Randomized controlled trial of multidisciplinary rehabilitation therapy using mobile applications in cases of ankle fractures

Abstract

A multidisciplinary approach to rehabilitation in patients with ankle fractures is needed to return to their daily activities. Mobile health applications can improve or optimize the rehabilitation process. The purpose of this study is to monitor the efficiency of a modified and validated rehabilitation scheme for the functional rehabilitation of the lower limbs. The subjects of the study are patients in the post-immobilization and post-operative period. The algorithm of procedures administered to the patients were performed by physiotherapists and monitored via mobile apps. The results show a reduction of the swelling and the pain, overcoming the muscular imbalance, enhanced stabilization, correct way of walking, and an improved quality of life of the patients with ankle fractures. Despite a certain trend towards residual deficit, the implementation of kinesitherapeutic means creates the necessary background on the basis of which specialized methods can be applied – joint-mobilizing techniques and passive stretching, for the purpose of the full recovery of the functions of the lower extremity. The application of mobile apps optimizes the recovery process and increases access to rehabilitation.

Pediatric Ankle Fractures: Successful Remodeling and Restoration Through Comprehensive Diagnosis and Conservative Management in a Diverse Context

“…In this case, the fractures involved a comminuted displaced talus fracture, calcaneus fracture, and diaphyseal fractures of both the tibia and the fibula. The utilization of trauma guidelines and additional imaging through axial CT scans played a crucial role in achieving a precise diagnosis [ 5 , 8 , 15 , 17 ]. Given the potential for severe injuries and considering the age of the patient, a swift and accurate diagnosis was essential for initiating timely and appropriate management.…”

“…First and foremost, toddlers possess growth plates at the ends of their bones that are still in the developmental stage. Surgical interventions near these growth plates carry the risk of disrupting normal bone growth, making conservative measures essential to minimize the potential for growth disturbances [ 3 , 14 , 17 ]. Additionally, the remarkable bone remodeling ability of young children, including toddlers, allows for natural realignment and healing, obviating the immediate need for surgical intervention [ 18 ].…”

“…Furthermore, ankle fractures in toddlers are often less severe, with the bones exhibiting less displacement, making it more feasible to achieve proper alignment through conservative means [ 10 ]. The practicality of immobilizing the ankle with a cast is also a factor, ensuring better compliance from both the toddler and their caregivers [ 3 , 14 , 17 ]. Lastly, the avoidance of surgical risks, including infection, bleeding, and complications related to anesthesia, underscores the comprehensive rationale for choosing conservative treatment whenever possible in the context of ankle fractures in toddlers [ 1 ].…”

“…Surgical recourse, specifically embracing open reduction and internal fixation (ORIF), assumes relevance in the context of displaced or intricate fractures [14][15][16]. Beyond the acute phase, rehabilitative endeavors via physical therapy, embracing targeted exercises and gait restoration, aspire to reestablish optimal functionality [17]. Pain management, patient and familial enlightenment emphasizing activity constraints, and follow-up adherence, alongside longitudinal monitoring accentuating growth dynamics, consummate this sophisticated and interdisciplinary approach [1,7,12].…”

Patient self-reported pain and nausea via smartphone following day care surgery, first year results: An observational cohort study

“…The Q1.6 Inguinal Hernia app [ 32 ] uses ’twitch crowdsourcing’ for real-time data collection but does not provide patient follow-up. In addition to these, there are other recent applications that focus more on rehabilitation and revalidation for specific surgical procedures, featuring built-in patient instructions and reminders rather than primarily focusing on the management of postoperative pain and nausea [ 33 – 35 ].…”