Effects of Immobilization on Plantar-Flexion Torque, Fatigue Resistance, and Functional Ability Following an Ankle Fracture
The goal of this investigation was to study the recovery of ankle plantar-flexor peak torque, fatigue resistance, and functional ability (stair climbing, walking) following cast immobilization in patients with ankle fractures. The participants were 10 patients who underwent open reduction-internal f...
Gespeichert in:
| Veröffentlicht in: | Physical therapy 2000-08, Vol.80 (8), p.769-780 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 780 |
|---|---|
| container_issue | 8 |
| container_start_page | 769 |
| container_title | Physical therapy |
| container_volume | 80 |
| creator | Michael A Shaffer Enyi Okereke John L Esterhai, Jr Mark A Elliott Glenn A Walter Steven H Yim Krista Vandenborne |
| description | The goal of this investigation was to study the recovery of ankle plantar-flexor peak torque, fatigue resistance, and functional ability (stair climbing, walking) following cast immobilization in patients with ankle fractures.
The participants were 10 patients who underwent open reduction-internal fixation and 8 weeks of cast immobilization following a fracture of the ankle mortise and 10 age- and sex-matched, noninjured comparison subjects.
Plantar-flexor torque and fatigue resistance were measured at 1, 5, and 10 weeks of rehabilitation using an isokinetic dynamometer. Ankle plantar-flexor peak torque and fatigue resistance were correlated to timed ambulation, timed stair climbing, and unilateral heel-rises.
Following immobilization, plantar-flexor peak torque was decreased at all angular speeds and positions. The decrease in peak torque was associated with an increase in fatigue resistance. With rehabilitation, ankle plantar-flexor torque and fatigue resistance normalized. Regression analysis revealed a strong relationship between plantar-flexor peak torque and functional measures. By 10 weeks post-immobilization, peak torque, fatigue resistance, and all measures of functional performance had returned to control levels.
The decrease in muscle performance, functional ability, and fatigue resistance induced by 8 weeks of cast immobilization can be reversed with 10 weeks of supervised physical therapy. In addition, this study demonstrated that ankle-plantar flexor torque is a good predictor of stair-climbing and walking performance in patients with ankle fractures. |
| doi_str_mv | 10.1093/ptj/80.8.769 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_71258114</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A64418907</galeid><sourcerecordid>A64418907</sourcerecordid><originalsourceid>FETCH-LOGICAL-c539t-e5e01c47ae4fe407e1c247146753f370fa816bfec2e9c631bb4b7224eb97c85c3</originalsourceid><addsrcrecordid>eNptkUFr3DAQhUVpabZpbz0XnXppvJFs2bKPyxI3gUBKSc9C1o4dpbK1lWSStH--YzaEFhYNCIZvHvPmEfKRszVnTXG-T_fnNVvXa1k1r8iKl0WdVTIXr8mKsYJnDcuLE_IuxnvGGJeieUtOcJBzwcsV-XPR92BSpL6nV-PoO-vsb52snyjWN6enpEPWOnhcWrc-_JrhjLZIDDPQ7xBtTHoy2NPTjrbzZJZZ7ehmUUpPtPXO-Qc7DQjQzfTTAW2DNmkO8J686bWL8OH5PyU_2ovb7WV2ffP1aru5zkxZNCmDEhg3QmoQPQgmgZtcSC4qWRZ9IVmva1516CKHxlQF7zrRyTwX0DXS1KUpTsnng-4-eFw_JjXaaMChOfBzVJLnZY33QPDsAA7agbJT7xOuOsAEQTs_QW-xvamE4HXDJOLZERzfDkZrjvH_yyOS4DEZvBAMoNDz9uYYboKPMUCv9sGOOjwpztQSvcLoVc1UrTB6xD89u5y7EXb_wIesEfhyAO7scPdgA6g4aucQzxclPwfM7UXuLzyRuYg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>71258114</pqid></control><display><type>article</type><title>Effects of Immobilization on Plantar-Flexion Torque, Fatigue Resistance, and Functional Ability Following an Ankle Fracture</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Michael A Shaffer ; Enyi Okereke ; John L Esterhai, Jr ; Mark A Elliott ; Glenn A Walter ; Steven H Yim ; Krista Vandenborne</creator><creatorcontrib>Michael A Shaffer ; Enyi Okereke ; John L Esterhai, Jr ; Mark A Elliott ; Glenn A Walter ; Steven H Yim ; Krista Vandenborne</creatorcontrib><description>The goal of this investigation was to study the recovery of ankle plantar-flexor peak torque, fatigue resistance, and functional ability (stair climbing, walking) following cast immobilization in patients with ankle fractures.
