scholarly journals Painful lower extremity lesions associated with an ankle fracture

2022 ◽  
Vol 3 (1) ◽  
Author(s):  
Mackenzie Pargeon ◽  
Lindsay Tjiattas‐Saleski
Keyword(s):  
Lower Extremity ◽  
Ankle Fracture

The Lower Extremity Functional Scale Has Good Clinimetric Properties in People With Ankle Fracture

2009 ◽  
Vol 89 (6) ◽  
pp. 580-588 ◽  
Author(s):  
Chung-Wei Christine Lin ◽  
Anne M. Moseley ◽  
Kathryn M. Refshauge ◽  
Anita C. Bundy
Keyword(s):  
Lower Extremity ◽  
Internal Consistency ◽  
Ankle Fracture ◽  
Activity Limitation ◽  
Medium Term ◽  
Short Term ◽  
Functional Scale ◽  
High Internal Consistency ◽  
Lower Extremity Functional Scale

Background: There is limited information on the clinimetric properties of questionnaires of activity limitation in people after ankle fracture.Objective: The purpose of this study was to investigate the clinimetric properties of the Lower Extremity Functional Scale, an activity limitation questionnaire, in people with ankle fracture.Design: This was a measurement study using data collected from 2 previous randomized controlled trials and 1 inception cohort study.Methods: Participants with ankle fracture (N=306) were recruited within 7 days of cast removal. Data were collected at baseline and at short- and medium-term follow-ups. Internal consistency and construct validity were assessed using Rasch analysis. Concurrent validity, responsiveness, and floor and ceiling effects were evaluated.Results: The Lower Extremity Functional Scale demonstrated high internal consistency (α>.90). The variance in activity limitation explained by the items was high (98.3%). Each item had a positive correlation with the overall scale, and most items supported the unidimensionality of the scale. These findings suggest that the scale has high internal consistency and construct validity. The scale also demonstrated high concurrent validity and responsiveness in the short term and no floor or ceiling effects. However, the scale would benefit from more-challenging items, as evident at the medium-term follow-up.Limitations: This was a secondary analysis of existing data sets.Conclusion: The Lower Extremity Functional Scale is a useful tool to monitor activity limitation in people with ankle fracture up to the short-term follow-up. More- difficult items may need to be added to improve the responsiveness of the scale for longer-term follow-up.

LOWER-EXTREMITY FUNCTION FOR DRIVING AN AUTOMOBILE AFTER OPERATIVE TREATMENT OF ANKLE FRACTURE

2003 ◽  
Vol 85 (7) ◽  
pp. 1185-1189 ◽  
Author(s):  
KENNETH A. EGOL ◽  
ALI SHEIKHAZADEH ◽  
SAM MOGATEDERI ◽  
ANDREW BARNETT ◽  
KENNETH J. KOVAL
Keyword(s):  
Lower Extremity ◽  
Operative Treatment ◽  
Ankle Fracture ◽  
Lower Extremity Function ◽  
Extremity Function

Lower-Extremity Function for Driving an Automobile After Operative Treatment of Ankle Fracture

2004 ◽  
Vol 86 (8) ◽  
pp. 1830
Author(s):  
Kenneth A. Egol ◽  
Ali Sheikhazadeh ◽  
Sam Mogatederi ◽  
Andrew Barnett ◽  
Kenneth J. Koval
Keyword(s):  
Lower Extremity ◽  
Operative Treatment ◽  
Ankle Fracture ◽  
Lower Extremity Function ◽  
Extremity Function

Lower Extremity Kinematic Profile of Gait of Patients After Ankle Fracture: A Case-Control Study

2016 ◽  
Vol 55 (5) ◽  
pp. 918-921 ◽  
Author(s):  
Avi Elbaz ◽  
Amit Mor ◽  
Ganit Segal ◽  
Dana Bar ◽  
Maureen K. Monda ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Ankle Fracture ◽  
Case Control Study ◽  
Case Control ◽  
Control Study

scholarly journals Lower extremity kinematic profile of gait of patients post ankle fracture. A case control study

2016 ◽  
Vol 24 ◽  
pp. S117-S118
Author(s):  
A. Elbaz ◽  
A. Mor ◽  
G. Segal ◽  
D. Bar ◽  
M.K. Monda ◽  
...  
Keyword(s):  
Lower Extremity ◽  
Ankle Fracture ◽  
Case Control Study ◽  
Case Control ◽  
Control Study

Combining Values

2002 ◽  
Vol 7 (2) ◽  
pp. 1-4, 12 ◽  
Author(s):  
Christopher R. Brigham
Keyword(s):  
Lower Extremity ◽  
Upper Extremity ◽  
Evaluation Method ◽  
Proximal Phalanx ◽  
Common Error ◽  
The Third ◽  
Whole Person ◽  
Impairment Ratings ◽  
Upper Extremity Impairment ◽  
The Individual

Abstract To account for the effects of multiple impairments, evaluating physicians must provide a summary value that combines multiple impairments so the whole person impairment is equal to or less than the sum of all the individual impairment values. A common error is to add values that should be combined and typically results in an inflated rating. The Combined Values Chart in the AMA Guides to the Evaluation of Permanent Impairment, Fifth Edition, includes instructions that guide physicians about combining impairment ratings. For example, impairment values within a region generally are combined and converted to a whole person permanent impairment before combination with the results from other regions (exceptions include certain impairments of the spine and extremities). When they combine three or more values, physicians should select and combine the two lowest values; this value is combined with the third value to yield the total value. Upper extremity impairment ratings are combined based on the principle that a second and each succeeding impairment applies not to the whole unit (eg, whole finger) but only to the part that remains (eg, proximal phalanx). Physicians who combine lower extremity impairments usually use only one evaluation method, but, if more than one method is used, the physician should use the Combined Values Chart.

Quick Reference: Chapter 3: The Musculoskeletal System and Chapter 4: The Nervous System

2000 ◽  
Vol 5 (3) ◽  
pp. 4-4
Keyword(s):  
Nervous System ◽  
Lower Extremity ◽  
Musculoskeletal System ◽  
Multistep Method ◽  
Manual Muscle Testing ◽  
Motor Deficits ◽  
Lower Extremity Weakness ◽  
Residual Symptoms ◽  
Muscle Testing ◽  
Almost All

Abstract Lesions of the peripheral nervous system (PNS), whether due to injury or illness, commonly result in residual symptoms and signs and, hence, permanent impairment. The AMA Guides to the Evaluation of Permanent Impairment (AMA Guides), Fourth Edition, divides PNS deficits into sensory and motor and includes pain in the former. This article, which regards rating sensory and motor deficits of the lower extremities, is continued from the March/April 2000 issue of The Guides Newsletter. Procedures for rating extremity neural deficits are described in Chapter 3, The Musculoskeletal System, section 3.1k for the upper extremity and sections 3.2k and 3.2l for the lower limb. Sensory deficits and dysesthesia are both disorders of sensation, but the former can be interpreted to mean diminished or absent sensation (hypesthesia or anesthesia) Dysesthesia implies abnormal sensation in the absence of a stimulus or unpleasant sensation elicited by normal touch. Sections 3.2k and 3.2d indicate that almost all partial motor loss in the lower extremity can be rated using Table 39. In addition, Section 4.4b and Table 21 indicate the multistep method used for spinal and some additional nerves and be used alternatively to rate lower extremity weakness in general. Partial motor loss in the lower extremity is rated by manual muscle testing, which is described in the AMA Guides in Section 3.2d.

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