Patients with chronic exertional compartment syndrome (CECS) have pain during exercise that subsides rest. Diagnosis is usually confirmed by intramuscular pressure (IMCP) measurement. Controversy exists regarding the accuracy of existing diagnostic criteria.(1) To compare dynamic IMCP measurement and anthropometric factors between patients CECS asymptomatic controls (2) to establish utility measurement.Cohort study (diagnosis); Level evidence, 2.A total 40 men aged 21 years were included in...

Shoulder pain in the swimming athlete that interferes with effective training is serious and may result decreased performance. Based on hypothesis shoulder laxity an important factor pain, this study of 40 senior national elite swimmers was undertaken. A questionnaire identified those athletes currently suffering from such pain. assessed using standard clinical tests, which a score derived. statistically significant correlation between presence interfering confirming study. These results...

Chronic exertional compartment syndrome (CECS) was first described in 1956,1 but little research has been performed since then to confirm the pathological physiology. An assumption is made that elevated subfascial or intramuscular pressure during exercise causes tissue hypoxia and subsequent ischaemic pain due decreased blood flow.2 To date, no conclusive evidence exists demonstrate cellular hypoxic damage capillary perfusion.3 Further supposition regarding muscle hypertrophy, reduced volume...

Aim To determine the outcome following fasciectomy for chronic exertional compartment syndrome (CECS) in UK military, and association between presurgical intramuscular pressure (IMP) outcome. Methods All patients who underwent anterior CECS were identified 2007 2010. Presurgery postsurgery military medical grading leg function was extracted from records system. The Wilcoxon signed-rank test compared grades before after surgery. Spearman's rank correlation examined relationship IMP Results...

Introduction Sleep is critical to the health, wellbeing and performance of recruits during Army basic training, however, often sacrificed due constraints training schedules. In an effort improve sleep duration recruits, revised Common Military Syllabus 21 (CMS21) restricted daily scheduled military from 1830, thus enabling greater opportunity for earlier bedtimes longer nocturnal periods. Our objective was evaluate effectiveness CMS21 programme on measures sleep-wake indices compare against...

Many studies have demonstrated a rise in troponin and brain natriuretic peptide (BNP) levels following prolonged and/or strenuous exercise. Only one study looked at athletes who collapse this showed no difference cardiac biomarkers between those collapsed completed without requiring medical attention. We set out to describe quantify the changes BNP three groups of non-elite runners 2009 London marathon: with known structural heart disease (SHD) on completion.The first group (recruited group,...

Femoroacetabular impingement (FAI) is common with an estimated prevalence of 10-15% among young active individuals. The natural history the disorder progression to early osteoarthritis. Hip arthroscopy recommended if conservative treatments fail; however, outcomes are unclear, particularly in highly populations.

Single leg squats are commonly used subjective assessments of general biomechanical function, injury risk, as a predictor for recovery and an outcome measure rehabilitation. While 3D motion capture is useful tool elite sports performance research it impractical routine clinical use.This cross-sectional study aims to: assess reliability validity clinicians' ratings single compared to capture, identify whether predicts joint moments.22 healthy military volunteers were simultaneously recorded...

When rats, acclimated to an ambient temperature (T(a)) of 29 degrees C, are exposed 10% O(2) for 63 h, the circadian rhythms body (T(b)) and level activity (L(a)) abolished, T(b) falls a hypothermic nadir followed by climb hyperthermic peak, L(a) remains depressed (Bishop B, Silva G, Krasney J, Salloum A, Roberts Nakano H, Shucard D, Rifkin Farkas G. Am J Physiol Regulatory Integrative Comp 279: R1378-R1389, 2000), overt brain pathology is detected (Krasney JA, DW, AC, Bishop Rubio A. Soc...

Introduction Sleep is critical to the health, wellbeing and performance of military personnel during basic training. This two-part study evaluated sleep-wake patterns sleep disturbances in junior soldiers (JS) infantry recruits Autumn 2021 (study 1), non-infantry spring 2022 2). Methods During studies 1 2, validated wearable technology combined with a diary was used quantify indices, perceptions quality. data analysed descriptively. A series repeated-measures ANOVAs examined differences...

