Evidence map›Paper›PMID 38308266›Full record

ArticleJournal of orthopaedic surgery and research2024

Differences and relationships between weightbearing and non-weightbearing dorsiflexion range of motion in foot and ankle injuries.

Yuta Koshino, Tomoya Takabayashi, Hiroshi Akuzawa, Takeshi Mizota, Shun Numasawa, Takumi Kobayashi, Shintarou Kudo, Yoshiki Hikita, Naoki Akiyoshi, Mutsuaki Edama

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of orthopaedic surgery and research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.9field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 1 country.

Yuta KoshinoFaculty of Health Sciences, Hokkaido University, Kita 12, Nishi 5, Kita-Ku, Sapporo, 060-0812, Japan. y-t-1-6@hs.hokudai.ac.jp.
Tomoya TakabayashiInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.
Hiroshi AkuzawaInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.
Takeshi MizotaDepartment of Rehabilitation, Soejima Orthopedic Hospital, Takeo, Saga, Japan.
Shun NumasawaDepartment of Rehabilitation, Takarazuka University of Medical and Health Care, Takarazuka, Japan.
Takumi KobayashiFaculty of Health Science, Hokkaido Chitose College of Rehabilitation, Chitose, Japan.
Shintarou KudoInclusive Medical Sciences Research Institute, Morinomiya University of Medical Sciences, Osaka, Japan.
Yoshiki HikitaAruck Lab, Osaka, Japan.
Naoki AkiyoshiDepartment of Rehabilitation, J Medical Oyumino, Chiba, Japan.
Mutsuaki EdamaInstitute for Human Movement and Medical Sciences, Niigata University of Health and Welfare, Niigata, Japan.
Niigata University of Health and Welfare · JPHokkaido Chitose College of Rehabilitation · JPHokkaido University · JPMorinomiya University of Medical Sciences · JPTakarazuka University of Medical and Health Care · JP

Funding

Grant-in-Aid for Scientific Research from the Japanese Society for the Promotion of Science JP23H03258
6 · The paper itself

Abstract

backgroundThis study aimed to: (1) identify assessment methods that can detect greater ankle dorsiflexion range of motion (DROM) limitation in the injured limb; (2) determine whether differences in weightbearing measurements exist even in the absence of DROM limitations in the injured limb according to non-weightbearing measurements; and (3) examine associations between DROM in the weightbearing and non-weightbearing positions and compare those between a patient group with foot and ankle injuries and a healthy group.

methodsEighty-two patients with foot and ankle injuries (e.g., fractures, ligament and tendon injuries) and 49 healthy individuals participated in this study. Non-weightbearing DROM was measured under two different conditions: prone position with knee extended and prone position with knee flexed. Weightbearing DROM was measured as the tibia inclination angle (weightbearing angle) and distance between the big toe and wall (weightbearing distance) at maximum dorsiflexion. The effects of side (injured, uninjured) and measurement method on DROM in the patient groups were assessed using two-way repeated-measures ANOVA and t-tests. Pearson correlations between measurements were assessed. In addition, we analyzed whether patients without non-weightbearing DROM limitation (≤ 3 degrees) showed limitations in weightbearing DROM using t-tests with Bonferroni correction.

resultsDROM in patient groups differed significantly between legs with all measurement methods (all: P < 0.001), with the largest effect size for weightbearing angle (d = 0.95). Patients without non-weightbearing DROM limitation (n = 37) displayed significantly smaller weightbearing angle and weightbearing distance on the injured side than on the uninjured side (P < 0.001 each), with large effect sizes (d = 0.97-1.06). Correlation coefficients between DROM in non-weightbearing and weightbearing positions were very weak (R = 0.17, P = 0.123) to moderate (R = 0.26-0.49, P < 0.05) for the patient group, and moderate to strong for the healthy group (R = 0.51-0.69, P < 0.05).

conclusionsDROM limitations due to foot and ankle injuries may be overlooked if measurements are only taken in the non-weightbearing position and should also be measured in the weightbearing position. Furthermore, DROM measurements in non-weightbearing and weightbearing positions may assess different characteristics, particularly in patient group. LEVEL OF EVIDENCE: Level IV, cross-sectional study.

Indexed as

Ankle InjuriesAnkle JointCross-Sectional StudiesHumansRange of Motion, ArticularWeight-BearingAnkle injuryFlexibilityFoot injuryRange of motionStiffness

Identifiers

PMID38308266
PMCPMC10837980
OpenAlexW4391513140

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.