Cognitive-Behavioral-Based Physical Therapy for Improving Recovery After Traumatic Orthopaedic Lower Extremity Injury (CBPT-Trauma).

Autor:	Archer KR; Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Center for Musculoskeletal Research and Department of Physical Medicine and Rehabilitation, Osher Center for Integrative Medicine, Nashville, TN., Davidson CA; Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN., Alkhoury D; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD., Vanston SW; Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN., Moore TL; Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN., Deluca A; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD., Betz JF; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD., Thompson RE; Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD., Obremskey WT; Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, TN., Slobogean GP; Department of Orthopaedics, R Adams Cowley Shock Trauma Center at the University of Maryland, Baltimore, MD., Melton DH; Department of Orthopedic Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX., Wilken JM; Department of Physical Therapy and Rehabilitation Science, the University of Iowa, Iowa City, IA., Karunakar MA; Department of Orthopaedic Surgery, Carolinas Medical Center, Atrium Health Musculoskeletal Institute, Charlotte, NC., Rivera JC; U.S. Army Institute for Surgical Research, Brooke Army Medical Center, San Antonio, TX. Dr. Rivera is now with the Department of Orthopaedic Surgery, Louisiana State University Medical Center, New Orleans, LA., Mir HR; Department of Orthopaedic Surgery, Florida Orthopaedic Institute, Tampa, FL., McKinley TO; Department of Orthopaedic Surgery, Indiana University Health Methodist Hospital, Indianapolis, IN; and., Frey KP; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD., Castillo RC; Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD., Wegener ST; Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, MD.
Jazyk:	angličtina
Zdroj:	Journal of orthopaedic trauma [J Orthop Trauma] 2022 Jan 01; Vol. 36 (Suppl 1), pp. S1-S7.
DOI:	10.1097/BOT.0000000000002283
Abstrakt:	Summary: Physical and psychological impairment resulting from traumatic injuries is often significant and affects employment and functional independence. Extremity trauma has been shown to negatively affect long-term self-reported physical function, the ability to work, and participation in recreational activities and contributes to increased rates of anxiety and/or depression. High pain levels early in the recovery process and psychosocial factors play a prominent role in recovery after traumatic lower extremity injury. Cognitive-behavioral therapy pain programs have been shown to mitigate these effects. However, patient access issues related to financial and transportation constraints and the competing demands of treatment focused on the physical sequelae of traumatic injury limit patient participation in this treatment modality. This article describes a telephone-delivered cognitive-behavioral-based physical therapy (CBPT-Trauma) program and design of a multicenter trial to determine its effectiveness after lower extremity trauma. Three hundred twenty-five patients from 7 Level 1 trauma centers were randomized to CBPT-Trauma or an education program after hospital discharge. The primary hypothesis is that compared with patients who receive an education program, patients who receive the CBPT-Trauma program will have improved physical function, pain, and physical and mental health at 12 months after hospital discharge. Competing Interests: The authors have declared no conflicts of interest. (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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