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| Changes in posttraumatic ankle joint mobility, pain, and edema following intermittent pneumatic compression therapy |
| Airaksinen O |
| Archives of Physical Medicine and Rehabilitation 1989 Apr;70(4):341-344 |
| clinical trial |
| 5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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The changes in posttraumatic ankle joint mobility, pain, and edema following intermittent pneumatic compression (IPC) therapy were examined in patients with lower leg fractures after six to 12 weeks of immobilization in a cast. The study group consisted of 22 patients with distal fractures of the lower leg. Each patient was given IPC treatment on five consecutive days for 75 minutes daily. The control group consisted of 12 patients with lower leg fractures who were not given any treatment. Ankle joint mobility in the study group increased by 11.9 degrees (SE = 1.5), but by only 1.0 degree (SE = 0.8) in the control group. The difference is highly significant (p < 0.001). The study group also experienced markedly greater pain relief than did the control patients. The reduction of edema was 170 ml (SE = 23) in the study group and only 15 ml (SE = 12) in the control group (p < 0.001). This study suggests that IPC treatment promotes the rehabilitation of the posttraumatic conditions.
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