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

Submitted: 22 March 2022
Accepted: 7 May 2022
Published: 31 May 2022
Abstract Views: 2035
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Authors

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.

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Citations

Wilson, FC. Fractures of the ankle: pathogenesis and treatment. J South Orthop Assoc. 2000;9(2):105-115
Goost H, Wimmer MD, Barg A, Kabir K, Valderrabano V, Burger C. Fractures of the ankle joint: investigation and treatment options. Dtsch Arztebl Int. 2014 May 23;111(21):377-88. DOI: https://doi.org/10.3238/arztebl.2014.0377
Kannus P, Palvanen M, Niemi S, Parkkari J, Jarvinen M. Increasing number and incidence of low-trauma ankle fractures in elderly people: Finnish statistics during 1970-2000 and projections for the future. Bone. 2002;31:430–433. DOI: https://doi.org/10.1016/S8756-3282(02)00832-3
Yeung DE, Jia X, Miller CA, Barker SL. Interventions for treating ankle fractures in children. Cochrane Database Syst Rev. 2016 Apr 1;4(4):CD010836. DOI: https://doi.org/10.1002/14651858.CD010836.pub2
Eiff MP, Hatch R. Ankle fractures. In: Eiff MP, Hatch R, eds. Fracture Management for Primary Care. 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 13.
Court-Brown C, McBirnie J, Wilson G. Adult ankle fractures: an increasing problem? Acta Orthop Scand. 1998;69:43-7. DOI: https://doi.org/10.3109/17453679809002355
Kannus P, Palvanen M, Niemi S, Parkkari J, Järvinen M. Increasing number and incidence of low-trauma ankle fractures in elderly people: Finnish statistics during 1970- 2000 and projections for the future. Bone. 2002;31:430-3. DOI: https://doi.org/10.1016/S8756-3282(02)00832-3
Wilson LS Jr, Mizel MS, Michelson JD. Foot and ankle injuries in motor vehicle accidents. Foot Ankle Int. 2001;22:649-52. DOI: https://doi.org/10.1177/107110070102200806
Michelson JD. Fractures about the ankle. J Bone Joint Surg Am. 1995 Jan. 77(1):142-52 DOI: https://doi.org/10.2106/00004623-199501000-00020
Keene DJ, Costa ML, Tutton E, Hopewell S, Barber VS, Dutton SJ, Redmond AC, Willett K, Lamb SE. Progressive functional exercise versus best practice advice for adults aged 50 years or over after ankle fracture: protocol for a pilot randomised controlled trial in the UK - the Ankle Fracture Treatment: Enhancing Rehabilitation (AFTER) study. BMJ Open. 2019 Nov 2;9(11):e030877. DOI: https://doi.org/10.1136/bmjopen-2019-030877
Miller TL, Skalak T. Evaluation and treatment recommendations for acute injuries to the ankle syndesmosis without associated fracture. Sports Med. 2014 Feb. 44 (2):179-88. DOI: https://doi.org/10.1007/s40279-013-0106-1
Ferri FF. Ankle Fracture. In: Ferri FF, ed. Ferri's Clinical Advisor 2016. Philadelphia, PA:Elsevier; 2016:117-118.
Çolak İ, Çolak T, Polat MG, Timurtaş E, Bulut G, Gülabi D. The Results of Physical, Radiologic, Pedabarographic, and Quality-of-Life Assessments in Patients with Surgically Treated Intraarticular Calcaneus Fractures. J Foot Ankle Surg. 2018 Nov-Dec; 57(6):1172-1180. DOI: https://doi.org/10.1053/j.jfas.2018.06.009
Rampazo ÉP, Liebano RE. Analgesic Effects of Interferential Current Therapy: A Narrative Review. Medicina. 2022, 58, 141. DOI: https://doi.org/10.3390/medicina58010141
Kay AD, Husbands-Beasley J, Blazevich AJ. Effects of Contract-Relax, Static Stretching, and Isometric Contractions on Muscle-Tendon Mechanics. Med Sci Sports Exerc. 2015 ;47(10):2181-90. DOI: https://doi.org/10.1249/MSS.0000000000000632
Shepherd JT. Circulatory response to exercise in health. Circulation. 1987 Dec;76(6 Pt 2):VI3-10.
Alahmari KA, Silvian P, Ahmad I, Reddy RS, Tedla JS, Kakaraparthi VN, Rengaramanujam K. Effectiveness of Low-Frequency Stimulation in Proprioceptive Neuromuscular Facilitation Techniques for Post Ankle Sprain Balance and Proprioception in Adults: A Randomized Controlled Trial. Biomed Res Int. 2020 Sep 23;2020:9012930. DOI: https://doi.org/10.21203/rs.3.rs-29932/v1
Féron JM, Mauprivez R. Fracture repair: general aspects and influence of osteoporosis and anti-osteoporosis treatment. Injury. 2016 Jan;47 Suppl 1:S10-4. doi: 10.1016/S0020-1383(16)30003-1. DOI: https://doi.org/10.1016/S0020-1383(16)30003-1
Prvu Bettger J, Resnik LJ. Telerehabilitation in the Age of COVID-19: An Opportunity for Learning Health System Research. Phys Ther. 2020 Oct 30;100(11):1913-1916. DOI: https://doi.org/10.1093/ptj/pzaa151
Kilova K. The application of telemedicine in Bulgaria in the conditions of COVID-19. Fresenius Environmental Bulletin 30(7A):9180-9187.
Papathanasiou J, Kashilska Y, Bozov H, Petrov I, Masiero S. Telerehabilitation in Bulgarian health care system. Eur J Transl Myol 32 (1): 10350, 2022. DOI: https://doi.org/10.4081/ejtm.2022.10355

How to Cite

Kasnakova, P. ., Mihaylova, A., Djurdjev, B., & Tornyova, B. (2022). Randomized controlled trial of multidisciplinary rehabilitation therapy using mobile applications in cases of ankle fractures. European Journal of Translational Myology, 32(2). https://doi.org/10.4081/ejtm.2022.10471