Department of Functional Anatomy & Sports Medicine, University of Athens , Greece.
J Sports Sci Med. 2008 Mar 1;7(1):96-100. eCollection 2008.
The aim of the study was to assess pre, during, and postexercise compartment pressures in the anterior tibial compartment in asymptomatic long distance runners (5000 m) and recreational athletes. Forty-eight participants (n = 48, 24 females and 24 males) underwent the experimental procedures. The participants were assigned into 4 groups of 12 volunteers. Intracompartmental pressures measurements were recorded 1 minute before, at the 1(st) minute after the onset of exercise, and finally 5 minutes after the completion of the exercise on treadmill. The wick catheter technique was the method of choice for measuring intracompartmental pressure values. Post hoc analysis of the groups by measures interaction indicated that all pairwise comparisons among pre-test (1 minute before exercise), during-test (1(st) minute during exercise), and post-test measures (5 minutes after exercise) were statistically significant for male controls (p < .001), male athletes (p < .001), female controls (p < .001) and female athletes (p < .001). The results confirm the correlation between long distance runners and the increased risk of chronic exertional compartment syndrome (CECS) development. Key pointsCompartment syndrome is a condition characterised by increased intracompartmental pressures within inelastic fascia which surrounds muscular compartmentsInitial CECS symptomatology is not clear and increases graduallyAll the study participants presented the lowest intra-compartment pressure values one minute before the beginning of exercise (at rest) with the highest value being recorded at the first minute of exercise.Control population had lower intra-compartment pressure than professional runners.One minute after the beginning of exercise control and athlete men group showed higher intra-compartment pressure than control and athlete women group, indicating a probable sex difference both for athletes and controls.Further studies on predisposing factors of CECS, such as increased intracompartmental pressure values in asymptomatic population is needed to establish the diagnosis in a proper time.
本研究旨在评估无症状长跑运动员（5000 米）和业余运动员前胫骨间隔内预、运动中和运动后间隔压力。48 名参与者（n = 48，24 名女性和 24 名男性）接受了实验程序。参与者被分为 4 组，每组 12 名志愿者。在跑步机上，在运动开始前 1 分钟、运动开始后第 1 分钟和运动结束后 5 分钟记录间隔内压力测量值。选择 Wick 导管技术测量间隔内压力值。通过措施交互作用对组进行事后分析表明，男性对照组（p <.001）、男性运动员组（p <.001）、女性对照组（p <.001）和女性运动员组（p <.001）中，所有预测试（运动前 1 分钟）、测试中（运动开始后第 1 分钟）和测试后（运动结束后 5 分钟）测量值之间的两两比较均具有统计学意义。结果证实了长跑运动员与慢性运动性间隔综合征（CECS）发展风险增加之间的相关性。关键点：间隔综合征是一种以肌肉间隔内弹性筋膜内压力升高为特征的疾病；CECS 的初始症状不明确且逐渐加重；所有研究参与者在运动开始前 1 分钟（休息时）表现出最低的间隔内压力值，运动开始后第 1 分钟记录到最高值；对照组的间隔内压力低于专业跑步运动员；运动开始后 1 分钟，对照组和运动员男性组的间隔内压力高于对照组和运动员女性组，这表明运动员和对照组都可能存在性别差异；需要进一步研究 CECS 的易患因素，如无症状人群中间隔内压力值增加，以便及时做出诊断。
