Identifying prognostic factors for conservative treatment outcomes in servicemen with chronic exertional compartment syndrome treated at a rehabilitation center

Mariëtte Z. Meulekamp; Peter van der Wurff; Alfred van der Meer; Cees Lucas

doi:10.1186/s40779-017-0145-2

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Identifying prognostic factors for conservative treatment outcomes in servicemen with chronic exertional compartment syndrome treated at a rehabilitation center

RESEARCH | Updated：2026-03-12

- Identifying prognostic factors for conservative treatment outcomes in servicemen with chronic exertional compartment syndrome treated at a rehabilitation center
- Military Medical Research Vol. 5, Issue 3, Pages: 199-206(2018)
- Affiliations：
  
  1.Research and Development, Military Rehabilitation Centre, Aardenburg, Doorn, the Netherlands
  2.Department of Physiotherapy, HU University of Applied Sciences, Utrecht, the Netherlands
  3.Department of Clinical Epidemiology, Biostatistics and Bioinformatics, Academic Medical Centre, University of Amsterdam, Amsterdam, the Netherlands
- Author bio：
  
  *: m.meulekamp@mrcdoorn.nl
- Funds：
- DOI：10.1186/s40779-017-0145-2
  CLC：
- Published：2018-09
- Accepted：
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Meulekamp et al.: Identifying prognostic factors for conservative treatment outcomes in servicemen with chronic exertional compartment syndrome treated at a rehabilitation center. Mil Med Res, 2017, 4: 36
DOI：

Meulekamp et al.: Identifying prognostic factors for conservative treatment outcomes in servicemen with chronic exertional compartment syndrome treated at a rehabilitation center. Mil Med Res, 2017, 4: 36 DOI： 10.1186/s40779-017-0145-2.

摘要

Abstract

Background:

Chronic exertional compartment syndrome (CECS) is a condition of pain induced by exercise

and it is characterized by muscle swelling and impaired muscle function in the lower leg. Given the diversity in the diagnosis and treatment of CECS

it is desirable to determine variables pertaining to prognosis and recovery. The purpose of this study is to identify prognostic factors for conservative treatment outcomes in servicemen with CECS who were treated at a Military Rehabilitation Center.

Methods:

Patients from all military services were referred from the special unit for lower leg pain at the Central Military Hospital

Utrecht

the Netherlands. Descriptive analysis was used to report the characteristics of the participants and their baseline measurements. Group differences were analyzed using a Student’s

-test or Mann-Whitney

test

according to the normality of the data distribution. Differences between the pre- and post-intervention outcomes were evaluated using the Wilcoxon signed rank test. To evaluate the magnitude of prognostic factors

a univariate logistic regression analysis was performed. The prognostic factors included age

body mass index

body fat percentage

self-efficacy beliefs

foot malalignment

intramuscular pressure

other comorbidities

protein and creatine use

smoking

alcohol use

complaint duration

physical demands

and duration of military service.

Results:

After the rehabilitation period

we observed 25 patients with a successful outcome

which was defined as a reduction in pain (≥2 points) during the capacity test measured using a verbal rating scale and 20 patients with an unsuccessful outcome. Factors demonstrating a limited increased odds ratio for an unsuccessful outcome included smoking

alcohol use

intramuscular pressure

a complaint duration of more than 6 months

and physical demands of service. However

these factors did not reach significance.

Conclusion:

This study did not identify any prognostic factors that predict the outcome of a rehabilitation program for CECS. A larger sample using an identical design might provide further evidence regarding prognostic factors

which would facilitate development of a model that predicts the outcomes of a rehabilitation program for CECS.

关键词

Keywords

references

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