Highlights
- •Better tissue gliding results in less postoperative pain after trochanteric fracture.
- •Severe pain decreased significantly with increased gliding at 3 weeks post operation.
- •Gliding is an important factor with trochanteric fracture for lateral femoral pain.
Abstract
Objective
To investigate the association between gliding and lateral femoral pain with trochanteric
fracture (TF).
Design
Prospective cohort study.
Setting
The survey was conducted at approximately 3 weeks and 11 weeks post operation.
Participants
Patients (N=23) with TF after surgery.
Interventions
Not applicable.
Main Outcome Measure
Pain was assessed using a numeric rating scale for the following 5 conditions: rest
pain, tenderness pain, stretch pain (SP), contraction pain, and weight-loading pain.
Based on weight-loading pain, the subjects were divided into 2 groups: severe and
moderate. Gliding of both the vastus lateralis (VL) muscle and subcutaneous (SC) tissue
were recorded during knee motion using B-mode ultrasonography with a 12-MHz linear
transducer fixed on the lateral thigh using an original fixation device. Particle
image velocimetry analysis software was adapted to create the flow velocity of both
VL muscle and SC tissue from echo imaging, and 2 regions of interest were selected
on the VL muscle and SC tissue. Gliding was calculated using a coefficient of correlation
from each time series data set.
Results
Gliding and pain (stretch/contraction) were significantly different between the 2
groups at 3 weeks post operation. Changes in both weight-loading pain (r=0.49) and SP (r=0.42) correlated significantly with improvements in gliding.
Conclusion
Patients with weight-loading pain after surgery for TF showed decreased gliding during
recovery, and an improvement in gliding was associated with improvements in both weight-loading
pain and SP.
Graphical abstract
Graphical Abstract
Keywords
List of abbreviations:
NRS (numeric rating scale), SC (subcutaneous), SP (stretch pain), TF (trochanteric fracture), VL (vastus lateralis)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: October 21, 2019
Footnotes
Disclosures: none.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
