Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review
Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databa...
Ausführliche Beschreibung
Autor*in: |
Bosnina, Fatma [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2023 |
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Anmerkung: |
© The Author(s) 2023 |
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Übergeordnetes Werk: |
Enthalten in: Journal of foot and ankle research - London : BioMed Central, 2008, 16(2023), 1 vom: 21. Nov. |
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Übergeordnetes Werk: |
volume:16 ; year:2023 ; number:1 ; day:21 ; month:11 |
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DOI / URN: |
10.1186/s13047-023-00680-6 |
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Katalog-ID: |
SPR053818822 |
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245 | 1 | 0 | |a Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review |
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520 | |a Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. | ||
650 | 4 | |a Exercise induced leg pain |7 (dpeaa)DE-He213 | |
650 | 4 | |a Chronic exertional compartment syndrome |7 (dpeaa)DE-He213 | |
650 | 4 | |a Medial tibial stress syndrome |7 (dpeaa)DE-He213 | |
650 | 4 | |a Tibial stress fractures |7 (dpeaa)DE-He213 | |
650 | 4 | |a Popliteal artery entrapment syndrome |7 (dpeaa)DE-He213 | |
650 | 4 | |a Superficial peroneal nerve entrapment syndrome |7 (dpeaa)DE-He213 | |
650 | 4 | |a Lumbar-sacral radiculopathy |7 (dpeaa)DE-He213 | |
650 | 4 | |a McArdle’s syndrome |7 (dpeaa)DE-He213 | |
650 | 4 | |a Myofascial tears and accessory/low-lying soleus muscle syndrome |7 (dpeaa)DE-He213 | |
700 | 1 | |a Padhiar, Nat |0 (orcid)0000-0002-0352-4534 |4 aut | |
700 | 1 | |a Miller, Stuart |4 aut | |
700 | 1 | |a Girotra, Krishna |4 aut | |
700 | 1 | |a Massoura, Chrysovalanto |4 aut | |
700 | 1 | |a Morrissey, Dylan |4 aut | |
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10.1186/s13047-023-00680-6 doi (DE-627)SPR053818822 (SPR)s13047-023-00680-6-e DE-627 ger DE-627 rakwb eng Bosnina, Fatma verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain (dpeaa)DE-He213 Chronic exertional compartment syndrome (dpeaa)DE-He213 Medial tibial stress syndrome (dpeaa)DE-He213 Tibial stress fractures (dpeaa)DE-He213 Popliteal artery entrapment syndrome (dpeaa)DE-He213 Superficial peroneal nerve entrapment syndrome (dpeaa)DE-He213 Lumbar-sacral radiculopathy (dpeaa)DE-He213 McArdle’s syndrome (dpeaa)DE-He213 Myofascial tears and accessory/low-lying soleus muscle syndrome (dpeaa)DE-He213 Padhiar, Nat (orcid)0000-0002-0352-4534 aut Miller, Stuart aut Girotra, Krishna aut Massoura, Chrysovalanto aut Morrissey, Dylan aut Enthalten in Journal of foot and ankle research London : BioMed Central, 2008 16(2023), 1 vom: 21. Nov. (DE-627)573742634 (DE-600)2440706-9 1757-1146 nnns volume:16 year:2023 number:1 day:21 month:11 https://dx.doi.org/10.1186/s13047-023-00680-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 21 11 |
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10.1186/s13047-023-00680-6 doi (DE-627)SPR053818822 (SPR)s13047-023-00680-6-e DE-627 ger DE-627 rakwb eng Bosnina, Fatma verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain (dpeaa)DE-He213 Chronic exertional compartment syndrome (dpeaa)DE-He213 Medial tibial stress syndrome (dpeaa)DE-He213 Tibial stress fractures (dpeaa)DE-He213 Popliteal artery entrapment syndrome (dpeaa)DE-He213 Superficial peroneal nerve entrapment syndrome (dpeaa)DE-He213 Lumbar-sacral radiculopathy (dpeaa)DE-He213 McArdle’s syndrome (dpeaa)DE-He213 Myofascial tears and accessory/low-lying soleus muscle syndrome (dpeaa)DE-He213 Padhiar, Nat (orcid)0000-0002-0352-4534 aut Miller, Stuart aut Girotra, Krishna aut Massoura, Chrysovalanto aut Morrissey, Dylan aut Enthalten in Journal of foot and ankle research London : BioMed Central, 2008 16(2023), 1 vom: 21. Nov. (DE-627)573742634 (DE-600)2440706-9 1757-1146 nnns volume:16 year:2023 number:1 day:21 month:11 https://dx.doi.org/10.1186/s13047-023-00680-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 21 11 |
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10.1186/s13047-023-00680-6 doi (DE-627)SPR053818822 (SPR)s13047-023-00680-6-e DE-627 ger DE-627 rakwb eng Bosnina, Fatma verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain (dpeaa)DE-He213 Chronic exertional compartment syndrome (dpeaa)DE-He213 Medial tibial stress syndrome (dpeaa)DE-He213 Tibial stress fractures (dpeaa)DE-He213 Popliteal artery entrapment syndrome (dpeaa)DE-He213 Superficial peroneal nerve entrapment syndrome (dpeaa)DE-He213 Lumbar-sacral radiculopathy (dpeaa)DE-He213 McArdle’s syndrome (dpeaa)DE-He213 Myofascial tears and accessory/low-lying soleus muscle syndrome (dpeaa)DE-He213 Padhiar, Nat (orcid)0000-0002-0352-4534 aut Miller, Stuart aut Girotra, Krishna aut Massoura, Chrysovalanto aut Morrissey, Dylan aut Enthalten in Journal of foot and ankle research London : BioMed Central, 2008 16(2023), 1 vom: 21. Nov. (DE-627)573742634 (DE-600)2440706-9 1757-1146 nnns volume:16 year:2023 number:1 day:21 month:11 https://dx.doi.org/10.1186/s13047-023-00680-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 21 11 |
