Rehabilitation and return to activity criteria after operative management of chronic exertional compartment syndrome of the leg: a systematic review.

IF 1.9 4区医学 Q2 ORTHOPEDICS

Physician and Sportsmedicine Pub Date : 2024-04-01 Epub Date: 2023-05-18 DOI:10.1080/00913847.2023.2214192

Richard J Gawel, Bryson R Kemler, Carlo Coladonato, Kevin B Freedman

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引用次数: 0

Abstract

Objectives: Endurance athletes with chronic exertional compartment syndrome (CECS) frequently require fasciotomy to return to activity, but there are no existing comprehensive evidence-based rehabilitation guidelines. We aimed to summarize rehabilitation protocols and return to activity criteria after CECS surgery.

Methods: Through a systematic literature review, we identified 27 articles that explicitly defined physician-imposed restrictions or guidelines for patients to resume athletic activities following CECS surgery.

Results: Common rehabilitation parameters included running restrictions (51.9%), postoperative leg compression (48.1%), immediate postoperative ambulation (44.4%), and early range of motion exercises (37.0%). Most studies (70.4%) reported return to activity timelines, but few (11.1%) utilized subjective criteria for guiding return to activity. No studies utilized objective functional criteria.

Conclusions: Rehabilitation and return to activity guidelines after CECS surgery remain poorly defined, and further investigation is needed to develop such guidelines that will enable endurance athletes to safely return to activities and minimize recurrence.

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腿部慢性劳累性室间隔综合征手术治疗后的康复和恢复活动标准：系统性综述。

目标：患有慢性劳累性筋膜室综合征（CECS）的耐力运动员经常需要进行筋膜切开术才能恢复活动，但目前还没有全面的循证康复指南。我们旨在总结 CECS 手术后的康复方案和恢复活动标准：通过系统性文献回顾，我们发现有 27 篇文章明确规定了 CECS 手术后医生对患者恢复运动的限制或指南：常见的康复参数包括跑步限制（51.9%）、术后腿部加压（48.1%）、术后立即下地活动（44.4%）和早期活动范围练习（37.0%）。大多数研究（70.4%）报告了恢复活动的时间表，但很少有研究（11.1%）采用主观标准来指导恢复活动。没有研究采用客观功能标准：结论：CECS 术后康复和恢复活动的指导原则仍未明确，需要进一步研究制定此类指导原则，使耐力运动员能够安全地恢复活动，并最大限度地减少复发。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physician and Sportsmedicine PRIMARY HEALTH CARE-ORTHOPEDICS

CiteScore

4.90

自引率

4.30%

发文量

审稿时长

>12 weeks

期刊介绍： The Physician and Sportsmedicine is a peer-reviewed, clinically oriented publication for primary care physicians. We examine the latest drug discoveries to advance treatment and recovery, and take into account the medical aspects of exercise therapy for a given condition. We cover the latest primary care-focused treatments serving the needs of our active patient population, and assess the limits these treatments govern in stabilization and recovery. The Physician and Sportsmedicine is a peer-to-peer method of communicating the latest research to aid primary care physicians’ advancement in methods of care and treatment. We routinely cover such topics as: managing chronic disease, surgical techniques in preventing and managing injuries, the latest advancements in treatments for helping patients lose weight, and related exercise and nutrition topics that can impact the patient during recovery and modification.