Early Advanced Weight-Bearing After Periarticular Fractures: A Randomized Trial Comparing Antigravity Treadmill Therapy Versus Standard of Care

Daniel J Stinner; Jessica C Rivera; Christopher S Smith; David B Weiss; Robert A Hymes; Paul E Matuszewski; Joshua L Gary; Saam Morshed; Andrew H Schmidt; Jason M Wilken; Kristin R Archer; Lane Bailey; Jacquelyn Kleihege; Kevin H McLaughlin; Richard E Thompson; Suna Chung; Craig Remenapp; Ellen J MacKenzie; Lisa Reider; Major Extremity Trauma and Rehabilitation Consortium (METRC)

doi:10.1097/BOT.0000000000002285

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Early Advanced Weight-Bearing After Periarticular Fractures: A Randomized Trial Comparing Antigravity Treadmill Therapy Versus Standard of Care

Journal article

Open access

Peer reviewed

Early Advanced Weight-Bearing After Periarticular Fractures: A Randomized Trial Comparing Antigravity Treadmill Therapy Versus Standard of Care

Daniel J Stinner, Jessica C Rivera, Christopher S Smith, David B Weiss, Robert A Hymes, Paul E Matuszewski, Joshua L Gary, Saam Morshed, Andrew H Schmidt, Jason M Wilken, …

Journal of orthopaedic trauma, Vol.36(Suppl 1), pp.S8-S13

01/01/2022

DOI: 10.1097/BOT.0000000000002285

PMID: 34924513

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Abstract

In current clinical practice, weight-bearing is typically restricted for up to 12 weeks after definitive fixation of lower extremity periarticular fractures. However, muscle atrophy resulting from restricting weight-bearing has a deleterious effect on bone healing and overall limb function. Antigravity treadmill therapy may improve recovery by allowing patients to safely load the limb during therapy, thereby reducing the negative consequences of prolonged non-weight-bearing while avoiding complications associated with premature return to full weight-bearing. This article describes a multicenter randomized controlled trial comparing outcomes after a 10-week antigravity treadmill therapy program versus standard of care in adult patients with periarticular fractures of the knee and distal tibia. The primary hypothesis is that, compared with patients receiving standard of care, patients receiving antigravity treadmill therapy will report better function 6 months after definitive treatment.

Adult

Exercise Test

Fracture Fixation, Internal

Humans

Standard of Care

Tibial Fractures

Weight-Bearing

Details

Title: Subtitle: Early Advanced Weight-Bearing After Periarticular Fractures: A Randomized Trial Comparing Antigravity Treadmill Therapy Versus Standard of Care
Creators: Daniel J Stinner - Vanderbilt University Medical Center
Jessica C Rivera - University Medical Center New Orleans
Christopher S Smith - Naval Medical Center Portsmouth
David B Weiss - University of Virginia Medical Center
Robert A Hymes - Inova Fairfax Hospital
Paul E Matuszewski - University of Kentucky
Joshua L Gary - The University of Texas Health Science Center at Houston
Saam Morshed - University of California, San Francisco
Andrew H Schmidt - Hennepin Healthcare Research Institute
Jason M Wilken - University of Iowa
Kristin R Archer - Vanderbilt University Medical Center
Lane Bailey - Memorial Hermann
Jacquelyn Kleihege - Memorial Hermann
Kevin H McLaughlin - Department of Physical Medicine and Rehabilitation, John Hopkins University, Baltimore, MD.
Richard E Thompson - Johns Hopkins University
Suna Chung - Johns Hopkins University
Craig Remenapp - Johns Hopkins University
Ellen J MacKenzie - Johns Hopkins University
Lisa Reider - Johns Hopkins University
Major Extremity Trauma and Rehabilitation Consortium (METRC)
Resource Type: Journal article
Publication Details: Journal of orthopaedic trauma, Vol.36(Suppl 1), pp.S8-S13
DOI: 10.1097/BOT.0000000000002285
PMID: 34924513
ISSN: 0890-5339
eISSN: 1531-2291
Language: English
Date published: 01/01/2022
Academic Unit: Physical Therapy and Rehabilitation Science
Record Identifier: 9984295048102771

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