromuscular primer that reorganises motor control into limb-specific strategies of mechanical compliance and neural efficiency, positioning it as a superior method for influencing MTSS risk factors.