The participants were 10 patients who underwent open reduction-internal fixation and 8 weeks of cast immobilization following a fracture of the ankle mortise and 10 age- and sex-matched, noninjured comparison subjects.
Plantar-flexor torque and fatigue resistance were measured at 1, 5, and 10 weeks of rehabilitation using an isokinetic dynamometer. Ankle plantar-flexor peak torque and fatigue resistance were correlated to timed ambulation, timed stair climbing, and unilateral heel-rises.
Following immobilization, plantar-flexor peak torque was decreased at all angular speeds and positions. The decrease in peak torque was associated with an increase in fatigue resistance. With rehabilitation, ankle plantar-flexor torque and fatigue resistance normalized. Regression analysis revealed a strong relationship between plantar-flexor peak torque and functional measures. By 10 weeks post-immobilization, peak torque, fatigue resistance, and all measures of functional performance had returned to control levels.
The decrease in muscle performance, functional ability, and fatigue resistance induced by 8 weeks of cast immobilization can be reversed with 10 weeks of supervised physical therapy. In addition, this study demonstrated that ankle-plantar flexor torque is a good predictor of stair-climbing and walking performance in patients with ankle fractures.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.1093/ptj/80.8.769</identifier><identifier>PMID: 10911415</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Adult ; Ankle ; Ankle injuries ; Ankle Injuries - rehabilitation ; Ankle Injuries - surgery ; Bed rest ; Biomechanical Phenomena ; Casts, Surgical - adverse effects ; Evaluation ; Female ; Fracture Fixation, Internal - methods ; Fractures ; Fractures (Injuries) ; Fractures, Bone - rehabilitation ; Fractures, Bone - surgery ; Gait - physiology ; Health aspects ; Humans ; Immobilization - adverse effects ; Injuries ; Isometric Contraction ; Male ; Muscle Fatigue - physiology ; Pain Measurement ; Physical Therapy Modalities - methods ; Range of Motion, Articular ; Reference Values ; Regression Analysis ; Surgical casts</subject><ispartof>Physical therapy, 2000-08, Vol.80 (8), p.769-780</ispartof><rights>COPYRIGHT 2000 Oxford University Press</rights><rights>COPYRIGHT 2000 Oxford University Press</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c539t-e5e01c47ae4fe407e1c247146753f370fa816bfec2e9c631bb4b7224eb97c85c3</citedby><cites>FETCH-LOGICAL-c539t-e5e01c47ae4fe407e1c247146753f370fa816bfec2e9c631bb4b7224eb97c85c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10911415$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Michael A Shaffer</creatorcontrib><creatorcontrib>Enyi Okereke</creatorcontrib><creatorcontrib>John L Esterhai, Jr</creatorcontrib><creatorcontrib>Mark A Elliott</creatorcontrib><creatorcontrib>Glenn A Walter</creatorcontrib><creatorcontrib>Steven H Yim</creatorcontrib><creatorcontrib>Krista Vandenborne</creatorcontrib><title>Effects of Immobilization on Plantar-Flexion Torque, Fatigue Resistance, and Functional Ability Following an Ankle Fracture</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>The goal of this investigation was to study the recovery of ankle plantar-flexor peak torque, fatigue resistance, and functional ability (stair climbing, walking) following cast immobilization in patients with ankle fractures.
The participants were 10 patients who underwent open reduction-internal fixation and 8 weeks of cast immobilization following a fracture of the ankle mortise and 10 age- and sex-matched, noninjured comparison subjects.
Plantar-flexor torque and fatigue resistance were measured at 1, 5, and 10 weeks of rehabilitation using an isokinetic dynamometer. Ankle plantar-flexor peak torque and fatigue resistance were correlated to timed ambulation, timed stair climbing, and unilateral heel-rises.
