Effects of injection-drug injury on ankle mobility and chronic venous disorders: Physical injury

Barbara Pieper, Thomas N. Templin, Thomas J. Birk, Robert Kirsner

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: To identify potential confounders and test a causal model of injection-site risk, chronic venous disorders (CVD), and ankle mobility. The reliability and validity of goniometry measurements of ankle mobility were also of interest because they are seldom performed in people with a history of injection-drug use. Design: The study was a test-retest design, consisting of 104 participants from a methadone maintenance treatment center. Methods: Each participant provided demographic information, health and drug histories, and underwent bilateral ankle goniometric measures of dorsiflexion, plantar flexion, inversion, and eversion. The clinical portion of the Clinical-Etiology-Anatomy- Pathophysiology (CEAP)was used to classify CVD severity. Findings: Reliability of goniometry measurements ranged from.70 to.90. Causal modeling supported hypotheses of increased risk from leg injection and reciprocal effects involving ankle mobility and disease progression. Ankle inversion mobility was the strongest indicator of ankle mobility. Conclusions: Injury to the lower extremities from IDU affected CVD and mobility. Further research should include assessment of comorbidity and other potential confounders. Ankle inversion should remain part of the goniometry assessment.

Original languageEnglish
Pages (from-to)312-318
Number of pages7
JournalJournal of Nursing Scholarship
Volume39
Issue number4
DOIs
StatePublished - Dec 1 2007

Fingerprint

Ankle Injuries
Ankle
Injections
Wounds and Injuries
Pharmaceutical Preparations
Methadone
Reproducibility of Results
Disease Progression
Comorbidity
Lower Extremity
Leg
Anatomy
Demography
Health
Research

Keywords

  • Ankle goniometry
  • Chronic venous disorders
  • Injection drug use

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Effects of injection-drug injury on ankle mobility and chronic venous disorders : Physical injury. / Pieper, Barbara; Templin, Thomas N.; Birk, Thomas J.; Kirsner, Robert.

In: Journal of Nursing Scholarship, Vol. 39, No. 4, 01.12.2007, p. 312-318.

Research output: Contribution to journalArticle

Pieper, Barbara ; Templin, Thomas N. ; Birk, Thomas J. ; Kirsner, Robert. / Effects of injection-drug injury on ankle mobility and chronic venous disorders : Physical injury. In: Journal of Nursing Scholarship. 2007 ; Vol. 39, No. 4. pp. 312-318.
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