allfieldsGer |
10.1186/s13047-023-00680-6 doi (DE-627)SPR053818822 (SPR)s13047-023-00680-6-e DE-627 ger DE-627 rakwb eng Bosnina, Fatma verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain (dpeaa)DE-He213 Chronic exertional compartment syndrome (dpeaa)DE-He213 Medial tibial stress syndrome (dpeaa)DE-He213 Tibial stress fractures (dpeaa)DE-He213 Popliteal artery entrapment syndrome (dpeaa)DE-He213 Superficial peroneal nerve entrapment syndrome (dpeaa)DE-He213 Lumbar-sacral radiculopathy (dpeaa)DE-He213 McArdle’s syndrome (dpeaa)DE-He213 Myofascial tears and accessory/low-lying soleus muscle syndrome (dpeaa)DE-He213 Padhiar, Nat (orcid)0000-0002-0352-4534 aut Miller, Stuart aut Girotra, Krishna aut Massoura, Chrysovalanto aut Morrissey, Dylan aut Enthalten in Journal of foot and ankle research London : BioMed Central, 2008 16(2023), 1 vom: 21. Nov. (DE-627)573742634 (DE-600)2440706-9 1757-1146 nnns volume:16 year:2023 number:1 day:21 month:11 https://dx.doi.org/10.1186/s13047-023-00680-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 21 11 |
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10.1186/s13047-023-00680-6 doi (DE-627)SPR053818822 (SPR)s13047-023-00680-6-e DE-627 ger DE-627 rakwb eng Bosnina, Fatma verfasserin aut Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. Exercise induced leg pain (dpeaa)DE-He213 Chronic exertional compartment syndrome (dpeaa)DE-He213 Medial tibial stress syndrome (dpeaa)DE-He213 Tibial stress fractures (dpeaa)DE-He213 Popliteal artery entrapment syndrome (dpeaa)DE-He213 Superficial peroneal nerve entrapment syndrome (dpeaa)DE-He213 Lumbar-sacral radiculopathy (dpeaa)DE-He213 McArdle’s syndrome (dpeaa)DE-He213 Myofascial tears and accessory/low-lying soleus muscle syndrome (dpeaa)DE-He213 Padhiar, Nat (orcid)0000-0002-0352-4534 aut Miller, Stuart aut Girotra, Krishna aut Massoura, Chrysovalanto aut Morrissey, Dylan aut Enthalten in Journal of foot and ankle research London : BioMed Central, 2008 16(2023), 1 vom: 21. Nov. (DE-627)573742634 (DE-600)2440706-9 1757-1146 nnns volume:16 year:2023 number:1 day:21 month:11 https://dx.doi.org/10.1186/s13047-023-00680-6 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2009 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2055 GBV_ILN_2111 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 16 2023 1 21 11 |
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Exercise induced leg pain Chronic exertional compartment syndrome Medial tibial stress syndrome Tibial stress fractures Popliteal artery entrapment syndrome Superficial peroneal nerve entrapment syndrome Lumbar-sacral radiculopathy McArdle’s syndrome Myofascial tears and accessory/low-lying soleus muscle syndrome |
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This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). 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Bosnina, Fatma |
spellingShingle |
Bosnina, Fatma misc Exercise induced leg pain misc Chronic exertional compartment syndrome misc Medial tibial stress syndrome misc Tibial stress fractures misc Popliteal artery entrapment syndrome misc Superficial peroneal nerve entrapment syndrome misc Lumbar-sacral radiculopathy misc McArdle’s syndrome misc Myofascial tears and accessory/low-lying soleus muscle syndrome Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review |
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Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review Exercise induced leg pain (dpeaa)DE-He213 Chronic exertional compartment syndrome (dpeaa)DE-He213 Medial tibial stress syndrome (dpeaa)DE-He213 Tibial stress fractures (dpeaa)DE-He213 Popliteal artery entrapment syndrome (dpeaa)DE-He213 Superficial peroneal nerve entrapment syndrome (dpeaa)DE-He213 Lumbar-sacral radiculopathy (dpeaa)DE-He213 McArdle’s syndrome (dpeaa)DE-He213 Myofascial tears and accessory/low-lying soleus muscle syndrome (dpeaa)DE-He213 |
topic |
misc Exercise induced leg pain misc Chronic exertional compartment syndrome misc Medial tibial stress syndrome misc Tibial stress fractures misc Popliteal artery entrapment syndrome misc Superficial peroneal nerve entrapment syndrome misc Lumbar-sacral radiculopathy misc McArdle’s syndrome misc Myofascial tears and accessory/low-lying soleus muscle syndrome |
