Measuring Recovery and Understanding Long-Term Deficits in Balance, Ankle Mobility and Hip Strength in People after an Open Reduction and Internal Fixation of Bimalleolar Fracture and Their Impact on Functionality: A 12-Month Longitudinal Study

Salas-Gómez, Diana; Fernández-Gorgojo, Mario; Sánchez‐Juan, Pascual; Pérez-Núñez, María Isabel; Laguna-Bercero, Esther; Prat-Luri, Amaya; Barbado, David

doi:10.3390/jcm11092539

Cited by 6 publications

(2 citation statements)

References 74 publications

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“…Complementary to these functional scales, clinical parameters such as ankle dorsiflexion range of motion (ADF ROM), level of swelling, and muscle atrophy provide objective measures of clinical status at different stages of rehabilitation [18,26,27]. The recovery of these parameters after ankle surgery is critical and may play an important role in the full recovery of gait functionality [28] or balance [29].…”

Section: Introductionmentioning

confidence: 99%

Analysis of Dynamic Plantar Pressure and Influence of Clinical-Functional Measures on Their Performance in Subjects with Bimalleolar Ankle Fracture at 6 and 12 Months Post-Surgery

Fernández-Gorgojo

Salas-Gómez

Sánchez‐Juan

et al. 2023

Sensors

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Recovery after ankle fracture surgery can be slow and even present functional deficits in the long term, so it is essential to monitor the rehabilitation process objectively and detect which parameters are recovered earlier or later. The aim of this study was 1) to evaluate dynamic plantar pressure and functional status in patients with bimalleolar ankle fracture 6 and 12 months after surgery, and 2) to study their degree of correlation with previously collected clinical variables. Twenty-two subjects with bimalleolar ankle fractures and eleven healthy subjects were included in the study. Data collection was performed at 6 and 12 months after surgery and included clinical measurements (ankle dorsiflexion range of motion and bimalleolar/calf circumference), functional scales (AOFAS and OMAS), and dynamic plantar pressure analysis. The main results found in plantar pressure were a lower mean/peak plantar pressure, as well as a lower contact time at 6 and 12 months with respect to the healthy leg and control group and only the control group, respectively (effect size 0.63 ≤ d ≤ 0.97). Furthermore, in the ankle fracture group there is a moderate negative correlation (−0.435 ≤ r ≤ 0.674) between plantar pressures (average and peak) with bimalleolar and calf circumference. The AOFAS and OMAS scale scores increased at 12 months to 84.4 and 80.0 points, respectively. Despite the evident improvement one year after surgery, data collected using the pressure platform and functional scales suggest that recovery is not yet complete.

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Section: Introductionmentioning

confidence: 99%

Analysis of Dynamic Plantar Pressure and Influence of Clinical-Functional Measures on Their Performance in Subjects with Bimalleolar Ankle Fracture at 6 and 12 Months Post-Surgery

Fernández-Gorgojo

Salas-Gómez

Sánchez‐Juan

et al. 2023

Sensors

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“…Elam et al [ 11 ] reported that postural sway in healthy older adults increased after two weeks of unilateral above-knee cast immobilization. Following lower limb surgery, patients may experience postural instability due to secondary dysfunction (i.e., muscle weakness and reduced range of motion) [ 12 ]. The reports by Caplan et al [ 10 ] and Elam et al [ 11 ] suggest that movement restriction of the unilateral limb itself is a factor that inhibits postural control.…”

Section: Introductionmentioning

confidence: 99%

Short-Term Cast Immobilization of a Unilateral Lower Extremity and Physical Inactivity Induce Postural Instability during Standing in Healthy Young Men

