Validated Method for Measuring Functional Range of Motion in Patients With Ankle Arthritis

Thornton, James F.; Sabah, Shiraz A.; Segaren, Neil; Cullen, Nicholas; Singh, Dishan; Goldberg, Andy

doi:10.1177/1071100716645391

Cited by 18 publications

(22 citation statements)

References 12 publications

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“…For the elbow and knee, the same goniometry protocol from HJHS 2.1 was used . Because ankle ROM measurement is subjective, we used the goniometry protocol developed by Thornton et al, owing to its excellent inter‐ and intrarater reliability in patients with and without ankle arthritis.…”

Section: Methodsmentioning

confidence: 99%

Implementation and assessment of a self‐ and community‐based rehabilitation programme in patients with haemophilia from Côte d’Ivoire

Lobet

Meité²,

Koninckx

et al. 2019

Haemophilia

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Introduction:In resource-constrained countries, few patients with haemophilia (PWH) have access to clotting factor concentrates (CFC), with increased musculoskeletal (MSK) complications. Physiotherapy actively contributes to preventing MSK complications, minimizing joint damage and reducing pain. Aim: To assess the impact of a 20-week self-and community-based rehabilitation (CBR) programme in Ivorian PWH. Methods: Fifty participants underwent a clinical and functional baseline assessment with identification of joints' functional defects and initiation of an individualized exercise programme comprising exercises to improve strength, joint mobility and proprioception. Hemophilia Joint Health Score (HJHS), 2-minute walking test (2MWT), Timed Up and Go (TUG), goniometry and maximal isometric voluntary contractions using the MicroFET2 were performed at baseline (T1) and at Week 20 (T2).Results: At T2, there was a significant improvement in both the 2MWT and TUG tests.The HJHS total score decreased significantly from 23.6 ± 14.2 at T1 to 20.4 ± 13 at T2. A significant improvement in joint health was found in the left elbow, right knee and right ankle, with elements correlating with joint function responsible for these improvements. A strong programme adherence was observed, with 94% of participants reporting regular exercise performance and a high degree of satisfaction. Conclusion:The programme with its encouraging results is meant to be the first step towards a more ambitious project. Self-based and CBR programmes are inexpensive and efficient treatment options designed to minimize the detrimental effects of joint and muscle bleedings, and to increase the functional independence and quality of life of PWH with limited access to CFC and physiotherapy. K E Y W O R D SCôte d'Ivoire, developing country, exercise, haemophilia, physiotherapy, self-and communitybased rehabilitation programme

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Section: Methodsmentioning

confidence: 99%

Implementation and assessment of a self‐ and community‐based rehabilitation programme in patients with haemophilia from Côte d’Ivoire

Lobet

Meité²,

Koninckx

et al. 2019

Haemophilia

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“…Range of motion after arthroplasty varies in the literature (10,17,20,21) . Accurate measurement of ankle range of motion is the subject of studies (22,23) . Coetzee and Castro (23) published a method that assesses isolated ankle movement following arthroplasty.…”

Section: Discussionmentioning

confidence: 99%

“…Coetzee and Castro (23) published a method that assesses isolated ankle movement following arthroplasty. Thornton et al (22) believe that the movement between leg and foot is easier to measure and can be used in the assessment of both patients with arthrosis, and those undergoing arthroplasty or ankle arthrodesis. We chose to assess leg-foot movement, with the same parameters described by Thornton, yet using weight-bearing radiographs in the lateral view, with maximum plantar flexion and maximum ankle extension.…”

