Tibial stress fracture
Conditions
Interventions
Conventional treatment group:Conventional treatment is adopted: painkillers and drugs promoting fracture healing are administered on the basis of rest.
ESWT group:On the basis of conventional treatment, ESWT treatment is added: First, an experienced doctor uses musculoskeletal ultrasound (Shenzhen Mindray Bio-Medical Electronics Co., LTD., model: M55
Joint Group:Add CN intervention on the basis of the ESWT group. CN intervention: (1) Pain care: It includes four aspects: education on pain-related knowledge, guidance on the standardized use of paink
(2) Nutritional care: Inform new recruits of a balanced diet and the proportion of daily intake of various nutrients. Daily meals must follow the "three lows and three highs" - low oil, low salt, and
Sponsors
The 910th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Diagnostic criteria: In line with the key points for diagnosing stress fractures as stipulated in the "Expert Consensus on Principles of Diagnosis and Prevention of Military Training Injuries (2022 Edition)" : 1.There is unexplained pain in the lower leg and the location is relatively fixed; 2.There was intense training within a few weeks before the pain occurred; 3.The pain lessens at rest but intensifies during exercise.4.There are locally fixed tender points along the long axis of the tibia, with or without soft tissue swelling; 5.X-ray examination can detect signs of fractures. Inclusion criteria: 1. Age >=18 years old; 2.The enlistment time is within one year. 3. Have participated in high-intensity military training at least twice a week within the past three months; 4.Those who voluntarily sign the informed consent form and cooperate with the treatment.
Exclusion criteria
Exclusion criteria: 1.Those with a history of lower limb trauma; 2.Those with tibial fractures caused by pathological factors such as tumors; 3.Those with severe fractures that have a significant impact on function, or those with persistent non-union and other surgical indications requiring surgery; 4.Those accompanied by other systemic diseases or mental disorders; 5.Those who have other diseases that require medication or other treatments and affect the evaluation of therapeutic effects.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Radiographic Union Score for Tibia,RUST;Muscle strength; | — |
Secondary
| Measure | Time frame |
|---|---|
| delayed onset muscle soreness,DOMS;TAMPA Kinesiophobia Scale,TKS; | — |
Countries
China
Contacts
Public ContactHuimin Wen
The 910th Hospital of the Joint Logistic Support Force of the People's Liberation Army of China
Outcome results
None listed