Assessment of Lower Limb Load Distribution in Patients Treated with the Ilizarov Method for Tibial Nonunion

Pawik, Łukasz; Kozłowska, Andżelika Pajchert; Szelerski, Łukasz; Żarek, Sławomir; Górski, Radosław; Pawik, Malwina; Lwow, Felicja; Morasiewicz, Piotr

doi:10.12659/msm.930849

Cited by 4 publications

(18 citation statements)

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“…By assessing the distribution of loads, the platform enables a precise assessment of the shape of the foot arches, which is extremely important in diagnostics and treatment of foot defects [ 101 ]. In addition, the Zebris platforms are applied to monitor the process of treatment and rehabilitation of patients with orthopedic injuries [ 102 , 103 , 104 , 105 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Stability of the Body in a Standing Position When Shooting at a Stationary Target―A Randomized Controlled Trial

Krawczyk-Suszek

Martowska

Sapuła

2022

Sensors

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Postural stability of the body depends on many factors. One of them is physical activity. It is especially important in the case of sports or professional work, which combine mobility with the accuracy of a shot in a standing position. The smaller the body fatigue, the more accurate the shot. The aim of the study was the assessment of the impact of physical effort on the center of gravity deflection and length of the COP (center of pressure) path, as well as the reaction of ground forces in people who do not engage in systematic physical activity. The study group included 139 people (23.1 ± 5.2 yr; M: 46.8%; F: 53.2%). The test consisted of performing a static test twice, shooting at the target in a multimedia shooting range. Group X performed the Harvard test between the static tests. Group Y made no effort. The reaction parameters of the ground forces were assessed using the Zebris PDM-L Platform. In Group X performing the Harvard test, an increase in the average COP, VCOP, and 95% confidence ellipse area was noted. The path length and the average velocity of COP speed increased. There were no differences in Group Y (p > 0.05). Physical effort significantly affected the postural stability of the studied people, increasing the average parameters assessing balance when adopting static firing position.

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Section: Discussionmentioning

confidence: 99%

Analysis of the Stability of the Body in a Standing Position When Shooting at a Stationary Target―A Randomized Controlled Trial

Krawczyk-Suszek

Martowska

Sapuła

2022

Sensors

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“…Any abnormalities in the three-dimensional structure of the calcaneus and foot may lead to asymmetric load distribution in the foot, which causes pain, as well as accelerates tissue degeneration [ 4 ]. Post-traumatic deformities and changes in three-dimensional structure of the calcaneus and foot may adversely affect gait, balance, and weight distribution over the lower limbs [ 1 , 2 , 4 , 6 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

“…Normal gait function is largely dependent on the anatomical bony structure of the foot [ 5 , 6 , 7 , 14 ]. Apart from the standard clinical and radiological assessments following lower-limb surgery, it is very important to also evaluate biomechanical parameters [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ]. Pedobarography helps assess balance parameters and the distribution of loads on the lower limbs [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ].…”

Section: Introductionmentioning

confidence: 99%

“…Apart from the standard clinical and radiological assessments following lower-limb surgery, it is very important to also evaluate biomechanical parameters [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 ]. Pedobarography helps assess balance parameters and the distribution of loads on the lower limbs [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. Pedobarography is an accepted method for examining the statics and dynamics of musculoskeletal issues [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 36 ].…”

Section: Introductionmentioning

confidence: 99%

“…Pedobarography helps assess balance parameters and the distribution of loads on the lower limbs [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 ]. Pedobarography is an accepted method for examining the statics and dynamics of musculoskeletal issues [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 36 ]. Pedobarography is a useful, reproducible, objective, and comparable assessment method in the treatment of musculoskeletal pathologies [ 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 26 , 27 , 28 , 29 , 34 , 35 <...…”

Section: Introductionmentioning

confidence: 99%

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Balance and Weight Distribution over the Lower Limbs Following Calcaneal Fracture Treatment with the Ilizarov Method

Pelc,

Kazubski,

Urbański

et al. 2024

JCM

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Background: The biomechanical outcomes of intra-articular calcaneal fracture treatment have not been fully explored. The purpose of this study was to analyze pedobarographic assessments of balance and body weight distribution over the lower limbs in patients following calcaneal fracture treatment with the Ilizarov method and to compare the results with those of a control group. Materials and Methods: The data for our retrospective study came from cases of intra-articular calcaneal fractures treated with the Polish modification of the Ilizarov method in the period between 2021 and 2022. The experimental group (21 patients; 7 women, 14 men) included Sanders classification calcaneal fractures type 2 (n = 3), type 3 (n = 5), and type 4 (n = 13). The control group comprised 21 sex-matched healthy volunteers, with no significant differences from the experimental group in terms of age or BMI. The examination included an assessment of balance and weight distribution over the lower limbs. The device used was a FreeMED MAXI pedobarographic platform (SensorMedica). Results: The mean displacement of the center of gravity in the experimental group was significantly higher at 1307.31 mm than in the control group (896.34 mm; p = 0.038). The mean area of the center of gravity was not significantly different between the groups. An analysis of weight distribution over the operated and uninjured limb in the experimental group and the non-dominant and dominant limb, respectively, in the control group revealed no significant differences. We observed no significant differences in the percentage of weight distribution over the lower limbs between the operated limb in the experimental group and the non-dominant limb in the control group, or between the uninjured limb in the experimental group and the dominant limb in the control group. Conclusions: The use of the Ilizarov method in calcaneal fracture treatment helps normalize the percentage weight distribution in the lower limbs, with the results comparable with those obtained in the healthy control group. The mean displacement of the center of gravity was worse in the experimental group than in controls; whereas the mean area of the center of gravity was comparable between the two groups. Treatment of calcaneal fractures with the Ilizarov method does not help achieve completely normal static parameters of lower-limb biomechanics. Patients treated for calcaneal fractures with the Ilizarov method require longer and more intense rehabilitation and follow-up.

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Physiotherapy assessment and treatment of patients with tibial external fixator: a systematic scoping review

Schell

Araújo

Silva

2023

Disability and Rehabilitation

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Assessment of Lower Limb Load Distribution in Patients Treated with the Ilizarov Method for Tibial Nonunion

Cited by 4 publications

References 0 publications

Analysis of the Stability of the Body in a Standing Position When Shooting at a Stationary Target―A Randomized Controlled Trial

Analysis of the Stability of the Body in a Standing Position When Shooting at a Stationary Target―A Randomized Controlled Trial

Balance and Weight Distribution over the Lower Limbs Following Calcaneal Fracture Treatment with the Ilizarov Method

Physiotherapy assessment and treatment of patients with tibial external fixator: a systematic scoping review

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