Section: Discussionmentioning

confidence: 99%

Preliminary short-term results of ankle arthroplasty with the Taric® prosthesis

Neto

Costa

2020

J Foot Ankle

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Objective: Present the clinical and functional outcome of the first five ankle arthroplasties performed in our department. Methods: Five patients (five feet) with secondary arthrosis of the ankle underwent ankle arthroplasty with the Taric® prosthesis. Average age at the time of surgery was 42 years. Follow-up time averaged 43 months. We recorded the immediate postoperative complications. For clinical evaluation we used the VAS pain scale, the AOFAS hindfoot and ankle scale, and the Foot Function Index. We measured the leg-foot range of motion. On the radiographs, we measured the alpha, beta, and gamma angles as well as sagittal balance. We sought to identify the presence of posterior osteophytes (bone spurs). Results: We observed a case of medial malleolus fracture and a case of superficial suture dehiscence. In two cases, we considered the final outcome to be poor. The mean VAS of pain before surgery was 8.8 points while the postoperative score was 5.4 points. On the AOFAS scale, the average preoperative score was 52 points and the score at final evaluation, 70 points. We noticed a 10º increase in leg-foot range of motion. Conclusion: The assessment of the first patients undergoing ankle arthroplasty with the Taric® prosthesis yielded outcomes considered poor in 40% of cases. However, in those with an outcome considered satisfactory, there was an improvement in pain and an increase in leg-foot range of motion. In all patients, we noticed the formation of a posterior osteophyte alongside the posterior cortex of the distal tibia. Level of Evidence IV; Therapeutic Studies; Case Series.

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“…27,28 Ankle ROM was measured by one of the authors (CM) in terms of degrees of maximal ankle plantarflexion and dorsiflexion using a goniometer. 29 The radiological evaluation included pre-and postoperative weightbearing anteroposterior, mortise, and lateral view of the ankle as well as a hindfoot alignment view. 30,31 The focus of the radiological beam was placed over the ankle joint to avoid image distortion, and lateral views were obtained with the image receptor positioned between the two legs as in a normal lateral view while weightbearing (Figures 1 and 2).…”

Section: Methodsmentioning

confidence: 99%

Transfibular total ankle arthroplasty

Maccario¹,

Paoli²,

Romano

et al. 2022

The Bone & Joint Journal

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Aims This study reports updates the previously published two-year clinical, functional, and radiological results of a group of patients who underwent transfibular total ankle arthroplasty (TAA), with follow-up extended to a minimum of five years. Methods We prospectively evaluated 89 patients who underwent transfibular TAA for end-stage osteoarthritis. Patients’ clinical and radiological examinations were collected pre- and postoperatively at six months and then annually for up to five years of follow-up. Three patients were lost at the final follow-up with a total of 86 patients at the final follow-up. Results A total of 86 patients were evaluated at a mean follow-up of 65.4 months (60 to 90). At five-year follow-up, statistically significant improvements (p < 0.001) were found in the mean American Orthopaedic Foot & Ankle Society Ankle Hindfoot Score (from 33.8 (SD 14.3) to 86.1 (SD 8.8)), visual analogue scale for pain (from 8.5 (SD 1.7) to 1.5 (SD 1.2)), Short Form-12 Physical and Mental Component Scores (from 29.9 (SD 6.7) and 43.3 (SD 8.6) to 47.3 (SD 7.5) and 52.2 (SD 8.0), respectively), and mean ankle dorsiflexion and plantarflexion (from 6.2° (SD 5.5°) and 9.6° (SD 5.8°) to 23.9° (SD 7.7°) and 16.9° (SD 7.2°), respectively). Radiologically, the implants maintained neutral alignment without subsidence. Tibial or talar radiolucency was found in eight patients, but none of these patients was symptomatic. At five-year follow up, 97.7% of implants (95% confidence interval 91.2 to 99.4) were free from revision or removal with 84 implants at risk. We recorded two cases (2.3%) of failure for septic loosening. Conclusion Transfibular TAA is safe and effective with a high survival rate at mid-term follow-up and satisfactory clinical and radiological results. Further studies are required to determine the long-term performance of these implants. Cite this article: Bone Joint J 2022;104-B(4):472–478.

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Validated Method for Measuring Functional Range of Motion in Patients With Ankle Arthritis

Abstract: Level II, prospective comparative study.

Cited by 18 publications

References 12 publications

Implementation and assessment of a self‐ and community‐based rehabilitation programme in patients with haemophilia from Côte d’Ivoire

Implementation and assessment of a self‐ and community‐based rehabilitation programme in patients with haemophilia from Côte d’Ivoire

Preliminary short-term results of ankle arthroplasty with the Taric® prosthesis

Transfibular total ankle arthroplasty

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