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Active controlled motion in early rehabilitation improves outcome after ankle fractures: a randomized controlled trial
| Content Provider | SAGE Publishing |
|---|---|
| Author | Jansen, Hendrik Jordan, Martin Frey, Sönke Hölscher-Doht, Stefanie Meffert, Rainer Heintel, Timo |
| Copyright Year | 2017 |
| 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.Main measures: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 (ΔP 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. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/0269215517724192?download=true |
| Starting Page | 312 |
| Ending Page | 318 |
| Page Count | 7 |
| ISSN | 02692155 |
| Issue Number | 3 |
| Volume Number | 32 |
| Journal | Clinical Rehabilitation (CRE) |
| e-ISSN | 14770873 |
| DOI | 10.1177/0269215517724192 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2017-08-14 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2017 |
| Subject Keyword | Ankle fracture rehabilitation active controlled motion outcome |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation |
