Peterson Matthew N, Kocher Benjamin K, Heileson Jeffery L, Sanders Marion V
Department of Exercise Science, Lyon College, Batesville, AR,USA.
Department of Health, Human Performance, and Recreation, Baylor University, Waco, TX,USA.
J Sport Rehabil. 2022 Apr 20;31(6):771-777. doi: 10.1123/jsr.2021-0327. Print 2022 Aug 1.
Tibial stress syndrome (TSS) is an overuse injury of the lower extremities. There is a high incidence rate of TSS among military recruits. Compression therapy is used to treat a wide array of musculoskeletal injuries. The purpose of this study was to investigate the use of compression therapy as a treatment for TSS in military service members.
A parallel randomized study design was utilized.
Military members diagnosed with TSS were assigned to either a relative rest group or compression garment group. Both groups started the study with 2 weeks of lower extremity rest followed by a graduated running program during the next 6 weeks. The compression garment group additionally wore a shin splints compression wrap during the waking hours of the first 2 weeks and during activity only for the next 6 weeks. Feelings of pain, TSS symptoms, and the ability to run 2 miles pain free were assessed at baseline, 4 weeks, and 8 weeks into the study.
Feelings of pain and TSS symptoms decreased during the 8-week study in both groups (P < .05), but these changes were not significantly different between groups (P > .05). The proportion of participants who were able to run 2 miles pain free was significantly different (P < .05) between the 2 groups at the 8-week time point with the compression garment group having a significantly increased ability to complete the run without pain.
Although perceptions of pain at rest were not different between groups, the functional ability of running 2 miles pain free was significantly improved in the compression garment group. These findings suggest that there is a moderate benefit to using compression therapy as an adjunct treatment for TSS, promoting a return to training for military service members.
胫骨应力综合征（TSS）是一种下肢过度使用损伤。新兵中TSS的发病率很高。加压疗法用于治疗多种肌肉骨骼损伤。本研究的目的是调查加压疗法作为现役军人TSS治疗方法的应用情况。
采用平行随机研究设计。
被诊断为TSS的军人被分配到相对休息组或加压服装组。两组均以2周的下肢休息开始研究，随后在接下来的6周内进行逐步增加的跑步计划。加压服装组在前2周的清醒时间额外佩戴胫夹板加压绷带，接下来的6周仅在活动时佩戴。在研究的基线、4周和8周时评估疼痛感受、TSS症状以及无痛跑2英里的能力。
在为期8周的研究中，两组的疼痛感受和TSS症状均有所减轻（P < .05），但两组之间的这些变化无显著差异（P > .05）。在8周时间点，两组之间能够无痛跑2英里的参与者比例存在显著差异（P < .05），加压服装组完成跑步且无痛的能力显著提高。
尽管两组在静息时的疼痛感受没有差异，但加压服装组无痛跑2英里的功能能力有显著改善。这些发现表明，使用加压疗法作为TSS的辅助治疗有一定益处，有助于现役军人恢复训练。
