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Student Research Conference
A Balance-Based Approach to Intervention Following Intramedullary Nailing of a Tibial Fracture: A Case Report
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Student Research Conference
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Title
A Balance-Based Approach to Intervention Following Intramedullary Nailing of a Tibial Fracture: A Case Report
Usage & Reproduction Rights
http://rightsstatements.org/vocab/InC/1.0/
Type
Video recordings
URI / Handle
http://hdl.handle.net/1961/muislandora:3023
Created
2016-01-01T00:00:00Z
Abstract
Background and Purpose Falls among the elderly are considered a leading cause of fatal injury and hospital admissions. Fall scan lead to a decreased level of independence and increase the risk for fractures. Intramedullary nail placement is a widely used surgical treatment for fractures of long bones, such as the tibia. There is currently a deficit in the literature reporting on this procedure and also on the proper rehabilitation approach to returning a patient to their previous level of function. Case Description The subject is an86 year old male that experienced a distal tibia and fibula fracture of his left leg after a fall. He underwent open reduction and internal fixation of the tibia within tramedullary nail placement. The purpose of this case report is to describe a balance and functional mobility focused intervention following intramedullary nailing of a tibial fracture in an elderly adult. Outcomes The Berg Balance Scale (BBS) was used to assess static balance, dynamic balance, and fall risk.Activity and participation outcomes were used to measure functional mobility and independence. These outcomes included total distance ambulated, stairs negotiated, functional transfer ability, and assistance level required for functional tasks. Discussion The patient demonstrated improvements in all functional outcomes along with a decreased level of assistance. Upon completion of the intervention, the patient was deemed a low fall risk according to the BBS. Further research is necessary in order to establish the optimal rehabilitation protocol to return similar patients to their prior level of function and to prevent future falls.
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