Running mechanics of females with bilateral compartment syndrome

Sugimoto, Dai; Brilliant, Anna N.; d’Hemecourt, Duncan A.; d’Hemecourt, Charles A.; Morse, Jennifer; d’Hemecourt, Pierre A.

doi:10.1589/jpts.30.1056

Cited by 13 publications

(10 citation statements)

References 29 publications

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“…CECS is most commonly seen in the lower extremities of athletes and military recruits who are frequently involved in running-related activities. Sugimoto et al 27 noted that female runners with a diagnosis of bilateral CECS demonstrated altered running mechanics, which include a greater overstride and increased ankle dorsiflexion angles, when compared with asymptomatic runners. Another biomechanical study noted that affected runners demonstrated a more upright posture and greater step length without any differences in muscle activity in the lower legs.…”

mentioning

confidence: 99%

Outcomes of Surgically Treated Chronic Exertional Compartment Syndrome in Runners

Salzler

Maguire

Heyworth

et al. 2020

Sports Health: A Multidisciplinary Approach

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Background: Chronic exertional compartment syndrome (CECS) is primarily seen in running athletes. Previous outcomes of surgical treatment with fasciotomy have suggested moderate pain relief, but evidence is lacking regarding postoperative return to running. Hypothesis: Running athletes with limiting symptoms of CECS will show high rates of return to running after fasciotomy. Study Design: Case series. Level of Evidence: Level 4. Methods: Running athletes treated with fasciotomy for CECS at a single institution were identified using a surgical database and asked to complete a questionnaire designed to assess postoperative pain, activity level, return to running, running distances, overall satisfaction, and rate of revision fasciotomy. Results: A total of 43 runners met the inclusion criteria, and 32 runners completed outcomes questionnaires at a mean postoperative follow-up of 66 months. In total, 27 of these 32 patients (84%) returned to sport(s) after fasciotomy. However, 9 (28%) of these patients pursued nonrunning sports, 5 (16%) due to recurrent pain with running. Of the 18 patients who returned to running sports (56%), the mean weekly running distance decreased postoperatively. Recurrence of symptoms was reported in 6 patients (19%), 4 of whom had returned to running and 2 of whom had been unable to return to sports. All of these 6 patients elected to undergo revision fasciotomy surgery. Twenty-five (78.1%) patients reported being satisfied with their procedure. In the overall cohort, the mean visual analog scale scores for pain during activities/sports decreased from 7.9 preoperatively to 1.7 postoperatively. Conclusion: Fasciotomy for CECS in runners may provide significant improvement in pain and satisfaction in over three-quarters of patients and return to sports in 84% of patients. However, only 56% returned to competitive running activity, with a subset (19%) developing recurrent symptoms resulting in revision surgery. Clinical Relevance: Fasciotomy has been shown to decrease pain in most patients with CECS. This study provides outcomes in running athletes after fasciotomy for CECS with regard to return to sports, maintenance of sports performance, and rates of revision surgery.

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mentioning

confidence: 99%

Outcomes of Surgically Treated Chronic Exertional Compartment Syndrome in Runners

Salzler

Maguire

Heyworth

et al. 2020

Sports Health: A Multidisciplinary Approach

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“…Hasil identifikasi biomekanika terhadap cedera terkait lutut pada pelari rekreasi di Universitas Udayana, membuktikan bahwa 80% dari populasi lari ketika kontak awal dengan tanah menggunakan pendaratan bagian tumit kaki (Ngurah et al, 2019). Penelitian yang dilakukan di Sekolah Kedokteran Harvard terkait mekanisme lari, diperoleh persentase 87,1% dari subjek perempuan kondisi sehat kecenderungan pemuatan tubuh dengan rearfoot yang berdampak pada sudut langkah yang melampaui (Sugimoto et al, 2018).…”

Section: Pendahuluanunclassified

Analisis Gerak Pendaratan Kaki Terkait Risiko Berlari Overstriding Pada Pelari Remaja Malang 2 Training Club