topic_unstemmed |
misc Exercise induced leg pain misc Chronic exertional compartment syndrome misc Medial tibial stress syndrome misc Tibial stress fractures misc Popliteal artery entrapment syndrome misc Superficial peroneal nerve entrapment syndrome misc Lumbar-sacral radiculopathy misc McArdle’s syndrome misc Myofascial tears and accessory/low-lying soleus muscle syndrome |
topic_browse |
misc Exercise induced leg pain misc Chronic exertional compartment syndrome misc Medial tibial stress syndrome misc Tibial stress fractures misc Popliteal artery entrapment syndrome misc Superficial peroneal nerve entrapment syndrome misc Lumbar-sacral radiculopathy misc McArdle’s syndrome misc Myofascial tears and accessory/low-lying soleus muscle syndrome |
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Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review |
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Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review |
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Bosnina, Fatma |
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Journal of foot and ankle research |
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2023 |
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Bosnina, Fatma Padhiar, Nat Miller, Stuart Girotra, Krishna Massoura, Chrysovalanto Morrissey, Dylan |
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developing a diagnostic framework for patients presenting with exercise induced leg pain (eilp): a scoping review |
title_auth |
Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review |
abstract |
Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. © The Author(s) 2023 |
abstractGer |
Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. © The Author(s) 2023 |
abstract_unstemmed |
Background Numerous conditions are grouped under the generic term exercise-induced leg pain (EILP), yet clear diagnostic guidelines are lacking. This scoping review was conducted to clarify the definition and diagnostic criteria of nine commonly occurring EILP conditions. Methods Three online databases were searched from inception to April 2022 for any English language original manuscripts identifying, describing, or assessing the clinical presentation and diagnostic criteria of the nine most common conditions that cause EILP. We included manuscripts considering all adults with any reported diagnostic criteria for EILP in any setting. Methodological quality was assessed using the Mixed Method Appraisal tool. Condition definitions were identified and categorised during data charting. Twenty-five potential elements of the history, 24 symptoms, 41 physical signs, 21 investigative tools, and 26 overarching diagnostic criteria, were identified and coded as counts of recommendation per condition, alongside qualitative analysis of the clinical reasoning. Condition definitions were constructed with 11 standardised elements based on recent consensus exercises for other conditions. Results One hundred nineteen retained manuscripts, of which 18 studied multiple conditions, had a median quality of 2/5. A combination of the history, pain location, symptoms, physical findings, and investigative modalities were fundamental to identify each sub-diagnosis alongside excluding differentials. The details differed markedly for each sub-diagnosis. Fifty-nine manuscripts included data on chronic exertional compartment syndrome (CECS) revealing exertional pain (83% history), dull aching pain (76% symptoms), absence of physical signs (78% physical findings) and elevated intercompartment pressure (93% investigative modality). Twenty-one manuscripts included data on medial tibial stress syndrome (MTSS), revealing persistent pain upon discontinuation of activity (81% history), diffuse medial tibial pain (100% pain location), dull ache (86% symptoms), diffuse tenderness (95% physical findings) and MRI for exclusion of differentials (62% investigative modality). Similar analyses were performed for stress fractures (SF, n = 31), popliteal artery entrapment syndrome (PAES, n = 22), superficial peroneal nerve entrapment syndrome (SPNES, n = 15), lumbar radiculopathy (n = 7), accessory/low-lying soleus muscle syndrome (ALLSMS, n = 5), myofascial tears (n = 3), and McArdle’s syndrome (n = 2). Conclusion Initial diagnostic frameworks and definitions have been developed for each condition of the nine most common conditions that cause EILP, suitable for clinical consideration and consensus confirmation. © The Author(s) 2023 |
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Developing a diagnostic framework for patients presenting with Exercise Induced Leg Pain (EILP): a scoping review |
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