Prolonged Time to Brake Following Lower Extremity Injuries
No guidelines exist for recommending return to driving. This study will examine time to brake (TTB) after lower extremity injuries versus in uninjured people. The potential effect of various types of lower extremity injuries on TTB will be measured. Patients with injuries to the pelvis, hip, femur,...
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| Veröffentlicht in: | Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews 2023-04, Vol.7 (4) |
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| container_title | Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews |
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| creator | Alejo, Andrew L. Rascoe, Alexander Kim, Chang-Yeon Ren, Bryan O. Hoffa, Matthew T. Heimke, Isabella M. Vallier, Heather A. |
| description | No guidelines exist for recommending return to driving. This study will examine time to brake (TTB) after lower extremity injuries versus in uninjured people. The potential effect of various types of lower extremity injuries on TTB will be measured.
Patients with injuries to the pelvis, hip, femur, knee, tibia, ankle, and foot underwent testing using a driving simulator to assess TTB. Comparison was with a control group of uninjured people.
Two-hundred thirty-two patients with lower extremity injuries participated. The majority were in the tibia and ankle regions (47%). Mean TTB for control subjects was 0.74 seconds, compared with 0.83 for injured patients, noting a 0.09-second difference (P = 0.017). Left-sided injuries averaged TTB of 0.80 seconds, right-sided injuries averaged TTB of 0.86 seconds, and bilateral injuries averaged TTB of 0.83 seconds, all prolonged versus control subjects. The longest TTB was exhibited after ankle and foot injuries (0.89 seconds) while the shortest was after tibial shaft fractures (0.76 seconds).
Any lower extremity injury caused a prolonged TTB compared with control patients. Left, right, and bilateral injuries all had longer TTB. Ankle and foot injuries experienced the longest TTB. Additional investigation is warranted to develop safe guidelines for return to driving. |
| doi_str_mv | 10.5435/JAAOSGlobal-D-23-00018 |
| format | Article |
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Patients with injuries to the pelvis, hip, femur, knee, tibia, ankle, and foot underwent testing using a driving simulator to assess TTB. Comparison was with a control group of uninjured people.
Two-hundred thirty-two patients with lower extremity injuries participated. The majority were in the tibia and ankle regions (47%). Mean TTB for control subjects was 0.74 seconds, compared with 0.83 for injured patients, noting a 0.09-second difference (P = 0.017). Left-sided injuries averaged TTB of 0.80 seconds, right-sided injuries averaged TTB of 0.86 seconds, and bilateral injuries averaged TTB of 0.83 seconds, all prolonged versus control subjects. The longest TTB was exhibited after ankle and foot injuries (0.89 seconds) while the shortest was after tibial shaft fractures (0.76 seconds).
Any lower extremity injury caused a prolonged TTB compared with control patients. Left, right, and bilateral injuries all had longer TTB. Ankle and foot injuries experienced the longest TTB. Additional investigation is warranted to develop safe guidelines for return to driving.</description><identifier>ISSN: 2474-7661</identifier><identifier>EISSN: 2474-7661</identifier><identifier>DOI: 10.5435/JAAOSGlobal-D-23-00018</identifier><identifier>PMID: 37026753</identifier><language>eng</language><publisher>United States: Wolters Kluwer</publisher><subject>Ankle ; Automobile Driving ; Foot Injuries ; Humans ; Leg Injuries ; Lower Extremity - injuries ; Tibial Fractures - diagnostic imaging</subject><ispartof>Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2023-04, Vol.7 (4)</ispartof><rights>Wolters Kluwer</rights><rights>Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.</rights><rights>Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons. 2023 American Academy of Orthopaedic Surgeons</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3902-c7347e11ea43292f803e01b5f411b08015421d6819de4337fa6cf1ed25e1dd813</citedby><cites>FETCH-LOGICAL-c3902-c7347e11ea43292f803e01b5f411b08015421d6819de4337fa6cf1ed25e1dd813</cites><orcidid>0000-0003-3881-6518</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082306/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10082306/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37026753$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alejo, Andrew L.</creatorcontrib><creatorcontrib>Rascoe, Alexander</creatorcontrib><creatorcontrib>Kim, Chang-Yeon</creatorcontrib><creatorcontrib>Ren, Bryan O.</creatorcontrib><creatorcontrib>Hoffa, Matthew T.</creatorcontrib><creatorcontrib>Heimke, Isabella M.</creatorcontrib><creatorcontrib>Vallier, Heather A.</creatorcontrib><title>Prolonged Time to Brake Following Lower Extremity Injuries</title><title>Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews</title><addtitle>J Am Acad Orthop Surg Glob Res Rev</addtitle><description>No guidelines exist for recommending return to driving. This study will examine time to brake (TTB) after lower extremity injuries versus in uninjured people. The potential effect of various types of lower extremity injuries on TTB will be measured.
Patients with injuries to the pelvis, hip, femur, knee, tibia, ankle, and foot underwent testing using a driving simulator to assess TTB. Comparison was with a control group of uninjured people.
Two-hundred thirty-two patients with lower extremity injuries participated. The majority were in the tibia and ankle regions (47%). Mean TTB for control subjects was 0.74 seconds, compared with 0.83 for injured patients, noting a 0.09-second difference (P = 0.017). Left-sided injuries averaged TTB of 0.80 seconds, right-sided injuries averaged TTB of 0.86 seconds, and bilateral injuries averaged TTB of 0.83 seconds, all prolonged versus control subjects. The longest TTB was exhibited after ankle and foot injuries (0.89 seconds) while the shortest was after tibial shaft fractures (0.76 seconds).
