The feasibility, acceptability, safety, and effects of early weight bearing in humeral fractures - a scoping review.

Autor:	Gan JH; Haslemere Community Hospital, Royal Surrey NHS Foundation Trust, Surrey, UK.; Population Health Research Institute, St George's University of London, London, UK.; Institute of Medical and Biomedical Education, St George's University of London, London, UK., Bearne L; Population Health Research Institute, St George's University of London, London, UK., Walters S; Department of Trauma and Orthopaedic Surgery, St George's University Hospitals NHS Foundation Trust, London, UK., Room J; Faculty of Health and Life Sciences, Oxford Brookes University, Oxford, UK.; Physiotherapy Research Unit, Oxford University Hospitals NHS Foundation Trust, Oxford, UK., Booth G; Population Health Research Institute, St George's University of London, London, UK.; Therapies Department, Royal National Orthopaedic Hospital Trust, London, UK., Trompeter A; Institute of Medical and Biomedical Education, St George's University of London, London, UK.; Department of Trauma and Orthopaedic Surgery, St George's University Hospitals NHS Foundation Trust, London, UK., Nikoletou D; Institute of Medical and Biomedical Education, St George's University of London, London, UK.
Jazyk:	angličtina
Zdroj:	Disability and rehabilitation [Disabil Rehabil] 2024 May 16, pp. 1-12. Date of Electronic Publication: 2024 May 16.
DOI:	10.1080/09638288.2024.2351594
Abstrakt:	Purpose: Non-weight bearing is often recommended after humeral fractures. This review aims to summarise the extent and nature of the evidence for the feasibility, acceptability, safety, and effects of early weight bearing (EWB) in people with humeral fractures, treated operatively or non-operatively. . Methods: Data sources identified published (PUBMED, EMBASE, CINAHL) and unpublished (ClinicalTrials.gov, CENTRAL, NIHR Open Research, OpenGrey) literature. Independent data extraction was conducted by two reviewers. Results: 13 901 records were retrieved. Ten studies, involving 515 post-operative patients and 351 healthcare professionals, were included. EWB was found to be feasible in nine studies. There was limited evidence regarding adherence to EWB. Trauma and orthopaedic surgeons reported that EWB was acceptable. This depended on surgery type and whether it was a post-operative polytrauma case. No acceptability data was reported from patients' perspectives. Only one study reported two patients who developed unsatisfactory outcomes from excessive post-operative EWB. Positive effects of EWB were reported on disability level, pain, shoulder and elbow motion, and union. Conclusion: There is some evidence for the feasibility, safety, and effectiveness of post-operative EWB after humeral fractures. There was limited data on the acceptability of EWB. Heterogeneous study designs, and variations in EWB protocols limit conclusions.
Databáze:	MEDLINE
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