THE IMPACT OF LOWER LIMB-LENGTH EQUALISATION ON POSTURAL STABILITY IN PATIENTS TREATED WITH THE ILIZAROV METHOD
1Department of Physiotherapy in Motor Disorders and Dysfunctions, University School of Physical Education, Wroclaw, Poland
2Department and Clinic of Orthopaedic and Traumatologic Surgery, Wroclaw Medical University, Wroclaw, Poland
3Health Promotion, Faculty of Physiotherapy, University School of Physical Education, Wroclaw, Poland
DOI: 10.22374/jomh.v15i3.149 Vol.15,Issue 3,July 2019 pp.71-79
Published: 02 July 2019
Background and Objective
The aim of this study was to assess postural stability in patients with varying degrees of equalisation of limb shortness in the lower leg after treatment with the Ilizarov method (IM) compared to a control group, which consisted of people with lower extremities of equal lengths.
Material and Methods
The study included 58 men treated with the IM due to lower limb-length (LL) inequality in the lower leg and 61 healthy men who served as the control group. Patients with LL inequality were divided into two groups with varying degrees of limb equalisation. The measurement was made using the Biodex Balance System, which enables examination of the patient’s ability to control balance and to assess the patient’s lower limb support function by determining their ability to control bilateral, dynamic pos-tural stability on an unstable surface.
The study showed that not all patients treated with the IM obtained results matching those in the con-trol group. The largest limb-loading asymmetries were recorded in patients with limb shortness of >1 cm. People with LL asymmetry up to 1 cm obtained better results in terms of all measured parameters compared to patients whose LL discrepancy after treatment was more than 1 cm. The results of the balance parameter on an unstable surface differed between the patients subjected to treatment with the IM and the group of healthy individuals.
People with lower limb-length asymmetry up to 1 cm obtained better results on all measured parameters compared to those with a limb-length discrepancy exceeding 1 cm. The results of the balance control parameter obtained on an unstable surface differed between groups of patients following treatment with the IM and healthy individuals. People with limb-length asymmetry up to 1 cm following the treatment placed their weight in the lower extremities in a similar way as healthy individuals did.
leg length inequality, Ilizarov technique, postural balance, asymmetry, dynamic test
Łukasz Pawik,Piotr Morasiewicz,Zdzisława Wrzosek,Felicja Fink-Lwow,Malwina Pawik. THE IMPACT OF LOWER LIMB-LENGTH EQUALISATION ON POSTURAL STABILITY IN PATIENTS TREATED WITH THE ILIZAROV METHOD. Journal of Men's Health. 2019. 15(3);71-79.
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