Abstract:
PURPOSE:To assess whether reaction time (RT) and movement time (MT), as the two components of the total brake response time (TBRT) and brake force (BF) are different in patients with a foot joint arthrodesis in comparison to controls. METHODS:The study was a comparative case series in a driving simulator under realistic driving conditions. Mobile patients without a walker, ≥6 months after surgery who were driving a car and had no neurological co-morbidity, knee or hip joint prosthesis were included in the study. The selection criteria resulted in 12 patients with right tibiotalar joint arthrodesis (TTJA) and 12 patients with another right foot joint arthrodesis (OFJA), who were compared to 17 individuals without any ankle-joint pathology. For TBRT, an empirical safe driving threshold of 700 ms was used. The outcome measures were RT, MT, TBRT, BF and McGuire score. RESULTS:MT (p = 0.034) and TBRT (p = 0.026) were longer in TTJA patients in comparison with the controls. Also, more patients with TTJA than patients with OFJA and controls exceeded the safe driving threshold (p = 0.028). The outcomes in OFJA patients and in controls were comparable. The McGuire score was similar between the TTJA and OFJA patients (p = 0.26). CONCLUSIONS:Significantly slower MT and TBRT, and significantly more patients exceeding the safe driving threshold, were observed after a tibiotalar-joint arthrodesis in comparison to the controls. Patients with OFJAs were not significantly different from the controls. Driving and emergency braking may be impaired after tibiotalar-joint arthrodesis.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Schwienbacher S,Aghayev E,Hofmann UK,Jordan M,Marmotti A,Röder C,Ipach Idoi
10.1007/s00264-015-2789-4subject
Has Abstractpub_date
2015-07-01 00:00:00pages
1335-41issue
7eissn
0341-2695issn
1432-5195journal_volume
39pub_type
杂志文章abstract:OBJECTIVE:The object of the present meta-analysis is to compare the effectiveness of transforaminal epidural steroid injection (TFESI) and interlaminar epidural steroid injection (ILESI) for treating patients with low back pain (LBP) secondary to lumbosacral radicular pain. METHODS:A systematic search was performed in...
journal_title:International orthopaedics
pub_type: 杂志文章,meta分析
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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journal_title:International orthopaedics
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pub_type: 杂志文章
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journal_title:International orthopaedics
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pub_type: 杂志文章,评审
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pub_type: 杂志文章
doi:10.1007/s00264-012-1597-3
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pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章,meta分析,评审
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180203
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:1980-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1991-01-01 00:00:00
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journal_title:International orthopaedics
pub_type: 杂志文章
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journal_title:International orthopaedics
pub_type: 杂志文章
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更新日期:2009-04-01 00:00:00
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