Following immobilization, plantar-flexor peak torque was decreased at all angular speeds and positions. The decrease in peak torque was associated with an increase in fatigue resistance. With rehabilitation, ankle plantar-flexor torque and fatigue resistance normalized. Regression analysis revealed a strong relationship between plantar-flexor peak torque and functional measures. By 10 weeks post-immobilization, peak torque, fatigue resistance, and all measures of functional performance had returned to control levels.
The decrease in muscle performance, functional ability, and fatigue resistance induced by 8 weeks of cast immobilization can be reversed with 10 weeks of supervised physical therapy. In addition, this study demonstrated that ankle-plantar flexor torque is a good predictor of stair-climbing and walking performance in patients with ankle fractures.</description><subject>Adult</subject><subject>Ankle</subject><subject>Ankle injuries</subject><subject>Ankle Injuries - rehabilitation</subject><subject>Ankle Injuries - surgery</subject><subject>Bed rest</subject><subject>Biomechanical Phenomena</subject><subject>Casts, Surgical - adverse effects</subject><subject>Evaluation</subject><subject>Female</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fractures</subject><subject>Fractures (Injuries)</subject><subject>Fractures, Bone - rehabilitation</subject><subject>Fractures, Bone - surgery</subject><subject>Gait - physiology</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Immobilization - adverse effects</subject><subject>Injuries</subject><subject>Isometric Contraction</subject><subject>Male</subject><subject>Muscle Fatigue - physiology</subject><subject>Pain Measurement</subject><subject>Physical Therapy Modalities - methods</subject><subject>Range of Motion, Articular</subject><subject>Reference Values</subject><subject>Regression Analysis</subject><subject>Surgical casts</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkUFr3DAQhUVpabZpbz0XnXppvJFs2bKPyxI3gUBKSc9C1o4dpbK1lWSStH--YzaEFhYNCIZvHvPmEfKRszVnTXG-T_fnNVvXa1k1r8iKl0WdVTIXr8mKsYJnDcuLE_IuxnvGGJeieUtOcJBzwcsV-XPR92BSpL6nV-PoO-vsb52snyjWN6enpEPWOnhcWrc-_JrhjLZIDDPQ7xBtTHoy2NPTjrbzZJZZ7ehmUUpPtPXO-Qc7DQjQzfTTAW2DNmkO8J686bWL8OH5PyU_2ovb7WV2ffP1aru5zkxZNCmDEhg3QmoQPQgmgZtcSC4qWRZ9IVmva1516CKHxlQF7zrRyTwX0DXS1KUpTsnng-4-eFw_JjXaaMChOfBzVJLnZY33QPDsAA7agbJT7xOuOsAEQTs_QW-xvamE4HXDJOLZERzfDkZrjvH_yyOS4DEZvBAMoNDz9uYYboKPMUCv9sGOOjwpztQSvcLoVc1UrTB6xD89u5y7EXb_wIesEfhyAO7scPdgA6g4aucQzxclPwfM7UXuLzyRuYg</recordid><startdate>20000801</startdate><enddate>20000801</enddate><creator>Michael A Shaffer</creator><creator>Enyi Okereke</creator><creator>John L Esterhai, Jr</creator><creator>Mark A Elliott</creator><creator>Glenn A Walter</creator><creator>Steven H Yim</creator><creator>Krista Vandenborne</creator><general>American Physical Therapy Association</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20000801</creationdate><title>Effects of Immobilization on Plantar-Flexion Torque, Fatigue Resistance, and Functional Ability Following an Ankle Fracture</title><author>Michael A Shaffer ; Enyi Okereke ; John L Esterhai, Jr ; Mark A Elliott ; Glenn A Walter ; Steven H Yim ; Krista Vandenborne</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c539t-e5e01c47ae4fe407e1c247146753f370fa816bfec2e9c631bb4b7224eb97c85c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Ankle</topic><topic>Ankle injuries</topic><topic>Ankle Injuries - rehabilitation</topic><topic>Ankle Injuries - surgery</topic><topic>Bed rest</topic><topic>Biomechanical Phenomena</topic><topic>Casts, Surgical - adverse effects</topic><topic>Evaluation</topic><topic>Female</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fractures</topic><topic>Fractures (Injuries)</topic><topic>Fractures, Bone - rehabilitation</topic><topic>Fractures, Bone - surgery</topic><topic>Gait - physiology</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Immobilization - adverse effects</topic><topic>Injuries</topic><topic>Isometric Contraction</topic><topic>Male</topic><topic>Muscle Fatigue - physiology</topic><topic>Pain Measurement</topic><topic>Physical Therapy Modalities - methods</topic><topic>Range of Motion, Articular</topic><topic>Reference Values</topic><topic>Regression Analysis</topic><topic>Surgical