The Immediate Effects of Different Types of Ankle Support Introduced 6 Weeks After Surgical Internal Fixation for Ankle Fracture on Gait and Pain: A Randomized Crossover Trial

The Journal of Orthopaedic and Sports Physical Therapy
David J KeeneSarah E Lamb

Abstract

Randomized 3-treatment, 3-period crossover trial. There is variation in clinical practice regarding the type of ankle support used to aid recovery after ankle fracture internal fixation surgery. To determine the immediate effects of different ankle supports commonly issued to patients 6 weeks after surgery. Participants were 18 adults, 6 weeks after internal fixation for transsyndesmotic/infrasyndesmotic fracture, in a major trauma center in the UK. Interventions were a stirrup brace and walker boot compared with Tubigrip. Outcomes were (1) step-length and single-limb support time asymmetry (percentage comparing injured and uninjured limbs), (2) step width, (3) gait velocity, and (4) pain during walking (visual analog scale, 0-100). Participants (mean ± SD age, 47 ± 14 years) included 8 women and 10 men, 6 weeks after surgical internal fixation for ankle fracture. Single-limb support time asymmetry reduced by 3% (95% confidence interval [CI]: 0%, 6%; P = .02) in the stirrup brace and by 5% (95% CI: 2%, 7%; P = .001) in the walker boot compared with Tubigrip. Step width was 1.2 cm (95% CI: 0.6, 1.7; P<.001) wider in the walker boot than in Tubigrip. Self-reported pain was lower in the walker boot (5/100) and in the stirrup brace...Continue Reading

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References

Aug 1, 1990·Research in Nursing & Health·M E Wewers, N K Lowe
Jul 29, 2000·Journal of Molecular Endocrinology·M P Rounseville, T P Davis
Feb 28, 2002·Lancet·Kenneth F Schulz, David A Grimes
Jun 6, 2002·Archives of Physical Medicine and Rehabilitation·Ching-Yi WangElizabeth J Protas
Dec 28, 2002·Clinical Rehabilitation·Thomas Tai Wing Chiu, Kai Lo Sing
Nov 14, 2003·Health and Quality of Life Outcomes·John HorsmanGeorge Torrance
Apr 7, 2006·BMC Musculoskeletal Disorders·Gertrud NilssonMagnus Eneroth
May 17, 2006·Aging Clinical and Experimental Research·Reto W KressigUNKNOWN European GAITRite Network Group
Jan 30, 2007·Foot & Ankle International·Frank E DiLibertoDeborah A Nawoczenski
Mar 27, 2007·Gait & Posture·U LindemannK Aminian
Jan 1, 1992·The Journal of Orthopaedic and Sports Physical Therapy·L M McMahonS L Whitney
May 9, 2009·Physical Therapy·Chung-Wei Christine LinAnita C Bundy
Mar 25, 2010·BMJ : British Medical Journal·Kenneth F SchulzUNKNOWN CONSORT Group
Mar 25, 2010·BMJ : British Medical Journal·David MoherDouglas G Altman
Mar 1, 2010·The Journal of Manual & Manipulative Therapy·Chung-Wei Christine LinRob A de Bie
Jul 5, 2011·Physiotherapy Theory and Practice·Caroline Hodt-BillingtonRolf Moe-Nilssen
Oct 25, 2011·Clinical Biomechanics·Janie L Astephen Wilson
Oct 16, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Joshua S EverhartDavid C Flanigan
Aug 8, 2014·The Journal of Orthopaedic and Sports Physical Therapy·David J KeeneSarah E Lamb
Sep 23, 2014·Prosthetics and Orthotics International·Jim RichardsAmbreen Chohan

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