Orthopedic Research and Reviews (May 2022)
Distal and/or Proximal Joint Stiffness Among Post-Fracture Patients Treated in University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia
Abstract
Moges Gashaw,1 Fantu Mamo Aragaw,2 Ashenafi Zemed,1 Mastewal Endalew,3 Nuhamin Tesfa Tsega,4 Melaku Hunie Asratie,4 Daniel Gashaneh Belay2,5 1Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, Gondar, Ethiopia; 2Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 3Department of Environmental and Occupational Health and Safety, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 4Department of Women’s and Family Health, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia; 5Department of Human Anatomy, College of Medicine and Health Sciences, University of Gondar, Gondar, EthiopiaCorrespondence: Moges Gashaw, Department of Physiotherapy, School of Medicine, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Hospital, PO Box 196, Gondar, Ethiopia, Email [email protected]: Stiffness, or more precisely, a restriction in the range of motion, is a potential complication following any intra- or extra-articular injury. The passive or active range of motion of the physiological joint is an important factor in determining the significance of joint stiffness. The goals of this study were to assess the incidence of joint stiffness following a fracture, using a standard goniometer, and to identify potential predictors of joint stiffness among post-fracture patients.Methods: A prospective hospital-based cross-sectional study was conducted from July 1, 2021 to September 13, 2021, at University of Gondar Comprehensive Specialized Hospital. A total of 230 study participants participated in the study, and systematic sampling methods were used to recruit the study participants. Bivariate and multivariable binary logistic regression model analyses were conducted, with SPSS version 23, to identify factors associated with post-fracture joint stiffness.Results: The overall prevalence of post-fracture stiffness was 25.7% (n=59). Having a left-side fracture (AOR=10.83; 95% CI 1.71– 17.74), patients having no physiotherapy follow-up (AOR=6.72; 95% CI 1.79– 25.13), and patients using assistive devices (AOR=11.95; 95% CI 3.63– 39.35) were significantly associated with post-fracture stiffness, with p-values of less than 0.05.Conclusion: The study found that one-quarter of the study participants experienced post-fracture joint stiffness. A fracture on the left side, individuals with no physiotherapy follow-up, and the use of assistive devices were found to be independent predictors of joint stiffness. Early referral of fracture patients to the rehabilitation center is recommended to prevent post-fracture complications and joint stiffness.Keywords: physiotherapy, fracture, joint, stiffness, range of motion
