Recovery of muscle strength and power after limb-lengthening surgery
Barker, Karen L., Lamb, S. E. (Sallie E.) and Simpson, Hamish R. W.. (2010) Recovery of muscle strength and power after limb-lengthening surgery. Archives of Physical Medicine and Rehabilitation, Vol.91 (No.3). pp. 384-388. ISSN 0003-9993Full text not available from this repository.
Official URL: http://dx.doi.org/10.1016/j.apmr.2009.11.014
Barker KL, Lamb SE, Simpson HRW. Recovery or muscle strength and power after limb-lengthening surgery. Arch Phys Med Rehabil 2010;91:384-8.
Objective: To report muscle strength, power, and function after limb-lengthening surgery performed by using the Ilizarov technique.
Design: Prospective, longitudinal observational study of a cohort of consecutive patients who underwent limb-lengthening distraction followed up for 2 years after surgery.
Setting: National Health Service hospital specializing in orthopedic surgery.
Participants: Patients (N=16) who had undergone limb-lengthening surgery performed by using the Ilizarov method (11 men, 5 women; mean age=27y; range, 13-56y).
Main Outcome Measures: Muscle strength and power were assessed by using 2 validated measures: isokinetic concentric strength of the quadriceps and hamstrings measured by using a dynamometer and leg extensor power. Measures were recorded preoperatively and at 6, 12, and 24 months after the completion of lengthening. Function was measured by 2 timed tests of functional performance: stair climbing and sit-to-stand.
Results: Overall results were good with high reports of function and satisfactory clinical examination. Both concentric muscle strength and leg power showed a clear pattern of decreased muscle strength at 6 months after frame removal, improving throughout the study period until it was within 3% of the preoperative value at 2 years. By 2 years, self-reported function and ability to complete timed functional tests had returned to or improved on the preoperative values. Muscle strength remained slightly below the preoperative value; this was more pronounced in the quadriceps than the hamstrings. There was no association between muscle strength and the amount of lengthening that had been undertaken.
Conclusions: This study suggests that there is a small residual decrease in muscle strength and power after limb-lengthening surgery but that these do not adversely impact on a patients' ability to perform everyday functional activities.
|Item Type:||Journal Article|
|Subjects:||R Medicine > RA Public aspects of medicine
R Medicine > RM Therapeutics. Pharmacology
|Divisions:||Faculty of Medicine > Warwick Medical School > Health Sciences
Faculty of Medicine > Warwick Medical School
|Library of Congress Subject Headings (LCSH):||Muscle strength, Medical rehabilitation, Bone lengthening (Orthopedics)|
|Journal or Publication Title:||Archives of Physical Medicine and Rehabilitation|
|Publisher:||W B Saunders co-Elsevier Inc.|
|Official Date:||March 2010|
|Number of Pages:||5|
|Page Range:||pp. 384-388|
|Access rights to Published version:||Restricted or Subscription Access|
|Funder:||Smith & Nephew (Firm), National Institute for Health Research (Great Britain) (NIHR)|
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