Ferdiansyah¹,

Yunus²,

Abdullah³

et al. 2023

SSH

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During running, there is a mechanism for changing the angle of the lower limb joints during the foot landing phase. A foot landing motion analysis intervention is needed to identify the risk of overstriding. The study focused on the joints of the lower extremities (hips, knees, and ankles) during the foot landing phase through the motion analysis phase of the subject. This research method uses quantitative qualitative with analytical descriptive design. The sampling technique used non-probability sampling, with the type of purposive sampling. 15 adolescent runners with endurance consisting of (12) boys and (3) girls have given informed consent. The test protocol of 60 seconds of each subject's treadmill running at a rate of 3.8 m/s (8.7 mph) was applied to one camera-recorded trial. Analysis of motion and angle for 30 seconds at the joints of the lower extremities from the lateral sagittal plane using the Kinovea software. The mean results of the angle values of the three lower extremity joints in various ranges. Characteristically, the motion produced from the angle of the subject's lower extremity joints, dominantly doing the landing phase of the hind foot accompanied by a condition of tibial extension which indicates the risk of overstriding. Abstrak: Selama berlari, terjadi mekanisme perubahan sudut sendi ekstremitas bawah saat fase pendaratan kaki. Intervensi analisis gerak pendaratan kaki diperlukan untuk mengidentifikasi risiko overstriding. Penelitian terfokus pada persendian ekstremitas bawah(panggul, lutut, dan engkel) saat fase pendaratan kaki melalui tahap analisis gerak dari subjek. Metode penelitian ini menggunakan kuantitatif kualitatif dengan desain deskriptif analitik. Teknik sampling menggunakan non-probability sampling, dengan jenis purposive sampling. 15 pelari remaja dengan daya tahan terdiri dari (12) laki-laki dan (3) perempuan telah menyetujui informed consent. Protokol tes lari treadmill setiap subjek selama 60 detik pada laju 3.8 m/s (8.7 mph) berlaku satu kali percobaan yang direkam kamera. Analisis gerak dan sudut selama 30 detik pada persendian ekstremitas bawah dari bidang sagital sisi lateral menggunakan perangkat lunak Kinovea. Rerata hasil nilai sudut ketiga sendi ekstremitas bawah pada rentang yang bervariasi. Secara karakteristik gerak yang dihasilkan dari sudut sendi ekstremitas bawah subjek, dominan melakukan fase pendaratan telapak kaki belakang disertai kondisi ekstensi tibia yang mengindikasikan risiko overstriding.

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“…Overstride during running and increased dorsiflexion angle at initial contact were exhibited by those who were accurately diagnosed with CECS. 7 These factors need to be further explored to identify additional components as determinants of CECS.…”

Section: Level Of Evidencementioning

confidence: 99%

“…Due to variations in presentation and multiple differential diagnoses, CECS diagnosis can be delayed. 7 This has negative implications on patient outcomes as symptoms and disability may persist with unsuccessful management techniques. Subsequently, higher health care costs may be incurred if CECS goes undiagnosed.…”

Section: Level Of Evidencementioning

confidence: 99%

Demographic Characteristics Among Patients With Chronic Exertional Compartment Syndrome of the Lower Leg

Rynkiewicz¹,

Fry²,

DiStefano³

2020

Journal of Sport Rehabilitation

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Clinical Scenario: Chronic exertional compartment syndrome (CECS) is a condition related with ischemia of the body’s tissue due to increases in intracompartmental pressures, which involves, among other symptoms, pain with exertion. CECS is often overlooked or misdiagnosed due to an ambiguous presentation. Diagnostic accuracy of CECS and subsequent management can be improved when contributing factors are known. Research is lacking on the type of patient most likely to experience CECS, highlighting the need for identification of common demographic characteristics among affected individuals. Clinical Question: What are the common demographic characteristics among patients exhibiting CECS of the lower leg? Summary of Key Findings: Four studies were identified (1 prospective consecutive study, 2 retrospective reviews, and 1 retrospective cohort study) that examined common characteristics among patients with CECS. Conflicting evidence exists on whether CECS is more commonly seen in men or in women. CECS has often been reported in young, active individuals but may present in older populations as well. Soccer, field hockey, lacrosse, competitive running, and speed skating have been associated with an increased likelihood of CECS development. Clinical Bottom Line: Current evidence has identified commonalities in sex, age, and sport participation as characteristics often present among individuals experiencing lower leg CECS. Other factors, such as overuse, trauma, diabetes, and gait mechanics, have also been identified in association with CECS. Further data through future prospective studies will help confirm the type of patient mostly likely to experience CECS. Strength of Recommendation: Grade B evidence exists that certain sex, age, and sport participation demographic characteristics are common among patients with CECS of the lower leg.

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Running mechanics of females with bilateral compartment syndrome

Cited by 13 publications

References 29 publications

Outcomes of Surgically Treated Chronic Exertional Compartment Syndrome in Runners

Outcomes of Surgically Treated Chronic Exertional Compartment Syndrome in Runners

Analisis Gerak Pendaratan Kaki Terkait Risiko Berlari Overstriding Pada Pelari Remaja Malang 2 Training Club

Demographic Characteristics Among Patients With Chronic Exertional Compartment Syndrome of the Lower Leg

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