[Partial weight-bearing in rehabilitation. Strategies for instruction and limitations].
Following trauma or surgery on the musculoskeletal system the primary aim is always as complete a restitution of mobility as possible. By mobilization with partial weight-bearing this is possible. The preferred way of teaching partial weight-bearing is the use of conventional bathroom scales. This method proves to be simple as well as time and cost-saving, but the transferability to the patient's daily life is questionable. Training and control of partial weight-bearing under dynamic conditions, such as normal walking, and walking up and down stairs seem to be very important. Different investigations have shown that the minority of subjects recruited could manage to maintain the given load of partial weight-bearing. Furthermore, the actual resulting moments within the joints, caused by muscles, fascia and tendons, are not considered in presets of partial weight-bearing, as only external forces (ground reaction forces) are measured. However, the problems in teaching partial weight-bearing have to be contrasted with the as yet unexplained issue of postoperative partial versus full weight-bearing.
Klöpfer-Krämer
I
I
Institut für Biomechanik, BG Unfallklinik Murnau, Prof.-Küntscher-Str. 8, 82418 Murnau am Staffelsee. isabella.kloepfer-kraemer@bgu-murnau.de
Augat
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P
D001676:Biofeedback, Psychology / Q000379:methods*; D006801:Humans; D007593:Joint Instability / Q000534:rehabilitation* / Q000601:surgery*; D026741:Physical Therapy Modalities; D011182:Postoperative Care / Q000379:methods; D016474:Weight-Bearing