Assessment of standing balance in patients after ankle fractures

• Autorzy: Dudek K. , Drużbicki M. , Przysada G. , Śpiewak D.

Identyfikatory

DOI

10.5277/ABB-00061-2014-01

• Języki publikacji: EN

Abstrakty

EN

Purpose: The objective of the study is to evaluate the degree of balance disorders in patients with surgical treatment of ankle fractures with the use of stabilometric examinations.Methods: The subjects in the study were 21 patients with ankle fractures treated surgically, within one year of the procedure. The control group were 20 healthy subjects. The balance was evaluated with the use of force platform in standing posture in both single and double limb stance. The analysed parameters were the transition area of the centre of feet pressure (COP), the length of the COP path and the COP velocity. The range of movement in the ankle joint and the intensification of pain were also measured.Results: In the balance evaluation in double limb stance, there were no statistically significant differences. A significant difference was found in the attempts of single limb-stance An average value of COP transition area in the study group was 261.2 mm2 in single stance (on the right operated limb) and in the control group – 93.2 mm2, so the difference was statistically significant (p=0,0096). The presence of pain, the presence or the removal of anastomosis had no significant influence on the balance of the studied subjects. Also a significant correlation between the balance of the subjects and their age was found.Conclusions: The balance in single limb stance after an instable ankle fracture within one year of the surgical procedure is significantly poorer in comparison with healthy subjects. Elderly persons have significantly poorer balance control.

Słowa kluczowe

EN

ankle fractures; operative treatment; balance

PL

staw skokowy; równowaga; biomechanika

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2014
• Tom: Vol. 16, no. 4
• Strony: 59--65
• Opis fizyczny: Bibliogr. 26 poz., tab.

Twórcy

autor

Dudek K.

• Department of Rehabilitaion, District Hospital in Mielec, Mielec, Poland

autor

Drużbicki M.

• Institute of Physiotherapy, University of Rzeszow, Rzeszow, Poland

autor

Przysada G.

• Institute of Physiotherapy, University of Rzeszow, Rzeszow, Poland

autor

Śpiewak D.