Ikeda,

Oka,

Tokuhiro

et al. 2023

Healthcare

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Previous studies have reported an increased postural sway after short-term unilateral lower limb movement restriction, even in healthy subjects. However, the associations of motion limitation have not been fully established. The question of whether short-term lower limb physical inactivity and movement restriction affect postural control in the upright position remains. One lower limb of each participant was fixed with a soft bandage and medical splint for 10 h while the participant sat on a manual wheelchair. The participants were instructed to stand still for 60 s under eyes-open (EO) and eyes-closed (EC) conditions. Using a single force plate signal, we measured the center of pressure (COP) signal in the horizontal plane and calculated the total, anterior–posterior (A–P), and medial–lateral (M–L) path lengths, sway area, and mean COP displacements in A–P and M–L directions. The COP sway increased and the COP position during the upright stance shifted from the fixed to the non-fixed side after cast removal, compared to before the cast application, under both EO and EC conditions. These findings indicated that 10 h of unilateral lower limb movement restriction induced postural instability and postural control asymmetry, suggesting the acute adverse effects of cast immobilization.

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The muscle strength of the hip joint can be used as a criterion of quality rehabilitation patients after total hip arthroplasty

Mihajlov,

Dragomir,

Bausic

et al. 2024

Balneo and PRM Research Journal

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The primary aim of this study is to evaluate the efficacy of rehabilitation following total hip arthroplasty (THA) through the assessment of hip joint mobility parameters, namely abduction, extension, and flexion, at 2, 4, and 6 weeks post-surgery. These evaluations coincide with the implementation of rehabilitation exercises recommended by the physiotherapist. The study intends to analyze the progression of hip mobility during these specific time intervals in conjunction with the prescribed rehabilitation program. By examining the relationship between the performed exercises and the observed improvements in hip mobility, the research aims to provide valuable insights into the effectiveness of the rehabilitation protocol in facilitating post-THA rehabilitation. Material and method: The evaluation of hip joint mobility encompassed measurements of abduction, extension, and flexion utilizing a "Active Force 2" digital dynamometer. In tandem, the functional assessment of patients' health status was conducted through the utilization of the WOMAC index (Western Ontario and McMaster Universities Osteoarthritis Index). Results: The experimental data acquired in the measurement joint mobility during abduction, extension and flexion at 2, 4 and 6 weeks of exercises performed after THA are presented. Pain: mean score decreased from 3.08 to 1.18 (38.31% improvement); physical difficulties: mean score decreased from 3.10 to 1.01 (32.25% improvement) and joint stiffness: mean score decreased from 3.41 to 0.65 (19.06% improvement). These findings highlight the effectiveness of the recovery exercises in reducing pain, improving physical function, and decreasing joint stiffness post-THA. Conclusions: Our research emphasizes the essential contri-bution of physiotherapists to achieving positive outcomes for patients post-THA surgery. Through a personalized physiotherapy regimen administered during follow-up appointments, patients undergoing THA exhibited notable functional improvements. The study's results high-light the efficacy of this approach in alleviating discomfort, expediting recovery, and enhancing patients' overall quality of life, enabling a smoother transition back to normal daily activities. Keywords: total hip arthroplasty, physiotherapy, rehabilitation, hip joint mobility, muscle strenght

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Measuring Recovery and Understanding Long-Term Deficits in Balance, Ankle Mobility and Hip Strength in People after an Open Reduction and Internal Fixation of Bimalleolar Fracture and Their Impact on Functionality: A 12-Month Longitudinal Study

Cited by 6 publications

References 74 publications

Analysis of Dynamic Plantar Pressure and Influence of Clinical-Functional Measures on Their Performance in Subjects with Bimalleolar Ankle Fracture at 6 and 12 Months Post-Surgery

Analysis of Dynamic Plantar Pressure and Influence of Clinical-Functional Measures on Their Performance in Subjects with Bimalleolar Ankle Fracture at 6 and 12 Months Post-Surgery

Short-Term Cast Immobilization of a Unilateral Lower Extremity and Physical Inactivity Induce Postural Instability during Standing in Healthy Young Men

The muscle strength of the hip joint can be used as a criterion of quality rehabilitation patients after total hip arthroplasty

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