Complete fibula absence often presents with significant lower-limb deformity. Parental counselling regarding management is paramount in achieving the optimum functional outcome. Amputation offers a single surgical event minimal complications. This study compares outcomes an amputation protocol to those using extension prosthesis.Thirty-two patients were identified. Nine (2 males, 7 females; median age at assessment of 23.5 years) used prosthesis. Twenty-three (16 eight underwent 25...

Background: Three-dimensional laser scanning has been used for patient measurement cranial helmets and spinal braces. Ankle–foot orthoses are commonly prescribed children with orthopaedic conditions. This trial sought to compare ankle–foot produced by or traditional plaster casting. Objectives: Assessment of the effectiveness efficiency using produce orthoses. Study design: Randomised controlled blinding orthotists patients construction technique used. Methods: A randomised double-blind...

To compare the interpretation of toe touch weight bearing (TTWB) and partial (PWB) among orthopaedic surgeons, rehabilitation professionals patients.78 consultant middle-grade surgeons in UK completed a questionnaire. 64 (including physiotherapists) at Defence Medical Rehabilitation Centre Headley Court were also recruited. Both groups provided their TTWB PWB as percentage total body (%TBW). Each professional, then applied what they interpreted to be using Lasar Posture weighing device. The...

Reduced function and health in individuals with lower limb amputation is well documented. Step count measurement could facilitate rehabilitation help monitor functional outcomes.To determine whether mean daily step changed between in-patient consecutive leave periods.Observational study.Nine bilateral traumatic amputations attending at the Defence Medical Rehabilitation Centre during a 4-month period were invited to participate study (two transfemoral, two transfemoral/knee disarticulation,...

Because IGFBP inhibit IGF-stimulated cellular proliferation and differentiation, it is hypothesized that variations among in individual follicles might contribute to the regulation of recruitment, selection, dominance, turnover ovarian follicles. Sources fluid bovine are not well established; thus, objectives this study were determine levels binding activities messenger RNA (mRNA) granulosa theca interna cells at different stages follicular development (small [<6 mm], medium [6 <8 large [≥8...

Objective To examine the construct and concurrent validity of a new occupational military outcome measure (the Functional Activity Assessment [FAA]). Design A validation study. Setting British Defence rehabilitation facilities. Participants total 141 service personnel who attended musculoskeletal injury assessment clinic. Methodology The association among Short Form 36 (SF‐36), Physical Workload Questionnaire, FAA was examined. Agreement correlation with an actual medical category also Main...

Endurance exercise is an established cause of cardiac troponin (cTn) elevation, further interest whether this rise represents clinical significance. This study compared cTnT in three cohorts marathon runners using a high‐sensitivity assay; control runners, those with known heart disease and who collapsed at the finish line. Control (n = 126) 12) were prospectively recruited levels measured pre‐race race completion. Collapsed 15) retrospectively recruited. A mixed model ANCOVA was used to...

The effectiveness of aerial applications Bacillus thuringiensis and diflubenzon (Dimilin) in a gypsy moth, Lymantria dispar (L.), management program was evaluated using geographic information system. System data included counts overwintering egg mass densities, defoliation maps, treatment block boundaries collected by the Appalachian Integrated Pest Management Program Virginia West from 1989 to 1992. Diflubenzuron treatments resulted greater foliage protection population reduction than did...

Abstract: The study was conducted during 2001 and 2002 in forested areas Virginia, US to examine the effects of gaps coverage pheromone on gypsy moth, Lymantria dispar (L.) (Lep., Lymantriidae), mating disruption. Gypsy moth male catches pheromone‐baited traps were significantly reduced plots treated with sex pheromone, disparlure, at an overall application rate 37.5 g active ingredient (AI)/ha but untreated 30 or 90 m between 30‐m wide swaths. In one two gaps, more males captured compared...