Skip to main content Skip to main navigation menu Skip to site footer

The effect of adding plantar flexors isometric exercise on calf circumference in patient with post open reduction internal fixation non-articular tibia fracture

  • Nasyaruddin Herry Taufik ,
  • Angela Bibiana Maria Tulaar ,
  • Ratna Darjanti Haryadi ,


Abstract

Background: Post-operative non-articular tibia fracture some problems that often occur include pain, muscles atrophy, muscles weakness, and joint stiffness that makes patients limited in their daily activities. Several factors that play a role in muscles atrophy and weakness prolonged immobilisation and lack of exercise. Plantar flexor isometric exercise might effectively prevent the problem. Not yet known the effect isometric exercise of plantar flexor on calf circumference in patients post open reduction internal fixation of tibia fractures, due to the lack of studies in this field. The aim of investigating the effect of isometric exercise plantar flexor on calf circumference in patients post open reduction internal fixation non-articular tibia fracture.

Methods: Study design using an experimental model with pre-test and post-test control group design divided into two groups, group A obtained treatment of isometric exercises of the plantar flexor muscles, range of motion knee and ankle joint while group B obtained a range of motion knee and ankle joint.

Results: Descriptive analysis in group A there were 13 (81.3%) samples which increased calf circumference and 3 (18.7%) samples did not change while group B there were 4 (25%) samples increased calf circumference, 1 (6%) sample did not change and 11 (69%) samples were reduced calf circumference. The study was found increase mean calf circumference in group A was 0.76 cm and reduction mean calf circumference group B was 0.44 cm. Independent samples differences with α of 0.05 and confidence interval 95% was obtained p-value = 0.003, which has shown there is a significant difference in increased calf circumference group A obtained isometric exercises plantar flexor compared to group B without isometric exercises plantar flexor in patients  post open reduction internal fixation of a non-articular tibia fracture. 

Conclusion: The study found plantar flexor isometric exercise in patients post open reduction internal fixation non- articular tibia fracture enhances calf circumference that will prevent muscle calf atrophy and weakness.

