Blackman P G, Simmons L R, Crossley K M
Olympic Park Sports Medicine Centre, Melbourne, Australia.
Clin J Sport Med. 1998 Jan;8(1):14-7. doi: 10.1097/00042752-199801000-00004.
To determine the effect of massage on anterior chronic exertional compartment syndrome (CECS) with respect to symptoms, intracompartmental pressures, and work output of the anterior compartment in dorsiflexion.
One group-repeated measures design.
A private sports medicine clinic in Melbourne, Australia.
Seven athletes (six men and one woman), aged between 21 and 29 years, were selected on the basis of clinical suspicion for anterior CECS. Historical questionnaire and examination were followed by intracompartmental pressure testing of the anterior compartment. Study exclusion criteria were history of a bleeding diathesis and previous treatment consisting of compartment fasciotomy or massage. All athletes completed the study.
A 5-week course of massage consisting of two sessions in the first week and one session per week thereafter, for a total of six treatments. Between each session, a twice-daily standard stretching program involving both anterior and posterior compartments was performed.
Postexercise anterior compartment pressures (mm Hg) before and after treatment, work output (J) in dorsiflexion to pain onset before and after treatment, self-reported symptoms before and after treatment.
There was no significant difference in the 3-minute postexercise compartment pressures after the treatment. There was a significant (p = 0.016) increase, however, in work performed in dorsiflexion to pain onset following the massage course.
Intermittent massage combined with specific stretching should be considered in the treatment of anterior CECS.
确定按摩对前侧慢性运动性骨筋膜室综合征（CECS）在症状、骨筋膜室内压力以及背屈时前侧骨筋膜室的工作输出方面的影响。
单组重复测量设计。
澳大利亚墨尔本的一家私人运动医学诊所。
7名运动员（6名男性和1名女性），年龄在21至29岁之间，基于临床怀疑患有前侧CECS入选。在进行历史问卷调查和体格检查后，对前侧骨筋膜室进行骨筋膜室内压力测试。研究排除标准为有出血性素质病史以及既往接受过骨筋膜室切开术或按摩治疗。所有运动员均完成了研究。
为期5周的按摩疗程，第一周进行两次，此后每周进行一次，共六次治疗。在每次治疗之间，进行一项每日两次的标准拉伸计划，涉及前侧和后侧骨筋膜室。
治疗前后运动后前侧骨筋膜室压力（毫米汞柱）、治疗前后背屈至疼痛发作时的工作输出（焦耳）、治疗前后自我报告的症状。
治疗后运动后3分钟时骨筋膜室内压力无显著差异。然而，按摩疗程后背屈至疼痛发作时的工作输出有显著增加（p = 0.016）。
间歇性按摩结合特定拉伸可考虑用于前侧CECS的治疗。
