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Mil Med ; 181(9): 1081-7, 2016 09.
Article in English | MEDLINE | ID: mdl-27612357

ABSTRACT

INTRODUCTION: Lower leg pain (LLP), including medial tibial stress syndrome (MTSS) and chronic exertional compartment syndrome (CECS), remains a major problem for the military. OBJECTIVE: Evaluation of patient characteristics and short-term results of the rehabilitation program for service members used in the Military Rehabilitation Centre Aardenburg. METHODS: This retrospective study includes 161 service members of the Netherlands Armed Forces. Service members were grouped into the following diagnostic categories: MTSS (n = 47), conservative treatment of CECS (n = 34), and rehabilitation after operative intervention of the CECS (CECSo; n = 80). RESULTS: The results showed a significant improvement in all groups regarding the Patient-Specific Functional Scale (PSFS). Only the CECSo group showed significant improvement on the Numeric Pain Rating Score (NPRS). None of the patient characteristics like gender, age, military service, duration of symptoms, and treatment setting were identified to correlate with outcome results. CONCLUSIONS: Short-term results of the rehabilitation program for service members with LLP are successful as obtained with the PSFS. Evaluation by the NPRS seems insufficient and researchers should consider using other outcome measurements. The CECSo group seems to benefit the most from the rehabilitation program. No patient characteristics could be identified to correlate with outcome results.


Subject(s)
Lower Extremity/injuries , Pain Management/standards , Rehabilitation/methods , Treatment Outcome , Adolescent , Adult , Compartment Syndromes/epidemiology , Female , Fractures, Stress/epidemiology , Humans , Male , Middle Aged , Netherlands/epidemiology , Pain Management/methods , Pain Measurement/instrumentation , Pain Measurement/methods , Program Evaluation/methods , Rehabilitation/organization & administration , Retrospective Studies , Surveys and Questionnaires
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