Anterior compartment pressure was measured in 10 competitive runners and in 10 competitive cyclists who were asymptomatic for compartment syndrome. Pres sures were measured at rest, after exercise at 80% VO2max, after maximal exercise, and 15 minutes after both exercise bouts. No difference in compartment pressure was found after exercise at 80% VO2max in runners and cyclists. Total creatine phosphokinase en zyme levels measured before and after exercise at 80% VO2max showed a 1 0-fold increase in runners as com pared to cyclists. Anterior compartment pressure meas ured after maximal exercise was significantly greater in runners as compared to cyclists. Compartment pres sure showed no increase from resting values during cycling at 80% VO2max or maximal exercise. These findings suggest that patients with chronic anterior compartment syndrome may be able to cycle without elevation of compartment pressure and concomitant pain as an alternative exercise to maintain a continued degree of fitness and training. Compartment pressures should be measured during cycling in patients with chronic compartment syndrome to determine its effi cacy as a method for maintenance of cardiorespiratory fitness.
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References
1.
Apple RS, Rogers MA, Casal DC, et al: Skeletal muscle creatine kinase MB alterations in women marathon runners Eur J Appl Physiol5649-52, 1987
2.
Armstrong RB , Ogilvie RW, Schwane JA: Eccentnc exercise-induced injury to rat skeletal muscle J Appl Physiol54: 80-93, 1983
3.
Bellemare F. , Grassino A. Effect of pressure and timing of contraction on human diaphragm fatigue. J Appl Physiol531190-1195, 1982
4.
Burke ER Science of Cycling Champaign, II, Human Kinetics Publishers, Inc, 1986, pp 155-157
5.
Dickinson JA , Cook SD, Leinhardt TM: The measurement of shock waves following heel strike while running J Biomech18. 415-422, 1985
6.
Ericson M. On the biomechanics of cycling. Scand J Rehabil Med (Suppl) 164-34, 1986
7.
Folkow B., Gaskell P., Waaler BA Blood flow through limb muscles during heavy rhythmic exercise Acta Physiol Scand80. 287-295, 1970
8.
Friden J., Seger J., Sjostrom M., et al Adaptive response in human skeletal muscle subjected to prolonged eccentric training Int J Sports Med4177-183, 1983
9.
Friden J., Sfakianos PN, Hargens AR: Muscle soreness and intramuscular fluid pressure Comparison between eccentric and concentric load J Appl Physiol612175-2179, 1986
10.
Friden J., Sjostrom M., Ekbolm B.: Myofibrillar damage following intense eccentric exercise in man Int J Sports Med4: 170-176, 1983
11.
Gershuni DH , Yaru NC, Hargens AR, et al. Ankle and knee position as a factor modifying intracompartmental pressure in the human leg J Bone Joint Surg66A: 1415-1420, 1984
12.
Kirkebo A., Wisnes A.: Regional tissue fluid pressure in rat calf muscle during sustained contraction or stretch Acta Physiol Scand114: 551-556, 1982
13.
Matsen FA Compartmental Syndromes New York, Grune & Stratton, 1980, pp 39-51
14.
Matsen FA, Wyss CR, Krugmire RB, et al The effects of limb elevation and dependency on local arteriovenous gradients in normal human limbs with particular reference to limbs with increased tissue pressure Clin Orthop150187-195, 1980
15.
McDermott Apg , Marble AE, Yabsley RH, et al Monitoring dynamic anterior compartment pressures during exercise A new technique using the STIC catheter Am J Sports Med1083-89, 1982
16.
Miyashita M., Matsui H., Miura M. The relation between electrical activity in muscle and speed of walking and running, in Biomechanics II Baltimore , University Park Press, 1987, pp 197, 192-196,
17.
Morris JM Biomechanics of the foot and ankle Clin Orthop12210-17, 1977
18.
Nuber GW Biomechanics of the foot and ankle during gait Clin Sports Med71-13, 1988
19.
Nuttal FQ, Jones B. Creatine kinase glutamic oxaloacetic transaminase activity in serum Kinetics of change with exercise and effect of physical conditioning J Lab Clin Med71847-854, 1968
20.
Puranen J., Alavaikko A. Intracompartmental pressure increase on exertion in patients with chronic compartment syndrome in the leg J Bone Joint Surg63A1304-1309, 1981
21.
Qvarfordt P. , Christenson JT, Eklof B., et al Intramuscular pressure, muscle blood flow, and skeletal muscle metabolism in chronic anterior tibial compartment syndrome Clin Orthop179284-290, 1983
22.
Reneman RS The Anterior and Lateral Compartment Syndrome of the Leg The Hague, Mouton Co, 1968
23.
Rorabeck CH , Bjourne RB, Fowler PJ, et al The role of tissue pressure measurement in diagnosing chronic anterior compartment syndrome Am J Sports Med16143-146, 1988
24.
Rorabeck CH , Bourne RB, Fowler PJ The surgical treatment of exertional compartment syndrome in athletes J Bone Joint Surg65A1245-1251, 1983
25.
Sejersted OM , Hargens AR, Kardel KR, et al Intramuscular fluid pressure during isometric contraction of human skeletal muscle J Appl Physiol56287-295
26.
Skinner SR, Barnes LA, Perry J., et al The relationship of gait velocity to the rate of lower extremity loading and unloading Trans Orthop Res Soc5272, 1980
27.
Stein C. A two-sample test for a linear hypothesis whose power is independent of the variance Ann Mathematics Statistics16243-258, 1945
28.
Styf JF Chronic exercise-induced pain in the anterior aspect of the lower leg An overview of diagnosis Sports Med7331-339, 1989
29.
Styf JR, Korner LM Diagnosis of chronic anterior compartment syndrome in the lower leg Acta Orthop Scand58139-144, 1987
30.
Styf J., Korner L. Chronic anterior compartment syndrome of the lower leg Results of treatment by fasciotomy J Bone Joint Surg69A1338-1347, 1986
31.
Styf JR, Korner LM Microcapillary infusion technique for measurement of intramuscular pressure during exercise Clin Orthop207253-262, 1986
32.
Styf J., Suurkuula M., Korner L. Intramuscular pressure and muscle blood flow during exercise in chronic compartment syndrome J Bone Joint Surg69B301-305, 1987
33.
Wallensten R. Results of fasciotomy in patients with medial tibial syndrome or chronic anterior compartment syndrome J Bone Joint Surg65A1252-1255, 1983
34.
Wolf PL, Lott JA, Nitti GJ, et al Changes in serum enzymes, lactate and haptoglobin following acute stress in international class athletes. Clin Biochem2073-77, 1983
