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Association Between Intracompartmental Pressures in the Anterior Compartment of the Leg and Conservative Treatment Outcome for Exercise-Related Leg Pain in Military Service Members

OBJECTIVE: To explore the relationship between a single the intracompartmental pressure (ICP) value in the anterior compartment of the leg 1 minute after provocative exercise and the outcome of a conservative treatment program in a cohort of military service members with chronic exercise-related leg...

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Autores principales: Vogels, Sanne, Bakker, Eric W.P., O'Connor, Francis G., Hoencamp, Rigo, Zimmermann, Wes O.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904869/
https://www.ncbi.nlm.nih.gov/pubmed/35282146
http://dx.doi.org/10.1016/j.arrct.2021.100171
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author Vogels, Sanne
Bakker, Eric W.P.
O'Connor, Francis G.
Hoencamp, Rigo
Zimmermann, Wes O.
author_facet Vogels, Sanne
Bakker, Eric W.P.
O'Connor, Francis G.
Hoencamp, Rigo
Zimmermann, Wes O.
author_sort Vogels, Sanne
collection PubMed
description OBJECTIVE: To explore the relationship between a single the intracompartmental pressure (ICP) value in the anterior compartment of the leg 1 minute after provocative exercise and the outcome of a conservative treatment program in a cohort of military service members with chronic exercise-related leg pain. DESIGN: Retrospective cohort study. SETTING: Department of military sports medicine at a secondary care facility. PARTICIPANTS: In the years 2015 through 2019, the conservative treatment program was completed by 231 service members with chronic exercise-related leg pain, of whom 108 patients with 200 affected legs met all inclusion criteria (N=108). INTERVENTIONS: All patients completed a comprehensive conservative treatment program, consisting of 4-6 individual gait retraining sessions during a period of 6-12 weeks. In addition, patients received uniform homework assignments, emphasizing acquisition of the new running technique. MAIN OUTCOME MEASURES: The primary treatment outcome was return to active duty. The duration of treatment, occurrence of acute on chronic compartment syndrome, and patient-reported outcome measures were considered secondary treatment outcomes. Potential risk factors for the primary treatment outcome were identified with a generalized logistic mixed model. RESULTS: Return to active duty was possible for 74 (69%) patients, whereas 34 (31%) needed further treatment. The multivariable analysis showed that the absolute values of ICP in the anterior compartment were not associated with the treatment outcome (odds ratio, 1.01; P=.64). A lower Single Assessment Numeric Evaluation score at intake was negatively associated with the potential to successfully return to active duty (odds ratio, 0.95; P=.01). No acute on chronic compartment syndromes were reported. CONCLUSIONS: A single postexercise ICP value in the anterior compartments of the lower leg of military service members with chronic exercise-related leg pain was not associated with the outcome of a secondary care conservative treatment program and can be safely postponed.
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spelling pubmed-89048692022-03-10 Association Between Intracompartmental Pressures in the Anterior Compartment of the Leg and Conservative Treatment Outcome for Exercise-Related Leg Pain in Military Service Members Vogels, Sanne Bakker, Eric W.P. O'Connor, Francis G. Hoencamp, Rigo Zimmermann, Wes O. Arch Rehabil Res Clin Transl Original Research OBJECTIVE: To explore the relationship between a single the intracompartmental pressure (ICP) value in the anterior compartment of the leg 1 minute after provocative exercise and the outcome of a conservative treatment program in a cohort of military service members with chronic exercise-related leg pain. DESIGN: Retrospective cohort study. SETTING: Department of military sports medicine at a secondary care facility. PARTICIPANTS: In the years 2015 through 2019, the conservative treatment program was completed by 231 service members with chronic exercise-related leg pain, of whom 108 patients with 200 affected legs met all inclusion criteria (N=108). INTERVENTIONS: All patients completed a comprehensive conservative treatment program, consisting of 4-6 individual gait retraining sessions during a period of 6-12 weeks. In addition, patients received uniform homework assignments, emphasizing acquisition of the new running technique. MAIN OUTCOME MEASURES: The primary treatment outcome was return to active duty. The duration of treatment, occurrence of acute on chronic compartment syndrome, and patient-reported outcome measures were considered secondary treatment outcomes. Potential risk factors for the primary treatment outcome were identified with a generalized logistic mixed model. RESULTS: Return to active duty was possible for 74 (69%) patients, whereas 34 (31%) needed further treatment. The multivariable analysis showed that the absolute values of ICP in the anterior compartment were not associated with the treatment outcome (odds ratio, 1.01; P=.64). A lower Single Assessment Numeric Evaluation score at intake was negatively associated with the potential to successfully return to active duty (odds ratio, 0.95; P=.01). No acute on chronic compartment syndromes were reported. CONCLUSIONS: A single postexercise ICP value in the anterior compartments of the lower leg of military service members with chronic exercise-related leg pain was not associated with the outcome of a secondary care conservative treatment program and can be safely postponed. Elsevier 2021-12-04 /pmc/articles/PMC8904869/ /pubmed/35282146 http://dx.doi.org/10.1016/j.arrct.2021.100171 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Vogels, Sanne
Bakker, Eric W.P.
O'Connor, Francis G.
Hoencamp, Rigo
Zimmermann, Wes O.
Association Between Intracompartmental Pressures in the Anterior Compartment of the Leg and Conservative Treatment Outcome for Exercise-Related Leg Pain in Military Service Members
title Association Between Intracompartmental Pressures in the Anterior Compartment of the Leg and Conservative Treatment Outcome for Exercise-Related Leg Pain in Military Service Members
title_full Association Between Intracompartmental Pressures in the Anterior Compartment of the Leg and Conservative Treatment Outcome for Exercise-Related Leg Pain in Military Service Members
title_fullStr Association Between Intracompartmental Pressures in the Anterior Compartment of the Leg and Conservative Treatment Outcome for Exercise-Related Leg Pain in Military Service Members
title_full_unstemmed Association Between Intracompartmental Pressures in the Anterior Compartment of the Leg and Conservative Treatment Outcome for Exercise-Related Leg Pain in Military Service Members
title_short Association Between Intracompartmental Pressures in the Anterior Compartment of the Leg and Conservative Treatment Outcome for Exercise-Related Leg Pain in Military Service Members
title_sort association between intracompartmental pressures in the anterior compartment of the leg and conservative treatment outcome for exercise-related leg pain in military service members
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8904869/
https://www.ncbi.nlm.nih.gov/pubmed/35282146
http://dx.doi.org/10.1016/j.arrct.2021.100171
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