Bibliografia

• [1] GAŹDZIK T., Złamania kostek goleni, Ortho & Trauma, 2006, 3, 25–34.
• [2] ANWAR R., TUSON K.W.R., KHAN S.A., Classification and Diagnosis in Orthopaedic Trauma, Cambridge University Press, Cambridge 2008
• [3] STRAUSS E.J., EGOL K.E., The management of ankle fractures in the elderly, Injury, 2007, 38, Suppl. 3, 2–9.
• [4] KOŁODZIEJ Ł., BOCZAR T., BOHATYREWICZ A., ZIĘTEK P., Outkome of operative treatment for supinator-extenal rotation Lauge-hansen stage IV ankle fractures, Pol. Orthop. Traumatol., 2010, 75(4), 231–235.
• [5] COURT-BROWN CH.M., CAESAR B., Epidemiology of adult fractures: A review, Injury, 2006, 37, 691–697.
• [6] JENSEN S. et al., Epidemiology of ankle fractures. A prospective population-based study of 212 cases in Aalborg, Denmark, Acta Orthop. Scand., 1998, 69, 48–50.
• [7] SHEARMAN A., SARRAF K.M., THEVENDRAN G., HOULIHANBURNE D., Clinical assessment of adult ankle fractures, Br. J. Hosp. Med., London 2013, 74(3), 37–40.
• [8] HEDSTRÖM E.M., SVENSSON O., BERGSTRÖM U, MICHNO P., Epidemiology of fractures in children and adolescents, Acta Orthopaedica, 2010, 81(1), 148–53.
• [9] THUR C.K., JANSSON K.A., WRETENBERG P., Epidemiology of adult ankle fractures in Sweden between 1987 and 2004: a population-based study of 91,410 Swedish inpatients, Acta Orthop., 2012, 83(3), 276–281.
• [10] KETTUNEN J., KRÖGER H., Surgical treatment of ankle and foot fractures in eldery, Osteoporos Int., 2005, 16, Suppl. 2, 103–106.
• [11] EGOL K.A., DOLAN R., KOVAL K.J., Functional outcome of burgery for fractures of the ankle, J. Bone Joint Surg. Br., 2000, 82(2), 246–249,
• [12] TEJWANI N.C., MCLAURIN T.M., WALSH M., BHADSAVLE S., KOVAL K.J., EGOL K.A., Are outcomes of bimalleolar fractures poorer than those of lateral malleolar fractures with medial ligamentous injury? J. Bone Joint Surg. Am., 2007, 89(7), 1438–1441.
• [13] GOLEC E., WIDAWSKI A., Antero-lateral impingement syndrome and evaluation of chronic post-traumatic instability in the talo-crural joint, Pol. Orthop. Traumatol., 2001, 66(4), 377–386.
• [14] LAMBERS K.T., VAN DEN BEKEROM M.P., DOORNBERG J.N., STUFKENS S.A., VAN DIJK C.N., KLOEN P., Long-term outcome of pronation-external rotation ankle fractures treated with syndesmotic screws only, J. Bone Joint Surg. Am., 2013, 4, 95(17), 1221–1227.
• [15] EHRENFREUND T., HALUZAN D., DOBRIC., ZIGMAN T., RAJACIC D., ANTOLJAK T., DAVILA S., Operative management of unstable ankle fractures in the elderly: our institutional experience. Injury, 2013, 44, Suppl. 3, 20–22.
• [16] ŻYCHIŃSKI W., ŻYCHLIŃSKA M., The treatment methods of ankle fractures and total psychophysical efficiency of patients, Pol. Merk. Lek., 2008, 25, Suppl. 1, 23–25.
• [17] VIOREANU M., BROPHY S., DUDENEY S., HURSON B., KELLY E., O’ROURKE K., QUINLAN W., Displaced ankle fractures in the geriatric population: Operative or non-operative treatement, Foot Ankle Surg., 2007, 13, 10–14.
• [18] ANDERSON S.A., XINNING L., FRANKLIN P., WIXTED J.J., Ankle fractures in the elderly: Initial and long-term outcome, Foot Ankle Int., 2008, 29(12), 1184–1187.
• [19] BROWNE J.E., O’HARE N.J., Review of the different methods for assessing standing balance, Physiotherapy, 2001, 87, 489–449.
• [20] SYCZEWSKA M., ZIELIŃSKA T., Power spectral density in balance assessment. Description of methodology, Acta Bioeng. Biomech., 2010, 12(4), 89–92.
• [21] EGOL K.A., PAHK B., WALSH M., TEJWANI N.C., DAVIDOVITCH R.I., KOVAL K.J., Outcome after unstable ankle fracture: effect of syndesmotic stabilization, J. Orthop. Trauma., 2010, 24(1), 7–11.
• [22] LASH N., HORNE G., FIELDEN J., DEVANE P., Ankle fractures: functional and lifestyle outcomes at 2 years, ANZ J. Surg., 2002, 72(10), 724–730.
• [23] NILSSON G., AGEBERG E., EKDAHL C., ENEROTH M., Balance in single-limb stance after surgically treated ankle fractures: a 14-month follow-up, BMC Musculoskelet. Disord., 2006, 5(7), 35–43.
• [24] EGOL K.A., TEJWANI N.C., WALSH M.G., CAPLA E.L., KOVAL K.J., Predictions of short-term functional outcome following ankle fracture surgery, J. Bone Joint Surg. Am., 2006, 88(5), 974–979.
• [25] KOŁODZIEJ Ł., KACZMARCZYK M., BOHATYREWICZ A., BUDZYŃSKI T., Does removal of the syndesmotic screw improve clinical resultsof operative treatment of ankle fractures with concomitant syndesmosis injury? Pol. Orthop. Traumatol., 2010, 75(3), 143–146.
• [26] JONSSON E., SEIGER A., HIRSCHFELD H., One-leg stance in healthy young and elderly adults: a measure of postural steadiness?, Clin. Biomech., 2004, 19, 688–694.