Rehabilitation for ankle fractures in adults

Lin, Chung‐Ying; Moseley, A. M.; Km, Refshauge

doi:10.1002/14651858.cd005595

Cited by 6 publications

(10 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Ankle and foot conditions Three additional systematic reviews [50-52] (2 high quality, [50,52] 1 medium quality [51]) and six additional RCTs [53-58] (1 high quality, [58] 2 medium quality [53,56] and 3 low quality [54,55,57]) and one ongoing RCT [59] were identified on the treatment of ankle and foot conditions using manual therapy.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

et al. 2014

View full text Add to dashboard Cite

BackgroundThis systematic review updated and extended the "UK evidence report" by Bronfort et al. (Chiropr Osteopath 18:3, 2010) with respect to conditions/interventions that received an 'inconclusive’ or 'negative’ evidence rating or were not covered in the report.MethodsA literature search of more than 10 general medical and specialised databases was conducted in August 2011 and updated in March 2013. Systematic reviews, primary comparative studies and qualitative studies of patients with musculoskeletal or non-musculoskeletal conditions treated with manual therapy and reporting clinical outcomes were included. Study quality was assessed using standardised instruments, studies were summarised, and the results were compared against the evidence ratings of Bronfort. These were either confirmed, updated, or new categories not assessed by Bronfort were added.Results25,539 records were found; 178 new and additional studies were identified, of which 72 were systematic reviews, 96 were randomised controlled trials, and 10 were non-randomised primary studies. Most 'inconclusive’ or 'moderate’ evidence ratings of the UK evidence report were confirmed. Evidence ratings changed in a positive direction from inconclusive to moderate evidence ratings in only three cases (manipulation/mobilisation [with exercise] for rotator cuff disorder; spinal mobilisation for cervicogenic headache; and mobilisation for miscellaneous headache). In addition, evidence was identified on a large number of non-musculoskeletal conditions not previously considered; most of this evidence was rated as inconclusive.ConclusionsOverall, there was limited high quality evidence for the effectiveness of manual therapy. Most reviewed evidence was of low to moderate quality and inconsistent due to substantial methodological and clinical diversity. Areas requiring further research are highlighted.

show abstract

Section: Resultsmentioning

confidence: 99%

“…A high quality Cochrane review examined the effect of rehabilitation interventions for ankle fractures [50]. With respect to manual therapy, one trial with a high risk of bias [57] and one trial with a low risk of bias [58] were identified.…”

Section: Resultsmentioning

confidence: 99%

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

et al. 2014

View full text Add to dashboard Cite

show abstract

“…It was used as a comparison measure in our investigation of concurrent validity because the Olerud Molander Ankle Score is the most commonly used assessment of activity limitation in studies investigating the effects of rehabilitation for ankle fracture. 24 A global perceived effect scale 25 was used to provide an external criterion of the responsiveness of the Lower Extremity Functional Scale. A scale of this kind is the most frequently used external criterion of improvement with which changes in scores on other outcome measures are compared.…”

Section: Outcome Measuresmentioning

confidence: 99%

The Lower Extremity Functional Scale Has Good Clinimetric Properties in People With Ankle Fracture

et al. 2009

View full text Add to dashboard Cite

show abstract

“…Переломи кісточок зустрічаються дуже часто і становлять 13-20% від усіх переломів кісток скелета і 40-60% від пошкоджень кісток гомілки [14]. Існують вікові і статеві відмінності, причому пік травматизму припадає на більш молодих чоловіків (від 15 до 29 років), тоді як у жінок пік травматизму припадає на вік старше 50 років [15].…”

Section: результати дослідження та їх обговоренняunclassified

Modern Views on the Physical Therapy of Patients after Surgical Treatment of Fractures of the Ankle Joint Bones

Borsukevych¹,

Nikanorov²,

Zaiets³

2021

Ukr. ž. med. bìol. sportu

View full text Add to dashboard Cite

The purpose of the study is to determine and analyze modern means of restoring motor functions used for patients with fractures of the ankle joint bones after surgical treatment. Materials and methods. The work is the result of analysis and generalization of special scientific and methodological literature of domestic and foreign authors and Internet data on the features of the use of modern methods of physical therapy for patients with fractures of the ankle joint bones after surgical treatment. Results and discussion. Physical therapy for patients with fractures of the ankle joint bones is integral to a speedy recovery. Due to the fact that after surgery, it is mandatory to apply a plaster cast or a fixator to the joint for about 6 weeks – the strength of the lower extremities is lost, joint contracture appears, there is aching pain and a decrease in the range of motion. It is necessary to start classes with a physical therapist as early as possible, already on the second day after the operation, if the general condition of the patient is satisfactory. Patients require early postoperative functional physical therapy under the supervision of a physical therapist to improve joint function and proprioception, and to promote edema regression (lymphatic drainage). Patients with fractures associated with ligament injuries especially require proprioceptive neuromuscular facilitation to protect them from the risk of chronic ankle instability. Generally, recovery for patients with this trauma is slow and requires patience. There is some evidence that early introduction of activity during the immobilization period may be beneficial for patients. By doing light ankle exercises, the range of motion is improved, pain disappears and the function of the joint improves. Also, early stress on body weight is associated with many benefits, including better mobility, shorter hospital stays, and earlier return to work. However, there are other claims that early exercise increases the risk of surgical site infection, reoperation, and surgical fixation failure. Given the lack of evidence to determine it should be noted that additional research is needed to address this issue. Conclusions. Current evidence on the physical therapy of fractures of the ankle joint bones after immobilization shows that separate physical therapies do not accelerate the recovery process. This suggests that physical therapy must be comprehensive and must necessarily focus on a progressive and structured exercise program. Also, recent studies have shown that exercise is an effective mean of physical therapy, especially balance exercises

show abstract

Rehabilitation for ankle fractures in adults

Cited by 6 publications

References 33 publications

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

Clinical effectiveness of manual therapy for the management of musculoskeletal and non-musculoskeletal conditions: systematic review and update of UK evidence report

The Lower Extremity Functional Scale Has Good Clinimetric Properties in People With Ankle Fracture

Modern Views on the Physical Therapy of Patients after Surgical Treatment of Fractures of the Ankle Joint Bones

Contact Info

Product

Resources

About