Ankle rotators strength and functional indices following operative intervention for ankle fractures

作者: Yael Steinfeld , Shay Shabat , Meir Nyska , Chava Peretz , Zeevi Dvir

DOI: 10.3233/IES-2012-0454

关键词:

摘要: Background: Outcome measures of operative intervention for ankle fractures indicate poor subjective and objective results. Though patients regain full range motion they often complain pain fatigability. Specifically, there is a paucity data regarding strength characteristics the relevant muscles after surgical intervention. Objective: Describe invertors (INs) evertors (EVs) explore their relationship to ankle-hindfoot scale (AHS) in fractures. Method: Bilateral isokinetic concentric eccentric INs EVs was measured 24 patients, 6-12 months following surgery. Additional factors were evaluated using AHS. Results: Strength involved limb significantly lower compared contra-lateral ( p< 0.0001). However, reduction greater (27.6-37.5%) than (14.4-24.3%), (p = 0.0005). The EVs/INs ratio uninvolved (89-102%) (111-141%), clinical status found have significant effect on all dynamic control ratios (DCRs): EVR(E)/INV(C), INV(E)/EVR(C), EVR(C)/INV(E), INV(C)/EVR(E) P< 0.0001, P 0.0032, 0.0015, respectively). A between mean AHS score relative unilateral weakness (r �0.58, p 0.003). Conclusions: could be one reasons functional decline more pronounced that EVs.

参考文章(42)
Mark J Berkowitz, David H Kim, David N Pressman, Avulsion fractures of the medial tubercle of the posterior process of the talus. Foot & Ankle International. ,vol. 24, pp. 172- 175 ,(2003)
Mandracchia Vj, Mandracchia Dm, Buddecke De, Malleolar fractures of the ankle. A comprehensive review. Clinics in Podiatric Medicine and Surgery. ,vol. 16, pp. 679- 723 ,(1999)
Thomas W Kaminski, Heather D Hartsell, Factors Contributing to Chronic Ankle Instability: A Strength Perspective. Journal of Athletic Training. ,vol. 37, pp. 394- 405 ,(2002)
David H. Perrin, Isokinetic Exercise and Assessment ,(1993)
Jacques Duchateau, Bed rest induces neural and contractile adaptations in triceps surae. Medicine and Science in Sports and Exercise. ,vol. 27, pp. 1581- 1589 ,(1995)
KJELD S??BALLE, PER KJ??RSGAARD-ANDERSEN, Ruptured tibialis posterior tendon in a closed ankle fracture. Clinical Orthopaedics and Related Research. pp. 140- 143 ,(1988) , 10.1097/00003086-198806000-00020
Nicholas Lash, Geoffrey Horne, Jann Fielden, Peter Devane, Ankle fractures: Functional and lifestyle outcomes at 2 years ANZ Journal of Surgery. ,vol. 72, pp. 724- 730 ,(2002) , 10.1046/J.1445-2197.2002.02530.X
Lokman Karakurt, Erhan Yilmaz, Erhan Serin, Mehmet Bulut, The results of surgical treatment in ankle fractures Acta Orthopaedica et Traumatologica Turcica. ,vol. 36, pp. 242- 247 ,(2002) , 10.3944/AOTT.V36I3.895