ЕFFECTIVENESS OF PHYSICAL THERAPY PROGRAM IN REHABILITATION OF CADETS OF HIGHER MILITARY EDUCATIONAL INSTITUTIONS WITH MEDIAL TIBIAL STRESS SYNDROME
DOI:
https://doi.org/10.32782/health-2024.4.13Keywords:
cadets, medial tibial stress syndrome, rehabilitationAbstract
Medial tibial stress syndrome (MTSS) is an overuse injury characterized by pain in the posteromedial tibia, caused by microtrauma to the calf muscles and overexertion of their attachments, as well as periostitis of the tibia that progresses to a stress fracture. The recovery of cadets from such an injury is long and can lead to significant interruptions in job duty, training, and education.The purpose of the study is to evaluate the effectiveness of a physical therapy program in the rehabilitation of military personnel with medial tibial stress syndrome.Research methods. The study involved 25 first-year cadets with signs of MTSS, with an average age of 18.1±2.1 years.They were divided into 3 groups: a comparative group that did not undergo any interventions, main group 1, whose participants attended an educational session, and main group 2, where the cadets, in addition to the educational session, underwent a comprehensive physical therapy program for MTSS rehabilitation for 6 weeks.Results of the study. The effectiveness of the physical therapy program was confirmed by statistically significant results, in particular, a decrease in the severity of the syndrome, according to the MTSS assessment scale, in cadets of main group 2 (by 72%), a decrease in their level of pain intensity at rest (by 87.5%, compared to the initial examination) and during physical exertion (by 55.9%), an improvement in lower limb muscle strength and Y-balance test results. The indicators of the criteria for assessing the effectiveness of the proposed interventions in the main group 1 were inferior in terms of the level of increase or decrease to the main group 2, but exceeded the values of the comparison group. Conclusions. The results of the study confirmed that the separate use of the educational component has limited effectiveness in the rehabilitation of cadets with MTSS, while the proposed comprehensive physical therapy program, in combination with the educational component, contributes to the achievement of significant clinical results in the recovery of servicemen with the syndrome.
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