کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5652833 | 1407227 | 2017 | 5 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
A cross-sectional study of the impact of physiotherapy and self directed exercise on the functional outcome of internally fixed isolated unimalleolar Weber B ankle fractures
ترجمه فارسی عنوان
مطالعه مقطعی از تاثیر فیزیوتراپی و تمرین خودگردان بر نتایج عملکردی شکستگی های مچ پا عضلانی ویبل بیضه داخلی
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کلمات کلیدی
شکستگی مچ دست، تابع، نتیجه ورزش، فیزیوتراپی،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
طب اورژانس
چکیده انگلیسی
This study aimed to measure the functional outcome and quality of life in a group of patients with the same fracture type (unimalleolar Weber B ankle fractures) treated operatively at various time points and to explore the determinants of such outcomes. A cross-sectional retrospective population study was conducted. Validated Patient Related Outcome Measures (PROMs) and patient interviews were used. Fifty-one patients were included with a mean age of 54.9 years. Mean follow-up was 25 months (range 4-46 months). Mean functional scores were high (mean AOFAS 79.2, O&M 75.7, VAS-FA 80.5). However, 32% of patients did not classify themselves as fully recovered during interviews. Patient reported self-directed exercise had a statistically significant positive effect on self-reported patient perceptions of outcome (p = 0.022) and PROMs (AOFAS p = 0.01, O&M p = 0.016, VAS-FA p = 0.011). Formal physiotherapy rehabilitation was found to have no effect on self-reported patient perceptions (p = 0.242) or PROMs (AOFAS p = 0.8, O&M p = 0.73, VAS-FA p = 0.46). Our finding that physical activity is associated with improved outcome would suggest structured exercise programmes should be considered in place of physiotherapy to optimise patient outcomes.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 48, Issue 2, February 2017, Pages 531-535
Journal: Injury - Volume 48, Issue 2, February 2017, Pages 531-535
نویسندگان
E. Karam, F.S. Shivji, A. Bhattacharya, D.J. Bryson, D.P. Forward, B.E. Scammell, B.J. Ollivere,