Any lower extremity injury caused a prolonged TTB compared with control patients. Left, right, and bilateral injuries all had longer TTB. Ankle and foot injuries experienced the longest TTB. Additional investigation is warranted to develop safe guidelines for return to driving.</description><subject>Ankle</subject><subject>Automobile Driving</subject><subject>Foot Injuries</subject><subject>Humans</subject><subject>Leg Injuries</subject><subject>Lower Extremity - injuries</subject><subject>Tibial Fractures - diagnostic imaging</subject><issn>2474-7661</issn><issn>2474-7661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkdFP2zAQxi20CVDhX6jyuJeMO9uJE16mDgoDVWLS4Nlyk0ub4sTMTij89zMrQ93Tnc7ffffpZ8amCF8zKbKz29ns7te1dUtj08uUixQAsDhgx1wqmao8x097_RE7DWETJRziSMIhOxIKeK4ycczOf3pnXb-iOrlvO0oGl3z35pGSK2et27b9Klm4Lflk_jJ46trhNbnpN6NvKZywz42xgU7f64Q9XM3vL36ki7vrm4vZIq1ECTytlJCKEMlIwUveFCAIcJk1EnEJBWAmOdZ5gWVNUgjVmLxqkGqeEdZ1gWLCvu18n8ZlR3VF_eCN1U--7Yx_1c60-v-Xvl3rlXvWCFBwAXl0-PLu4N3vkcKguzZUZK3pyY1Bc1UWCkqRZ1Ga76SVdyF4aj7uIOg3-HoPvr7UXOi_8OPidD_lx9o_1FEgd4KtswP58GjHyFWvydhhrQFLFQNAyiFGltHz7VNj_wfMgJFb</recordid><startdate>20230401</startdate><enddate>20230401</enddate><creator>Alejo, Andrew L.</creator><creator>Rascoe, Alexander</creator><creator>Kim, Chang-Yeon</creator><creator>Ren, Bryan O.</creator><creator>Hoffa, Matthew T.</creator><creator>Heimke, Isabella M.</creator><creator>Vallier, Heather A.</creator><general>Wolters Kluwer</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><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3881-6518</orcidid></search><sort><creationdate>20230401</creationdate><title>Prolonged Time to Brake Following Lower Extremity Injuries</title><author>Alejo, Andrew L. ; Rascoe, Alexander ; Kim, Chang-Yeon ; Ren, Bryan O. ; Hoffa, Matthew T. ; Heimke, Isabella M. ; Vallier, Heather A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3902-c7347e11ea43292f803e01b5f411b08015421d6819de4337fa6cf1ed25e1dd813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Ankle</topic><topic>Automobile Driving</topic><topic>Foot Injuries</topic><topic>Humans</topic><topic>Leg Injuries</topic><topic>Lower Extremity - injuries</topic><topic>Tibial Fractures - diagnostic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alejo, Andrew L.</creatorcontrib><creatorcontrib>Rascoe, Alexander</creatorcontrib><creatorcontrib>Kim, Chang-Yeon</creatorcontrib><creatorcontrib>Ren, Bryan O.</creatorcontrib><creatorcontrib>Hoffa, Matthew T.</creatorcontrib><creatorcontrib>Heimke, Isabella M.</creatorcontrib><creatorcontrib>Vallier, Heather A.</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><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alejo, Andrew L.</au><au>Rascoe, Alexander</au><au>Kim, Chang-Yeon</au><au>Ren, Bryan O.</au><au>Hoffa, Matthew T.</au><au>Heimke, Isabella M.</au><au>Vallier, Heather A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prolonged Time to Brake Following Lower Extremity Injuries</atitle><jtitle>Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews</jtitle><addtitle>J Am Acad Orthop Surg Glob Res Rev</addtitle><date>2023-04-01</date><risdate>2023</risdate><volume>7</volume><issue>4</issue><issn>2474-7661</issn><eissn>2474-7661</eissn><abstract>No guidelines exist for recommending return to driving. This study will examine time to brake (TTB) after lower extremity injuries versus in uninjured people. The potential effect of various types of lower extremity injuries on TTB will be measured.
Patients with injuries to the pelvis, hip, femur, knee, tibia, ankle, and foot underwent testing using a driving simulator to assess TTB. Comparison was with a control group of uninjured people.
Two-hundred thirty-two patients with lower extremity injuries participated. The majority were in the tibia and ankle regions (47%). Mean TTB for control subjects was 0.74 seconds, compared with 0.83 for injured patients, noting a 0.09-second difference (P = 0.017). Left-sided injuries averaged TTB of 0.80 seconds, right-sided injuries averaged TTB of 0.86 seconds, and bilateral injuries averaged TTB of 0.83 seconds, all prolonged versus control subjects. The longest TTB was exhibited after ankle and foot injuries (0.89 seconds) while the shortest was after tibial shaft fractures (0.76 seconds).
Any lower extremity injury caused a prolonged TTB compared with control patients. Left, right, and bilateral injuries all had longer TTB. Ankle and foot injuries experienced the longest TTB. Additional investigation is warranted to develop safe guidelines for return to driving.</abstract><cop>United States</cop><pub>Wolters Kluwer</pub><pmid>37026753</pmid><doi>10.5435/JAAOSGlobal-D-23-00018</doi><orcidid>https://orcid.org/0000-0003-3881-6518</orcidid><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; PubMed Central |
| subjects | Ankle Automobile Driving Foot Injuries Humans Leg Injuries Lower Extremity - injuries Tibial Fractures - diagnostic imaging |
| title | Prolonged Time to Brake Following Lower Extremity Injuries |
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