Biofeedback versus physiotherapy in patients with partial weight-bearing.

Medical instructions for partial weight-bearing after lower limb surgery and fractures are commonly given. The techniques for instruction are mainly verbal cues. Our aim was to evaluate the efficiency of a new biofeedback device compared with traditional intervention for gait rehabilitation. After orthopedic surgery, 33 patients, randomly divided into a study group (n = 15) and a control group (n = 18), completed 10 days of a rehabilitation protocol. A significant difference (P<.05) was found between the groups. Study subjects were able to follow weight-bearing instructions better. We suggest that gait rehabilitation is more efficient when biofeedback is used to instruct patients regarding partial weight-bearing.

[1]  C G Warren,et al.  Training procedures and biofeedback methods to achieve controlled partial weight bearing: an assessment. , 1975, Archives of physical medicine and rehabilitation.

[2]  J. O'Neill,et al.  Treatment of intertrochanteric fracture of the femur using sliding screw plate fixation. , 1982, Clinical orthopaedics and related research.

[3]  D. Price,et al.  The validation of visual analogue scales as ratio scale measures for chronic and experimental pain , 1983, Pain.

[4]  U S Nayak,et al.  Balance in elderly patients: the "get-up and go" test. , 1986, Archives of physical medicine and rehabilitation.

[5]  Richard W. Bohannon,et al.  Perception of unilateral lower extremity weightbearing during bilateral upright stance. , 1989, Perceptual and motor skills.

[6]  Perception of Unilateral Weightbearing during Unilateral and Bilateral Upright Stance , 1990, Perceptual and motor skills.

[7]  Richard W. Bohannon,et al.  Accuracy of Weightbearing at Three Target Levels during Bilateral Upright Stance in Patients with Neuropathic Feet and Control Subjects , 1991, Perceptual and motor skills.

[8]  R. Balderston,et al.  Cemented versus cementless total hip arthroplasty. A comparative study of equivalent patient populations. , 1993, Clinical orthopaedics and related research.

[9]  A. Rosenberg,et al.  Arthroplasty with a composite of an allograft and a prosthesis for knees with severe deficiency of bone. , 1995, The Journal of bone and joint surgery. American volume.

[10]  C. Winstein,et al.  Learning a partial-weight-bearing skill: effectiveness of two forms of feedback. , 1996, Physical Therapy.

[11]  J. Zuckerman,et al.  Weight bearing after hip fracture: a prospective series of 596 geriatric hip fracture patients. , 1996, Journal of orthopaedic trauma.

[12]  F. Kummer,et al.  Postoperative Weight-Bearing after a Fracture of the Femoral Neck or an Intertrochanteric Fracture* , 1998, The Journal of bone and joint surgery. American volume.

[13]  D. D’Lima,et al.  Late deep venous thrombosis and delayed weightbearing after total hip arthroplasty. , 1999, Clinical orthopaedics and related research.

[14]  A. Randolph,et al.  Reliability of measurements of pressures applied on the foot during walking by a computerized insole sensor system. , 2000, Archives of physical medicine and rehabilitation.

[15]  Z. Pataky,et al.  A new ambulatory foot pressure device for patients with sensory impairment. A system for continuous measurement of plantar pressure and a feed-back alarm. , 2000, Journal of biomechanics.

[16]  N. Dalén,et al.  Immediate or late weight bearing after uncemented total hip arthroplasty: a study of functional recovery. , 2001, The Journal of arthroplasty.

[17]  J Kärrholm,et al.  Low effectiveness of prescribed partial weight bearing. Continuous recording of vertical loads using a new pressure-sensitive insole. , 2001, Journal of Rehabilitation Medicine.

[18]  N. Adler,et al.  The effect of partial or full weight bearing ambulation after cementless total hip arthroplasty. , 2002, The Journal of arthroplasty.

[19]  K. Chiu,et al.  Full weight bearing after non-cemented total hip replacement is compatible with satisfactory results , 2003, International Orthopaedics.

[20]  K. Verstraete,et al.  Arthroscopic meniscus repair in the ACL-deficient knee , 2005, International Orthopaedics.

[21]  L. Schon,et al.  Efficacy of a New Pressure-Sensitive Alarm for Clinical Use in Orthopaedics , 2004, Clinical orthopaedics and related research.

[22]  Richard K. Jones,et al.  Reproducibilty of partial weight bearing. , 2005, Injury.

[23]  S. White,et al.  Altering asymmetric limb loading after hip arthroplasty using real-time dynamic feedback when walking. , 2005, Archives of physical medicine and rehabilitation.

[24]  Kenton R Kaufman,et al.  Partial weight-bearing gait using conventional assistive devices. , 2005, Archives of physical medicine and rehabilitation.

[25]  E. Isakov Gait rehabilitation: a new biofeedback device for monitoring and enhancing weight-bearing over the affected lower limb. , 2007, Europa medicophysica.

[26]  Gandikota Girish,et al.  The adult hip , 2008 .