Differences in gait and trunk movement between patients after ankle fracture and healthy subjects

Hsu, Chia‐Yu; Tsai, Yuh-Show; Yau, Cheng-Shiang; Shie, Hung-Hai; Wu, Chu-Ming

doi:10.1186/s12938-019-0644-3

Cited by 20 publications

(39 citation statements)

References 43 publications

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Section: Resultsmentioning

confidence: 99%

“…Sample sizes of the included studies varied from 20 [ 31 ] to 567 patients [ 32 ]. The mean age of the patients ranged from 38.0 [ 31 ] to 57.5 years [ 32 ], and 50.3% [ 33 ] to 70.0% [ 31 ] of the patients were female. These figures are based on the descriptive statistics where we rely on the reported numbers as published in the included studies.…”

Section: Resultsmentioning

confidence: 99%

“…These figures are based on the descriptive statistics where we rely on the reported numbers as published in the included studies. The setting in which the measurement properties of the LEFS were assessed differed between studies and included a physical therapy clinic [ 23 ], a (teaching) hospital [ 32 , 34 , 35 ], a rehabilitation department [ 31 , 33 ], and records from a national electronic database on post-operative patients [ 36 ]. The LEFS was assessed in four languages, including English [ 23 , 33 ], Norwegian [ 32 ], Chinese [ 31 ], and Finnish [ 34 – 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…The setting in which the measurement properties of the LEFS were assessed differed between studies and included a physical therapy clinic [ 23 ], a (teaching) hospital [ 32 , 34 , 35 ], a rehabilitation department [ 31 , 33 ], and records from a national electronic database on post-operative patients [ 36 ]. The LEFS was assessed in four languages, including English [ 23 , 33 ], Norwegian [ 32 ], Chinese [ 31 ], and Finnish [ 34 – 36 ]. All included studies met the criterion of having at least 75% subjects with a fracture of the lower extremity, except for Binkley et al's [ 23 ] development study, where only 10.2% had a lower extremity fracture.…”

Section: Resultsmentioning

confidence: 99%

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Content validity and measurement properties of the Lower Extremity Functional Scale in patients with fractures of the lower extremities: a systematic review

Ratter

Pellekooren

Wiertsema

et al. 2022

J Patient Rep Outcomes

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Background Fractures of lower extremities are common trauma-related injuries, and have major impact on patients' functional status. A frequently used Patient-Reported Outcome Measure (PROM) to evaluate patients’ functional status with lower extremity fractures is the Lower Extremity Functional Scale (LEFS). However, there is no systematic review regarding content validity and other measurement properties of the LEFS in patients with lower extremity fractures. Methods A search was performed in PubMed, Embase, Scopus, and Cochrane Library from inception until November 2020. Studies on development of the LEFS and/or the evaluation of one or more measurement properties of the LEFS in patients with lower extremity fractures were included, and independently assessed by two reviewers using COSMIN guidelines. Results Seven studies were included. Content validity of the LEFS was rated 'inconsistent', supported by very low quality of evidence. Structural validity was rated ‘insufficient’ supported by doubtful methodological quality. Internal consistency, measurement error, and responsiveness were rated 'indeterminate' supported by inadequate to adequate methodological quality. The methodological quality of the construct validity (hypotheses testing) assessment was rated as 'inadequate'. Conclusion The LEFS has several shortcomings, the lack of sufficient content validity being the most important one as content validity is considered the most crucial measurement property of a PROM according to the COSMIN guidelines. In interpreting the outcomes, one should therefore be aware that not all relevant aspects of physical functioning may be accounted for in the LEFS. Further validation in a well-designed content validity study is needed, including a clearly defined construct and patient involvement during the assessment of different aspects of content validity. Plain English summary Bone fractures of the lower extremities are a common injury. During rehabilitation it is essential to evaluate how patients experience their physical functioning, in order to monitor the progress and to optimize treatment. To measure physical functioning often questionnaires (also known as Patient Reported Outcome Measures) are used, such as the Lower Extremity Functional Scale (LEFS). However, it is not clear if the LEFS actually measures physical function, and if its other measurement properties are sufficient for using this questionnaire among patients with fractures in the lower extremities. Therefore, we systematically searched and assessed scientific papers on the development of the LEFS (i.e., its ability to measure physical functioning), and papers on the performance of the LEFS with regard to several measurement properties to identify possible factors that may cause measurement errors. Hereby we have assessed the quality of the studies included. Our main finding was that the LEFS may not measure all aspects of p...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Content validity and measurement properties of the Lower Extremity Functional Scale in patients with fractures of the lower extremities: a systematic review

