RESUMEN
A 34-year-old female athlete experienced pain, tightness, and sensation changes in her lower legs and feet when reaching approximately 1 mile (1.6 km) of her run. After a wick catheter test, an orthopaedic surgeon diagnosed her with chronic exertional compartment syndrome (CECS) and declared her eligible to undergo fasciotomy surgery. A forefoot gait is theorized to delay the symptom onset of CECS and decrease the amount of discomfort the runner experiences. The patient opted for a 6-week gait retraining program to try to alleviate her symptoms nonsurgically. The purpose of our report is to provide information about the contributing factors of CECS and to determine if gait retraining is an effective alternative to invasive surgery. After 6 weeks of gait retraining, the patient was able to run without experiencing any CECS symptoms. Also, her compartment pressures were reduced, leading the surgeon to no longer recommend fasciotomy.
Asunto(s)
Síndromes Compartimentales , Carrera , Femenino , Humanos , Adulto , Síndrome Compartimental Crónico de Esfuerzo/complicaciones , Síndromes Compartimentales/cirugía , Síndromes Compartimentales/diagnóstico , Síndromes Compartimentales/etiología , Dolor , Marcha , Enfermedad CrónicaRESUMEN
A 34-year-old female athlete experienced pain, tightness, and sensation changes to her lower legs and feet when reaching approximately one mile of her run. After a wick catheter test, an orthopedic surgeon diagnosed her with chronic exertional compartment syndrome (CECS) and declared her eligible to receive a fasciotomy surgery. It is theorized that a forefoot gait can delay symptom onset of CECS and decrease the amount of discomfort the runner experiences. The patient opted to try a 6 week gait retraining program to try to alleviate symptoms nonsurgically. The purpose of this study is to provide education of the contributing factors of CECS and to determine if gait retraining is an effective alternative to invasive surgery. After six weeks of gait retraining, the patient was able to run without experiencing any CECS symptoms. She also had reduced compartment pressures leading the surgeon to no longer recommend her for a fasciotomy.
RESUMEN
Postural control is essential for normal daily activities. It is also a crucial requirement for athletic events and activities. Deterioration in this postural control mechanism is termed postural instability and results in increased postural sway. Decrements in postural sway have been documented following a 15.5-mile run. It remains to be seen whether a shorter distance run will cause a similar decrease in postural control. Therefore, the purpose of this study was to assess the effects of a 2-mile run on postural sway in healthy subjects. Forty-four healthy subjects were assigned to an experimental group (2-mile run) or a control group. Postural sway was measured before and after the run with the Biodex Stability System Overall Stability Index and a clinical balance test called the Military Academy Stance Test. There was a significant before-after run Biodex Stability System Overall Stability Index (p < 0.05) and Military Academy Stance Test index (p < 0.05) increase in the experimental group. There was no significant change for the control group. It was concluded that a 2-mile run does produce a significant increase in postural sway as measured using the Biodex Stability System Overall Stability Index and Military Academy Stance Test.