Effect of Early Weight-bearing Versus Late Weight on Ankle Range of Motion after Internal Fixation of Ankle Fracture: A Randomized Clinical Trial

Nagy Mohamed Awad Alazaly, Nadia Abd El Azeem Fayaz, Hamed Mohamed Elkhozamy, Ali Osman Almofty

Nagy Mohamed Awad Alazaly, Nadia Abd El Azeem Fayaz, Hamed Mohamed Elkhozamy, Ali Osman Almofty – Effect of Early Weight-bearing Versus Late Weight on Ankle Range of Motion after Internal Fixation of Ankle Fracture: A Randomized Clinical Trial. Fizjoterapia Polska 2020; 20(1); 144-148

Abstract
Purpose. The aim of this study was to investigate the effect of early weight-bearing versus late weight on ankle range of motion after internal fixation of ankle fracture. Materials and Methods. Thirty patients participated in this study and assigned randomly into two groups; Group (A) received early weight-bearing protocol of rehabilitation (15 patients), and Group (B) received late weight-bearing protocol of rehabilitation (15 patients). Results. Within groups: there were significant reduction (P < 0.05) in pain severity and significant increase (P < 0.05) in range of motion (dorsi and planter flexion) at post treatment in compared to pre-treatment at both groups. While between groups; there was significant improvement (P < 0.05) in favour to group A in compared to group B for all outcome measures. Conclusion. This study proved that early weight-bearing rehabilitation program is more effective than late weight-bearing rehabilitation program after internal fixation of ankle fracture regarding pain and stiffness of ankle joint.

Key words:
Early Weight and Late Weight-bearing, Ankle Fracture, Internal Fixation

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