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.
Por:
Salas-Gómez D, Fernández-Gorgojo M, Sánchez-Juan P, Pérez-Núñez MI, Laguna-Bercero E, Prat-Luri A and Barbado D
Publicada:
30 abr 2022
Ahead of Print:
30 abr 2022
Resumen:
To analyze how balance and other physical capacities evolved after surgery in patients with a bimalleolar fracture and how these capacities and clinical variables (immobilization or unloading time) contribute to restoring patients' functionality, 22 patients and 10 healthy people (HC) were assessed for static and dynamic balance (Y-Balance test, YBT), dorsiflexion ankle mobility (ADF(ROM)) and hip strength at 6 and 12 months after surgery. Patients' functional status was assessed through the Olerud Molander Ankle Score (OMAS) and the American Orthopaedic Foot and Ankle Society (AOFAS) score. Twenty-one patients with ankle fractures who completed the study showed a worse static and dynamic balance at 6 months. The YBT in the anterior direction (YBT(A)) revealed balance deficits in the operated limb at 12 months compared to the non-operated limb (-5.6%) and the HC (-6.7%). They also showed a decreased ADF(ROM) compared to the non-operated limb (-7.4°) and the HC (-11°). In addition, medium-term (6 months) deficits in abductor strength hip but no hip strength deficits were found at 12 months after surgery. Relative weight analyses showed that ADF(ROM) and hip strength explained 35-63% of the YBT(A) variance and AOFAS/OMAS scores. Balance, hip strength and ADF(ROM) seem to be reliable indexes for assessing the functional status of these patients. These results could help to understand the relationship between these physical capacities and the patients' perceived functional status.
Filiaciones:
Salas-Gómez D:
Escuelas Universitarias Gimbernat (EUG), Physiotherapy School Cantabria, Movement Analysis Laboratory, University of Cantabria, 39300 Torrelavega, Spain
Fernández-Gorgojo M:
Escuelas Universitarias Gimbernat (EUG), Physiotherapy School Cantabria, Movement Analysis Laboratory, University of Cantabria, 39300 Torrelavega, Spain
Sánchez-Juan P:
Escuelas Universitarias Gimbernat (EUG), Physiotherapy School Cantabria, Movement Analysis Laboratory, University of Cantabria, 39300 Torrelavega, Spain
Alzheimer's Centre Reina Sofia-CIEN Foundation, 28031 Madrid, Spain
Neurodegenerative Disease Network Biomedical Research Center (CIBERNED), 28029 Madrid, Spain
Pérez-Núñez MI:
Escuelas Universitarias Gimbernat (EUG), Physiotherapy School Cantabria, Movement Analysis Laboratory, University of Cantabria, 39300 Torrelavega, Spain
Traumatology Service and Orthopedic Surgery, University Hospital "Marqués de Valdecilla" (UHMV), 39008 Santander, Spain
Laguna-Bercero E:
Escuelas Universitarias Gimbernat (EUG), Physiotherapy School Cantabria, Movement Analysis Laboratory, University of Cantabria, 39300 Torrelavega, Spain
Traumatology Service and Orthopedic Surgery, University Hospital "Marqués de Valdecilla" (UHMV), 39008 Santander, Spain
Prat-Luri A:
Sports Research Centre, Department of Sport Science, Miguel Hernández University of Elche, 03202 Elche, Spain
:
Sports Research Centre, Department of Sport Science, Miguel Hernández University of Elche, 03202 Elche, Spain
Alicante Institute for Health and Biomedical Research (ISABIAL), 03550 Alicante, Spain
Green Published, gold
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