Keywords: isometric exercise plantar flexor calf circumference tibia fracture

References

  1. Acosta FL, Pham M, Safai Y. Improving Bone Formation in Osteoporosis Through In Vitro Mechanical Stimulation Compared to Biochemical Stimuli. Journal of Nature and Science. 2015;1:4e.63
  2. Amin MQ. Ahmed A, Imran, Ahmed A, Imran M, Ahmed N, Javed S, Aziz A. Tibial Shaft Fractures. Journal Professional Medical. 2017;24(1):75-81.
  3. Bergmann P, Body JL, Boonen M. Loading and skeletal development and maintenance. Journal of Osteoporosis. 2011;2:1-15.
  4. Bode G, Strohm PC, Hammer TO. Tibial Shaft Fracture- Management and Treatment Options: A Review of the Current Literature. Acta Chir Orthop Traumatologi Cech. 2012;79(6):499-505.
  5. Bodine SC. Disuse-induced muscle wasting. Int Journal Biochem Cell Biol. 2013;45(10):1-17.
  6. Bonnefoy M, Jauffret M, Kostka T, Jusot JF. Usefulness of calf Circumference Measurement in Assessing the Nutritional State of Hospitalized Elderly People. Journal Gerontology. 2002;48;162-169.
  7. Chauhan P, Cleeland SJ, Mandar FN. The Epidemiology and Management of Tibia/Fibula Fractures at Kilimanjaro Christian Medical Centre in Northern Tanzania. The Royal College of Surgeons of Edinburgh. Pan African Medical Journal. 2016;25:51-62.
  8. Chitnis AS, Vanderkarr M, Sparks C, McGlohorn J, Holy CE. Complication and its impact in patient woth closed and open tibial shaft fractures requiring open reduction and internal fixation. J Comp Eff Res. 2019;8(16):1405-1416.
  9. Dionyssiotis Y, Dontas IA, Economopoulos M, Lyritis D. Rehabilitation after falls and fractures. J Musculoskelet Neuronal Interact. 2008;8(3):244-250.
  10. Dumitru A, Radu BM, Radu M, Cretoiu N. Muscle Changes During Atrophy. Advances in Experimental Medicine and Biology. 2018;12:1-27.
  11. Elniel AR, Giannoudis PV. Open fractures of the lower extremity: Current Management and Clinical Outcomes. Journal European Orthopaedic Research. 2018;12:315-319.
  12. Gaston P, Will E, McQueen MM, Elton RA, Court-Brown M. Analysis of Muscle Function in the Lower Limb After Fracture of the Diaphysis of the tibia in adults. The Journal of Bone & Joint Surgery. 2000;82:44-51.
  13. Hariprasad S, Patil P, Jishnu J. Retrospective study of management of diaphyseal fractures of tibia with intramedullary interlocking nail. International Journal of Orthopaedics Sciences. 2017;3(3):795-799.
  14. Isaksson H. Recent Advances in Mechanobiological Modeling of Bone Regeneration. Journal Mechanics Research Communication. 2012;42:22-31.
  15. Johnson B, Christie V. Open Tibial Shaft Fractures. Journal Orthopaedic Surgery. 2008;9(1):33-38.
  16. Khalid M, Brannigan A, Burke T. Calf muscle wasting after tibial shaft fracture. Br Journal Sports Med. 2006;40:552–553.
  17. Laurent MR, Dubois V, Claessens F, Verschueren SMP. Muscle-Bone interactions: from experimental models to the clinic ? A Critical update. Journal Molecular and Cellular Endocrinology. 2015;22:1-23.
  18. Ogawa H, Oshita H, Ishimaru D, Yamada K. Analysis of muscle atrophy after hip fracture in the elderly. Arch Phys Med Rehabilitation. 2015;89:1-4.
  19. Patil MS, Baseer H. Obesity and fracture healing. Al Ameen Journal Med Sci. 2017;10(2):15-23.
  20. Qin YXX, Hu M. Mechanotransduction in Musculoskeletal Tissue Regeneration: Effects of Fluid Flow, Loading, and Cellular-Molecular Pathways. Journal Bio Med Research International. 2014;12:1-12.
  21. Rantalainen T, Nikander R, Heinomen A, Cervinka T, Sievänen H, Daly RM. Differential Effects of Exercise on Tibial Shaft Marrow Density in Young Female Athletes. Journal Clin Endocrinol Metabolism. 2013;98(5):2037–2044.
  22. Rathwa YM, Desai TV, Moradiya NP, Joshi PA, Joshi PA. A Study of Management of Tibial Diaphyseal Fractures with Intramedullary Interlocking Nail: a Study of 50 cases. International Journal of Orthopaedics Sciences. 2017;3(1):297-302.
  23. Shim DG, Kwon TY, Lee KB. Rectus femoris muscle atrophy and recovery caused by preoperative pretibial traction in femoral shaft fracture comparison between traction period. Journal Orthopaedics & Traumatology: Surgery & Research. 2017;103(2017):691-695.
  24. Teng S. Compressive Loading on the bone Surface from Muscle Contraction. Journal Morphologi cell. 1998;238(1):71-80.
  25. Thompson WR, Rubin CT, Rubina J. Mechanical Regulation of Signaling Pathways in Bone. Journal Gene. 2012;503(2):179–193.
  26. Vasconcelos ES, Fernanda H, Salla RF. Role of interleukin-6 and interleukin-15 in exercise. MOJ Immunol. 2018;6(1):17-19.
  27. Warden SJ. Breaking the rules for bone adaptation to mechanical loading. Journal Appl Pysiol. 2006;100:1441-1452.
  28. White MJ, Davies CTM. The Effects of Immobilization, after Lower Leg Fracture, on the Contractile Properties of Human Triceps Surae. Journal Clinical Science. 1984;66:277-282.
  29. Yamauchi K, Yoshiko A., Suzuki S, Kato C, et al. Muscle atrophy and recovery of individual thigh muscles as measured by magnetic resonance imaging scan during treatment with cast for ankle or foot fracture. Journal of Orthopaedic Surgery. 2017;25(3):1-10.
  30. Queen M, Franck CT, Schmitt D, Adams SB. Are there differences in gait mechanism inpatient with A fixed versus mobile bearing total ankle arthroplasty? A randomized trial. Clin Orthop Relat Res. 2017;475(10):2599-2606.

How to Cite

Taufik, N. H., Tulaar, A. B. M., & Haryadi, R. D. (2020). The effect of adding plantar flexors isometric exercise on calf circumference in patient with post open reduction internal fixation non-articular tibia fracture. Bali Medical Journal, 9(1), 167–171. https://doi.org/10.15562/bmj.v9i1.1724
ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver
Download Citation
Endnote/Zotero/Mendeley (RIS) BibTeX

HTML
0

Total
22

Share

Search Panel

Nasyaruddin Herry Taufik
Google Scholar
Pubmed
BMJ Journal

Angela Bibiana Maria Tulaar
Google Scholar
Pubmed
BMJ Journal

Ratna Darjanti Haryadi
Google Scholar
Pubmed
BMJ Journal