Ratter

Pellekooren

Wiertsema

et al. 2022

J Patient Rep Outcomes

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“…21,22 Validated scales and scoring systems, including the Lower Extremity Functional Scale (LEFS), are frequently incorporated into patient evaluations among orthopaedic and trauma surgery research. [23][24][25] In contrast, there has been infrequent and inconsistent reporting of PCO in the literature examining outcomes of chronic LE wound management in highly comorbid populations. A systemic review by Economides et al analyzed articles published between 1990 and 2012 on LE flap reconstruction among comorbid patients and described a notable discrepancy between disease-centered and PCO reporting.…”

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confidence: 99%

The Need to Improve Patient-Centered Outcome Reporting Following Lower Extremity Flap Reconstruction: A Systematic Review and Meta-analysis

Kim

Tirrell

Dekker

et al. 2021

J Reconstr Microsurg

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Introduction Research in lower extremity (LE) wound management involving flap reconstruction has primarily focused on surgeon-driven metrics. There has been a paucity in research that evaluates patient-centered outcomes (PCO). This systematic review and meta-analysis examines articles published between 2012 and 2020 to assess whether reporting of functional and quality of life (QOL) outcomes have increased in frequency and cohesiveness, compared with the previous two decades. Methods PubMed and Ovid were queried with appropriate Medical Subject Heading (MeSH) terms for studies published between June 2012 and July 2020. For inclusion, each study had to report any outcome of any tissue transfer procedure to the LE in comorbid patients, including complication rates, ambulation rates, flap success rates, and/or QOL measures. The PCO reporting prevalence was compared with a previous systematic review by Economides et al which analyzed papers published between 1990 and June 2012, using a Pearson's Chi-squared test. Results The literature search yielded 40 articles for inclusion. The proportion of studies reporting PCO was greater for literature published between 1990 and 2012 compared with literature published between 2012 and 2020 (86.0 vs. 50.0%, p < 0.001). Functional outcomes were more commonly reported between 1990 and 2012 (78.0 vs. 47.5%, p = 0.003); similarly, ambulatory status was reported more often in the previous review (70.0 vs. 40.0%, p = 0.004). This study solely examined the rate at which PCO were reported in the literature; the individual importance and effect on medical outcomes of each PCO was not evaluated. Conclusion Less than 50% of the literature report functional outcomes in comorbid patients undergoing LE flap reconstruction. Surprisingly, PCO reporting has seen a downward trend in the past 8 years relative to the preceding two decades. Standardized inclusion of PCO in research regarding this patient population should be established, especially as health care and governmental priorities shift toward patient-centered care.

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Refracture and mortality risk in the elderly with osteoporotic fractures: the AGES-Reykjavik study

Praveen,

Aspelund,

Ferguson

et al. 2024

Osteoporos Int

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Summary There is imminent refracture risk in elderly individuals for up to six years, with a decline thereafter except in women below 75 who face a constant elevated risk. Elderly men with fractures face the highest mortality risk, particularly those with hip and vertebral fractures. Targeted monitoring and treatment strategies are recommended. Purpose Current management and interventions for osteoporotic fractures typically focus on bone mineral density loss, resulting in suboptimal evaluation of fracture risk. The aim of the study is to understand the progression of fractures to refractures and mortality in the elderly using multi-state models to better target those at risk. Methods This prospective, observational study analysed data from the AGES-Reykjavik cohort of Icelandic elderly, using multi-state models to analyse the evolution of fractures into refractures and mortality, and to estimate the probability of future events in subjects based on prognostic factors. Results At baseline, 4778 older individuals aged 65 years and older were included. Elderly men, and elderly women above 80 years of age, had a distinct imminent refracture risk that lasted between 2–6 years, followed by a sharp decline. However, elderly women below 75 continued to maintain a nearly constant refracture risk profile for ten years. Hip (30–63%) and vertebral (24–55%) fractures carried the highest 5-year mortality burden for elderly men and women, regardless of age, and for elderly men over 80, lower leg fractures also posed a significant mortality risk. Conclusion The risk of refracture significantly increases in the first six years following the initial fracture. Elderly women, who experience fractures at a younger age, should be closely monitored to address their long-term elevated refracture risk. Elderly men, especially those with hip and vertebral fractures, face substantial mortality risk and require prioritized monitoring and treatment. Supplementary Information The online version contains supplementary material available at 10.1007/s00198-024-07096-3.

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Differences in gait and trunk movement between patients after ankle fracture and healthy subjects

Cited by 20 publications

References 43 publications

Content validity and measurement properties of the Lower Extremity Functional Scale in patients with fractures of the lower extremities: a systematic review

Content validity and measurement properties of the Lower Extremity Functional Scale in patients with fractures of the lower extremities: a systematic review

The Need to Improve Patient-Centered Outcome Reporting Following Lower Extremity Flap Reconstruction: A Systematic Review and Meta-analysis

Refracture and mortality risk in the elderly with osteoporotic fractures: the AGES-Reykjavik study

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