Comparison between early and late weight bearing rehabilitation program after internal fixation of ankle fracture /
المقارنة بين برنامج تأهيل التحميل المبكر للوزن والتحميل المتأخر للوزن بعد عملية تثبيت داخلى لكسر مفصل الكاحل
Nagy Mohamed Awad Alazaly ; Supervised Nadia Abdelazeem Fayaz , Ali Osman Almofty , Hamed Mohamed Elkhozamy
- Cairo : Nagy Mohamed Awad Alazaly , 2019
- 84 P. : charts , facsimiles ; 25cm
Thesis (Ph.D.) - Cairo University - Faculty of Physical Therapy - Department of Musculoskeletal Disorders
Background: Ankle fractures are the most common type of lower extremity fracture and among the most common types of fractures worldwide. Rehabilitation strategies after surgical intervention for ankle fractures are 2 concepts: 1) Early functional treatment with partial weight-bearing, or 2) Immobilization with a cast or orthosis for 6 weeks without weight-bearing (late weight-bearing). Objective: To compare between effect of early weight bearing rehabilitation protocol and late weight bearing rehabilitation protocol after internal fixation of ankle fracture. Methods: 30 patients participated in this study and assigned randomly into two groups; Group (A) received early weight-bearing protocol of rehabilitation (15 patients; male and female), and Group (B) received late weight-bearing protocol of rehabilitation (15 patients; male and female). Results: The statistical analysis by Wilcoxon test revealed that there were significant differences between before and after treatment regarding pain, range of motion of ankle and subtalar joint and activities of daily living within early weight bearing group (P=0.0001; P<0.05) and late weight bearing group (P=0.001; P<0.05)