casts</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Michael A Shaffer</creatorcontrib><creatorcontrib>Enyi Okereke</creatorcontrib><creatorcontrib>John L Esterhai, Jr</creatorcontrib><creatorcontrib>Mark A Elliott</creatorcontrib><creatorcontrib>Glenn A Walter</creatorcontrib><creatorcontrib>Steven H Yim</creatorcontrib><creatorcontrib>Krista Vandenborne</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Michael A Shaffer</au><au>Enyi Okereke</au><au>John L Esterhai, Jr</au><au>Mark A Elliott</au><au>Glenn A Walter</au><au>Steven H Yim</au><au>Krista Vandenborne</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of Immobilization on Plantar-Flexion Torque, Fatigue Resistance, and Functional Ability Following an Ankle Fracture</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2000-08-01</date><risdate>2000</risdate><volume>80</volume><issue>8</issue><spage>769</spage><epage>780</epage><pages>769-780</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>The goal of this investigation was to study the recovery of ankle plantar-flexor peak torque, fatigue resistance, and functional ability (stair climbing, walking) following cast immobilization in patients with ankle fractures.
The participants were 10 patients who underwent open reduction-internal fixation and 8 weeks of cast immobilization following a fracture of the ankle mortise and 10 age- and sex-matched, noninjured comparison subjects.
Plantar-flexor torque and fatigue resistance were measured at 1, 5, and 10 weeks of rehabilitation using an isokinetic dynamometer. Ankle plantar-flexor peak torque and fatigue resistance were correlated to timed ambulation, timed stair climbing, and unilateral heel-rises.
Following immobilization, plantar-flexor peak torque was decreased at all angular speeds and positions. The decrease in peak torque was associated with an increase in fatigue resistance. With rehabilitation, ankle plantar-flexor torque and fatigue resistance normalized. Regression analysis revealed a strong relationship between plantar-flexor peak torque and functional measures. By 10 weeks post-immobilization, peak torque, fatigue resistance, and all measures of functional performance had returned to control levels.
The decrease in muscle performance, functional ability, and fatigue resistance induced by 8 weeks of cast immobilization can be reversed with 10 weeks of supervised physical therapy. In addition, this study demonstrated that ankle-plantar flexor torque is a good predictor of stair-climbing and walking performance in patients with ankle fractures.</abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>10911415</pmid><doi>10.1093/ptj/80.8.769</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0031-9023 |
| ispartof | Physical therapy, 2000-08, Vol.80 (8), p.769-780 |
| issn | 0031-9023 1538-6724 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_71258114 |
| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Ankle Ankle injuries Ankle Injuries - rehabilitation Ankle Injuries - surgery Bed rest Biomechanical Phenomena Casts, Surgical - adverse effects Evaluation Female Fracture Fixation, Internal - methods Fractures Fractures (Injuries) Fractures, Bone - rehabilitation Fractures, Bone - surgery Gait - physiology Health aspects Humans Immobilization - adverse effects Injuries Isometric Contraction Male Muscle Fatigue - physiology Pain Measurement Physical Therapy Modalities - methods Range of Motion, Articular Reference Values Regression Analysis Surgical casts |
| title | Effects of Immobilization on Plantar-Flexion Torque, Fatigue Resistance, and Functional Ability Following an Ankle Fracture |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T10%3A16%3A53IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effects%20of%20Immobilization%20on%20Plantar-Flexion%20Torque,%20Fatigue%20Resistance,%20and%20Functional%20Ability%20Following%20an%20Ankle%20Fracture&rft.jtitle=Physical%20therapy&rft.au=Michael%20A%20Shaffer&rft.date=2000-08-01&rft.volume=80&rft.issue=8&rft.spage=769&rft.epage=780&rft.pages=769-780&rft.issn=0031-9023&rft.eissn=1538-6724&rft_id=info:doi/10.1093/ptj/80.8.769&rft_dat=%3Cgale_proqu%3EA64418907%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=71258114&rft_id=info:pmid/10911415&rft_galeid=A64418907&rfr_iscdi=true |