Open Versus Closed Kinetic Chain Exercises in Tibial Distraction Osteogenesis by Ilizarov's METHOD

Summary

The Ilizarov external fixator is an external skeletal fixator that is used to stabilize or lengthen the limb bones. Bone lengthen bone occurs through mechanical distraction on the long axis of the bone, thus the method of lengthening is called distraction osteogenesis. This method has been shown successful. Unfortunately, it has also been associated with a substantial number of complications.

Muscle shortening and persistent weakness are among the most common complications seen in this procedure. Muscle shortening usually occurs in strong muscle groups such as the planter flexor muscles, as a result of strength imbalance between the opposing muscle groups. Shortening may persist for more than a year after the removal of the fixator and may require surgical intervention. Fortunately, muscular shortening can be prevented by splinting and physiotherapy in the form of stretching and strengthening exercise and functional training.

The use of different exercises in rehabilitation can help accomplishing different therapeutic goals. Thus, the choice to use one or the other should depend on the desired treatment goals. Weight bearing (CKC) and non weight bearing (OKC) exercise has been incorporated into rehabilitation; however, the effects of these two types of exercises particularly on muscle flexibility and mechanics have never been studied systematically.

Therefore, the purpose of this is to compare the effects of OKC and the CKC exercise on muscle strength, architecture and flexibility.

General Hypothesis:

The use of open kinetic or closed kinetic chain exercises will have no different effects on muscle function or internal organization during tibial distraction osteogenesis by Ilizarov's method Specific hypotheses

1. There will be no difference between the effects of OKC and CKC on muscle flexibility.
2. There will be no difference between the effect of OKC and CKC exercises on muscle strength.
3. There will be no difference between the effect of OKC and CKC on the internal organization of muscle specifically the pennation angle, muscle thickness and fiber length.
4. There will be no difference between the overall of OKC and CKC exercise on the functional performance of patients.

Conditions

• Limb Length Discrepancy
• Bone Deformity

Interventions

OTHER

Open Kinetic Chain exercise

1. Hamstrings strengthening exercise 2. Quadriceps strengthening exercise 3. Hamstrings stretch 4. Hip extensors and abductors strengthening 5. Calf-muscles stretching 6. Strength exercise of ankle dorsiflexors \& plantar flexors

OTHER

Closed kinetic chain exercise

1. Foot sliding from sitting 2. Seated Toe Raises 3. Hamstrings and quadriceps co-contraction from sitting 4. Bridging exercise 5. Sitting-to-standing 6. Side-to side, forward and backwards weight shifting 7. Lunge exercise 8. Squatting exercise 9. Standing Toe Raises 10. Standing Hamstrings Stretch

Sponsors & Collaborators

• Aliaa Rehan Youssef

  lead OTHER

Principal Investigators

• Aliaa Rehan Youssef, PhD · Cairo University

• Khaled Ayad, PhD · Cairo University

• Gamal A hosny, PhD · Benha University

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

45 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2014-07-31

Primary Completion

2014-12-31

Completion

2014-12-31

Countries

• Egypt

Study Locations