Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review

Ávila, Viviane Ribeiro de; Bento, Teresa Paula Domingues da Cunha; Gomes, Wellington Fabiano; Leitão, José Carlos; Sousa, Nélson

doi:10.1123/jsr.2016-0199

Cited by 40 publications

(30 citation statements)

References 34 publications

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“…The scale refers to randomization, allocation concealment, similarity at baseline, blinding of participants, staff and assessors, incomplete outcome data, intention-to-treat analysis, between group comparison, and measure of variability. The following classification was used for scoring the studies: ≥ 7 points, high; 5-6 points, moderate; < 5 points, low [19]. The quality assessment was done independently by at least two reviewers.…”

Section: Data Extraction and Quality Assessmentmentioning

confidence: 99%

“…Moreover, non-weight-bearing combined + resistance exercise revealed the largest effect (SMD = 0.68, 0.16-1. 19) at the femoral neck. Contrary to our expectation, jumping alone indicated a greater decrease in bone mineral density compared to the control group at both the lumbar spine (−0.07, −0.46-0.32) and femoral neck (−0.12, −0.62-0.37).…”

Section: Introductionmentioning

confidence: 99%

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Effect of different types of exercise on bone mineral density in postmenopausal women: A systematic review and meta-analysis

et al. 2020

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Postmenopausal women face a high risk of bone loss. Exercise has a beneficial effect to prevent bone deterioration in elderly women. This study was conducted to investigate the effect of different types of exercise on bone mineral density at the lumbar spine and femoral neck in postmenopausal women.This review followed the guidelines recommended by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement and was registered in advance in the International prospective register of systematic reviews (PROSPERO) (ID: CRD42018095097). Literature searches with no language restriction were conducted through PubMed, Scopus, Web of Science, Cochrane, Science Direct, Eric, ProQuest, and Primo up to March 1 2019 using related MeSH terms and key words. Controlled trials with ≥ 6 months intervention duration among postmenopausal women that comprised at least one exercise and one control group were included in this study. Meta-analyses were performed using random-effects models and effect sizes calculated using the standardised mean difference (SMD). Seven categories of exercise were classified and used in sub-group analyses. P-values < 0.05 were considered statistically significant.Seventy-five studies were included, assessing the bone mineral density of 5300 (range of mean age: 50–79) postmenopausal women who performed exercise or control protocols. Interventions ranged from six to 30 months and the most common exercise frequency was three sessions per week. The majority of studies employed multicomponent exercise interventions. Results of the meta-analyses showed a significant effect (SMD = 0.37, 95%-CI: 0.25–0.50) for lumbar spine and femoral neck (SMD = 0.33, 0.23–0.43) (all P < 0.0001).Sub-group analysis revealed large heterogeneity and no significant differences in exercise categories at the lumbar spine (P = 0.36) and femoral neck (P = 0.43). However, weight-bearing exercise + jumping + resistance training exhibited the largest effect (SMD = 0.71, 0.33–1.10) at the lumbar spine. Moreover, non-weight-bearing combined + resistance exercise revealed the largest effect (SMD = 0.68, 0.16–1.19) at the femoral neck. Contrary to our expectation, jumping alone indicated a greater decrease in bone mineral density compared to the control group at both the lumbar spine (−0.07, −0.46–0.32) and femoral neck (−0.12, −0.62–0.37).In conclusion, the current study provided a positive small effect of exercise on bone mineral density at the lumbar spine and femoral neck. Findings from sub-group analyses suggest larger benefits in multicomponent interventions that include weight-bearing and resistance training exercises compared to them as a single mode of exercise. Unequal numbers of studies were found for each category (e. g. jumping: two trials; dynamic resistance training: 15 trials), affecting the comparison between them. Therefore, findings should be interpreted with caution; they are not yet generalizable to specific types of exercise.

