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Compared to conventional physiotherapy, does the use of an ankle trainer device after Weber B ankle fracture operation improve outcome and shorten hospital stay? A randomized controlled trial
| Content Provider | SAGE Publishing |
|---|---|
| Author | Molund, Marius Hellesnes, Jan Berdal, Gøran Andreassen, Bernt Stray Andreassen, Geir Stray |
| Copyright Year | 2020 |
| Abstract | Objective:To compare the functional outcomes and length of hospital stay for patients treated with conventional physiotherapy compared to a new ankle trainer device after Weber B ankle fractures.Design:The patients were randomized, and then followed up at 3, 6, 12 and 52 weeks by a blinded physiotherapist.Setting:This study was done at a level 1 trauma centre.Subjects:One hundred and forty consecutive patients with Weber B ankle fractures that were operated on were screened for eligibility, of whom 113 were included in the study.Interventions:Conventional physiotherapy with stretching exercises, using a non-elastic band or using new ankle trainer.Main measures:Outcomes were evaluated with Olerud–Molander ankle score, Visual analogue scale for pain and ankle dorsiflexion at 3, 6, 12 and 52 weeks follow-up. Time of hospitalization and complications were registered.Results:Superior Olerud–Molander ankle scores were observed at three weeks follow-up in the ankle trainer group 40.9 (10.8), compared to the conventional group 35.3 (14.2) (P = 0.021). At one-year follow-up, there was no difference between the groups (P = 0.386). The ankle trainer group had a shorter hospital stay with a mean 2.6 days (0.98) compared to 3.2 days (1.47) in the conventional group (P = 0.026).Conclusion:The patients who were treated with the new ankle trainer device recovered more rapidly, evaluated by the Olerud–Molander ankle score and had a shorter stay in hospital compared to the conventional physiotherapy group. No between group differences could be observed at long-term follow-up. |
| Related Links | https://journals.sagepub.com/doi/pdf/10.1177/0269215520929727?download=true |
| Starting Page | 1040 |
| Ending Page | 1047 |
| Page Count | 8 |
| ISSN | 02692155 |
| Issue Number | 8 |
| Volume Number | 34 |
| Journal | Clinical Rehabilitation (CRE) |
| e-ISSN | 14770873 |
| DOI | 10.1177/0269215520929727 |
| Language | English |
| Publisher | Sage Publications UK |
| Publisher Date | 2020-06-11 |
| Publisher Place | London |
| Access Restriction | Open |
| Rights Holder | © The Author(s) 2020 |
| Subject Keyword | foot and ankle stretching Ankle injury orthopaedic outcomes passive movement device |
| Content Type | Text |
| Resource Type | Article |
| Subject | Rehabilitation Physical Therapy, Sports Therapy and Rehabilitation |
