Active controlled motion in early rehabilitation improves outcome after ankle fractures: a randomized controlled trial.
Clin Rehabil
; 32(3): 312-318, 2018 Mar.
Article
em En
| MEDLINE
| ID: mdl-28805066
ABSTRACT
OBJECTIVE:
To evaluate the use of active controlled motion (ACM) after unstable ankle fractures needing initial partial weight-bearing.DESIGN:
Prospective randomized controlled trial.SETTING:
Inpatient and outpatient clinic.SUBJECTS:
A total of 50 patients with unstable ankle fractures and the need for partial weight-bearing for six weeks.INTERVENTIONS:
Randomization in two groups physiotherapy alone or physiotherapy with an additional ACM device. MAINMEASURES:
Follow-up after 6 and 12 weeks. Range of motion, visual analogue scale for foot and ankle (VAS FA), Philip score, Mazur score, American Orthopaedic Foot & Ankle Society (AOFAS) score and dynamic pedobarography.RESULTS:
Range of motion was better in the ACM group at six weeks (mean 49° ± 11.1° vs. 41.3° ± 8.1°). Questionnaires revealed better outcome after six weeks in the VAS FA (56 ± 13.7 vs. 40.6 ± 10.5), Mazur score (64.4 ± 12.3 vs. 56.7 ± 11) and AOFAS score (71.2 ± 12 vs. 63.6 ± 8.7) ( P > 0.02 for all). Better outcome after 12 weeks in all questionnaires (VAS FA, 77.7 ± 13.8 vs. 61.4 ± 16.3; Philip score, 79.1 ± 10.9 vs. 60.1 ± 21.7; Mazur score, 83.9 ± 10.7 vs. 73.1 ± 14.1; AOFAS score, 87.5 ± 7.9 vs. 75.2 ± 11.7) ( P < 0.01 for all). Pressure balance was better under the midfoot region after 12 weeks in the ACM group (Δ P 4.4 N vs. 34.0 N; P = 0.01). The ACM group had an earlier return to work after 10.5 (range, 3-17) versus 14.7 (range, 9-26) weeks ( P = 0.02).CONCLUSION:
The use of ACM for patients needing initial partial weight-bearing after operatively treated unstable ankle fractures in the first six postoperative weeks leads to better clinical and functional results and an earlier return to work.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Temas:
Promover_ampliacao_atencao_especializada
Base de dados:
MEDLINE
Assunto principal:
Terapia Passiva Contínua de Movimento
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Amplitude de Movimento Articular
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Fraturas do Tornozelo
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Fixação Interna de Fraturas
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Instabilidade Articular
Tipo de estudo:
Clinical_trials
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Diagnostic_studies
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Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Clin Rehabil
Ano de publicação:
2018
Tipo de documento:
Article