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Musculoskeletal sequelae in patients with obstetric fistula – a case–control study

Overview of attention for article published in BMC Women's Health, November 2014
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Title
Musculoskeletal sequelae in patients with obstetric fistula – a case–control study
Published in
BMC Women's Health, November 2014
DOI 10.1186/s12905-014-0136-3
Pubmed ID
Authors

Merete Kolberg Tennfjord, Mulu Muleta, Torvid Kiserud

Abstract

BackgroundObstetric fistula is essentially a result of pelvic injury caused by prolonged obstructed labour. Foot drop and walking difficulties in some of these women signify that the injury may extend beyond the loss of tissue that led to the fistula. However, these aspects of the pelvic injury are scarcely addressed in the literature. Here we specifically aimed at assessing musculoskeletal function in women with obstetric fistula to appreciate the extent of the sequelae of their pelvic injury.MethodsThis case¿control study compared 70 patients with obstetric fistula with 100 controls matched for age and years since delivery. The following was recorded: height, weight, past and present walking difficulties, pain, muscle strength and joint range of motion, circumference and reflexes. Differences between groups were analysed using independent sample t-test and chi-square test for independence.ResultsA history of leg pain was more common among cases compared to controls, 20% versus 7% (p¿=¿0.02), and 29% of the cases had difficulties walking following the injuring delivery compared to none of the controls (p¿¿¿0.001). Of these, four women reported spontaneous recovery. Cases had 7° less range of motion in ankle dorsal flexion (95%CI: ¿8.1, ¿4.8), 8° less ankle plantar flexion (95%CI: ¿10.6, ¿6.5), 12° less knee flexion (95%CI: ¿14.1, ¿8.9), and 4° less knee extension (95%CI: 2.9, 5.0) compared to controls. Twelve % of the cases had lower ankle dorsal flexion strength (p¿=¿0.009). Foot drop was present in three (4.3%) compared with none among controls. Women with fistula had 4° greater movement in hip extension (95%CI: ¿5.9, ¿3.1), 2° greater hip lateral rotation (95%CI: 0.7, 3.3) and 9° greater hip abduction (95%CI: 6.4, 10.7). Twelve % of the cases had stronger medial rotation in the hip (p¿=¿0.04), 20% had stronger hip lateral rotation (p¿¿¿0.001), 29% had stronger hip extension (p¿¿¿0.001), and 15% had stronger hip abduction (p¿=¿0.04) than controls.ConclusionsWomen with obstetric fistula commonly experienced walking difficulties after the delivery, had often leg pain and reduced function in the ankle and knee joints that may have been compensated by increased motion and strength in the hip.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 69 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 69 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 11 16%
Student > Bachelor 9 13%
Researcher 6 9%
Student > Postgraduate 6 9%
Student > Ph. D. Student 6 9%
Other 12 17%
Unknown 19 28%
Readers by discipline Count As %
Medicine and Dentistry 18 26%
Nursing and Health Professions 15 22%
Social Sciences 4 6%
Sports and Recreations 4 6%
Agricultural and Biological Sciences 1 1%
Other 5 7%
Unknown 22 32%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 November 2014.
All research outputs
#18,384,336
of 22,771,140 outputs
Outputs from BMC Women's Health
#1,484
of 1,806 outputs
Outputs of similar age
#188,609
of 263,181 outputs
Outputs of similar age from BMC Women's Health
#27
of 32 outputs
Altmetric has tracked 22,771,140 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,806 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.6. This one is in the 9th percentile – i.e., 9% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 263,181 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 16th percentile – i.e., 16% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 32 others from the same source and published within six weeks on either side of this one. This one is in the 9th percentile – i.e., 9% of its contemporaries scored the same or lower than it.