Advertisement

Relationship Between Gliding and Lateral Femoral Pain in Patients With Trochanteric Fracture

  • Kengo Kawanishi
    Affiliations
    Graduate School of Health Sciences, Morinomiya University of Medical Sciences, Osaka, Japan

    Department of Rehabilitation, Kano General Hospital, Osaka, Japan
    Search for articles by this author
  • Shintarou Kudo
    Correspondence
    Corresponding author Shintarou Kudo, PT, PhD, Graduate School of Health Science, Morinomiya University of Medical Science, 1-26-16 Nankoukita Suminoe Ward, Osaka, Osaka Prefecture 559-8611, Japan.
    Affiliations
    Graduate School of Health Sciences, Morinomiya University of Medical Sciences, Osaka, Japan

    Department of Physical Therapy, Morinomiya University of Medical Sciences, Osaka, Japan
    Search for articles by this author
  • Katsushi Yokoi
    Affiliations
    Graduate School of Health Sciences, Morinomiya University of Medical Sciences, Osaka, Japan

    Department of Occupational Therapy, Morinomiya University of Medical Sciences, Osaka, Japan
    Search for articles by this author
Published:October 21, 2019DOI:https://doi.org/10.1016/j.apmr.2019.09.011

      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

      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

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Gullberg B.
        • Johnell O.
        • Kanis J.A.
        World-wide projections for hip fracture.
        Osteoporos Int. 1997; 7: 407-413
        • Sambrook P.
        • Cooper C.
        Osteoporosis. Lancet. 2006; 367: 2010-2018
        • Hagino H.
        • Furukawa K.
        • Fujiwara S.
        • et al.
        Recent trends in the incidence and lifetime risk of hip fracture in Tottori Japan.
        Osteoporos Int. 2009; 20: 543-548
        • Moran C.G.
        • Wenn R.T.
        • Sikand
        • et al.
        Early mortality after hip fracture: is delay before surgery important?.
        J Bone Joint Surg Am. 2005; 87: 483-489
        • Sakamoto K.
        • Nakamura T.
        • Hagino H.
        • et al.
        Report on the Japanese orthopedics association’s 3 year project observing hip fractures at fixed-point hospitals.
        J Orthop Sci. 2006; 11: 127-134
        • Tolo E.T.
        • Bostrom M.P.
        • Simic P.M.
        • et al.
        The short term outcome of elderly patients with hip fractures.
        Int Orthop. 1999; 23: 279-282
        • Kagaya H.
        • Takahashi H.
        • Sugawara K.
        • et al.
        Predicting outcomes after hip fracture repair.
        Am J Phys Med Rehabil. 2005; 84: 46-51
        • Fukui N.
        • Watanabe Y.
        • Nakano T.
        • et al.
        Predictors for ambulatory ability and the change in ADL after hip fracture in patients with different levels of mobility before injury: a 1-year prospective cohort study.
        J Orthop Trauma. 2012; 26: 163-171
        • Wang Y.
        • Wang M.
        • Chena H.
        • et al.
        Early out-of-bed functional exercise bene is elderly patients following hip fracture: a retrospective cohort study.
        Tohoku J Exp Med. 2018; 246: 205-212
        • Duke R.G.
        • Keating J.L.
        An investigation of factor predictive of independence in transfers and ambulation after hip fracture.
        Arch Phys Med Rehabil. 2002; 83: 158-164
        • Koval K.J.
        • Sala D.A.
        • Kummer F.J.
        • et al.
        Postoperaative weight-bearing after fracture of the femoral neck or an intertrochanteric fracture.
        J Bone Joint Surg Am. 1998; 80: 352-356
        • Kakihana N.
        • Koeda M.
        • Kasahara M.
        • et al.
        Relationship between postoperative early loading ability and discharge to home after hip fracture.
        J Phys Ther. 2013; 30
        • Sakamoto J.
        • Katayama H.
        • Yoshida N.
        • et al.
        [Survey on the occurrence of pain after hip fracture] [Japanese].
        J Jpn Phys Ther Assoc. 2010; 39: 1138
        • Katayama H.
        • Nishikawa S.
        • Shibuya M.
        • et al.
        [Investigation about the occurrence of pain after hip fracture] [Japanese].
        J Jpn Phys Ther Assoc. 2011; 38: 1053
        • Kawabata Y.
        [Femoral neck fracture] [Japanese].
        J Phys Ther. 2017; 51: 171-177
        • Orosz G.M.
        • Magaziner J.
        • Hannan E.L.
        • et al.
        Association of timing of surgery for hip fracture and patient outcomes.
        JAMA. 2004; 291: 1738-1743
        • Ishibashi H.
        [Rehabilitation of hip fractures] [Japanese].
        Phys Ther Sci. 2005; 20 (227-233)
        • Kobayashi T.
        • Yamanaka M.
        [Lower limb fractures and physical therapy in the elderly] [Japanese].
        J Phys Ther. 2011; 28: 887-892
        • Lee A.Y.
        • Chua B.S.
        • Howe T.S.
        One-year outcome of hip fracture patients admitted to a Singapore hospital: quality of life post-treatment.
        Singapore Med J. 2007; 48: 996-999
        • Herrick C.
        • Steger-May K.
        • Sinacore D.R.
        • et al.
        Persistent pain in frail older adults after hip fracture repair.
        J Am Geriatr Soc. 2004; 52: 2062-2068
        • Salpakoski A.
        • Portegijs E.
        • Kallinen M.
        • et al.
        Physical inactivity and pain in older men and women with hip fracture history.
        Gerontology. 2011; 57: 19-27
        • Okita M.
        [Mechanisms of the limited range of joint motion and therapeutic strategy] [Japanese].
        J Jpn Phys Ther Assoc. 2014; 41: 523-530
        • Perry J.
        • Burnfield J.
        Gait analysis: normal and pathological function.
        2nd ed. SLACK Inc, Thorofare2010
        • Schleip R.
        • Findley T.W.
        • Chaitow L.
        • et al.
        Fascia: the tensional network of the human body.
        Churchill Livingstone, Edinburgh2012
        • Stecco L.
        Fascial manipulation for musculoskeletal pain [Kindle DX version].
        2004 (Available at: Amazon.com. Acccessed November 4, 2019)
        • Stecco L.
        • Stecco C.
        Fascial manipulation practical part [Kindle DX version].
        2009 (Available at: Amazon.com. Acccessed November 4, 2019)
        • Stecco C.
        • Stern R.
        • Porzionato A.
        • et al.
        Hyaluronan within fascia in the etiology of myofascial pain.
        Surg Radiol Anat. 2011; 33: 891-896
        • Dilley A.
        • Greening J.
        • Lynn B.
        The use of cross-correlation analysis between high-frequency ultrasound images to measure longitudinal median nerve movement.
        Ultrasound Med Biol. 2001; 27: 1211-1218
        • Kaga A.
        • Inoue Y.
        • Yamaguchi K.
        Pattern tracking algorithms using successive abandonment.
        J Flow Visual Image Process. 1993; 1: 283-296
        • Stecco A.
        • Wolfgang G.
        • Robert H.
        • et al.
        The anatomical and functional relation between gluteus maximus and fascia lata.
        J Bodyw Mov Ther. 2013; 17: 512-517
        • Ueno T.
        • Takahashi K.
        • Zama T.
        • Suzuki E.
        [Kinetic and electromyographic analyses of sit-to-stand motion in patients with proximal femoral fracture: comparison of patients with pain and without pain] [Japanese].
        Jpn Phys Ther Assoc. 2015; 42: 228-236