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Section: Data Extraction and Quality Assessmentmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of different types of exercise on bone mineral density in postmenopausal women: A systematic review and meta-analysis

et al. 2020

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“…Alle Artikel, welche die vordefinierten Einschlusskriterien erfüllten, wurden von zwei Prüfern anhand der PEDro-Skala (Physiotherapie-Evidenzdatenbank) unabhängig voneinander auf das Risiko einer Verzerrung hin bewertet [11,12]. Die methodische Qualität der eingeschlossenen Studien wurde wie folgt klassifiziert: PEDro Index ≥ 7 = hoch; 5-6 = moderat; < 5 = niedrig [13].…”

Section: Bewertung Der Studienqualitätunclassified

Dynamisches Krafttraining und Knochendichte an der Lendenwirbelsäule postmenopausaler Frauen

et al. 2020

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ZusammenfassungZiel dieser Metaanalyse war es (1) den Effekt eines dynamischen Krafttrainings (DRT) auf die Knochendichte (BMD) der Lendenwirbelsäule (LWS) einzuschätzen, (2) günstige Belastungs-komponenten zu identifizieren und (3) Trainingsempfehlungen abzuleiten.Eine systematische Literaturrecherche schloss (a) kontrollierte Studien, (b) DRT ≥ 6 Monate mit mindestens einer Trainings- (TG) und einer Kontrollgruppe (KG), (c) LWS-BMD-Messung vor und nach der Intervention und (e) postmenopausale Frauen ein. Subgruppenanalysen wurden für Interventionsdauer, Art des DRT, Trainingshäufigkeit (TH), und -volumen sowie Reizintensität durchgeführt.17 Artikel mit 20 TG und 18 KG konnten eingeschlossen werden. Die standardisierte Mittelwertdifferenz für die LWS-BMD zeigte einen signifikanten Effekt (0,59; 95%-CI: 0,26–0,92). Eine niedrige TH zeigte signifikant höhere Effekte auf die BMD als eine TH von ≥ 2 Einheiten/Woche.Die Meta-Analyse zeigte einen moderaten DRT-Effekt auf die LWS-BMD. Ergebnisse der Subanalysen standen zum Teil im Gegensatz zur vorliegenden Literatur. Subanalysen meta-analytischer Auswertung scheinen zur Generierung erfolgversprechender Trainingsprotokolle nicht geeignet zu sein.

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“…Posterior malleolar fractures comprise 14-42% of all ankle fractures [2]. Recently, many scholars recommended anatomical reduction and internal fixation for treatment of ankle fractures [3][4][5]. But still no consensus was achieved on the operative indication for posterior malleolar fractures [6].…”

Section: Introductionmentioning

confidence: 99%

Quantitative Evaluation of Articular Involvement of Posterior Malleolus Associated with Operative Indication: A Comparative Study of Six Methods Based on Radiography and CT

Kun

Jia

Qiang

et al. 2020

BioMed Research International

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The aim of this study was to compare the values of six methods in measuring the involvement of posterior malleolus and to demonstrate the reliability and reproducibility of each method. Three independent orthopaedic surgeons, retrospectively, measured 106 cases. The difference between the six methods was analyzed using Bonferroni-corrected paired t-tests after one-way ANOVA. The agreement between the six methods was analyzed using Bland–Altman analysis. The intraclass correlation coefficient (ICC) was used to assess intraobserver reproducibility and interobserver reliability. Significant differences were observed between values of any two of the six measurement methods (P<0.0033), except between any two of the plane radiograph linear, axial CT linear, sagittal CT linear, and 3D CT linear. The Bland–Altman plots demonstrated poor agreement between values of any two of the six methods. The lowest intraobserver reproducibility was 0.46 (moderate) for resident surgeon using plain radiographs. The intraobserver reproducibility for three surgeons using two-dimensional (2D) and 3D images was almost perfect (ICC, 0.82–0.96). The lowest interobserver reliability was 0.41 (moderate) between chief and attending surgeon using plain radiographs, and it improved to almost perfect (ICC, 0.81–0.95) with the use of 3D CT images. The standard error of measurement showed almost the same results as ICC values. The existing operative indications which were determined based on plain radiography are neither reliable nor suitable for other measurement methods. Both 3D linear and 3D surface measurement methods are reliable and reproducible in measuring posterior fragment involvement, and experience is not so crucial. Operative indications for posterior malleolar fractures need to be redefined based on the 3D measurement method.

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Functional Outcomes and Quality of Life After Ankle Fracture Surgically Treated: A Systematic Review

Cited by 40 publications

References 34 publications

Effect of different types of exercise on bone mineral density in postmenopausal women: A systematic review and meta-analysis

Effect of different types of exercise on bone mineral density in postmenopausal women: A systematic review and meta-analysis

Dynamisches Krafttraining und Knochendichte an der Lendenwirbelsäule postmenopausaler Frauen

Quantitative Evaluation of Articular Involvement of Posterior Malleolus Associated with Operative Indication: A Comparative Study of Six Methods Based on Radiography and CT

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