A protocol for permissive weight-bearing during allied health therapy in surgically treated fractures of the pelvis and lower extremities

Autor: Henk A. M. Seelen, Pishtiwan H. S. Kalmet, Sebastian Sanduleanu, Martijn Poeze, Peter R. Brink, Geert J.C.M. Maas, Guido Meys, Yvette Y van Horn
Přispěvatelé: MUMC+: NAZL en ROAZ (9), Precision Medicine, RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy, Promovendi ODB, RS: NUTRIM - R3 - Respiratory & Age-related Health, Surgery, RS: CAPHRI - R3 - Functioning, Participating and Rehabilitation, Revalidatiegeneeskunde
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Full weight bearing
Time Factors
MOTION
surgically treated fractures
medicine.medical_treatment
medicine.disease_cause
ANKLE FRACTURES
Weight-bearing
Weight-Bearing
Fractures
Bone
INTERNAL-FIXATION
Clinical Protocols
Interquartile range
Postoperative Period
POSTOPERATIVE COMPLICATIONS
guidelines
OPEN REDUCTION
Early Ambulation
WEIGHTBEARING
OUTCOMES
Rehabilitation
General Medicine
Middle Aged
medicine.anatomical_structure
Treatment Outcome
Lower Extremity
Female
aftercare
Adult
medicine.medical_specialty
TIBIAL PLATEAU
Physical Therapy
Sports Therapy and Rehabilitation
RM1-950
Pelvis
rehabilitation
medicine
Internal fixation
Humans
Permissive
Physical Therapy Modalities
post-operative period
business.industry
Recovery of Function
Surgery
permissive weight-bearing
Regimen
RISK-FACTORS
Therapeutics. Pharmacology
business
MOBILIZATION
Zdroj: Journal of Rehabilitation Medicine, Vol 51, Iss 4, Pp 290-297 (2019)
Journal of Rehabilitation Medicine, 51(4), 290-297. Foundation for Rehabilitation Information
ISSN: 1651-2081
1650-1977
Popis: Objective: To optimize rapid clinical recovery and restoration of function and functionality, permissive weight-bearing has been designed as a new aftercare mobilization regimen, within the upper boundary of the therapeutic bandwidth, yet safe enough to avoid overloading. The aim of the present paper is to describe a comprehensive protocol for permissive weight-bearing during allied health therapy and to report on the time to full weight-bearing, as well as the number of complications, in patients with surgically treated fractures of the pelvis and lower extremities undergoing permissive weight-bearing.Patients and methods: This study included surgically treated trauma patients with (pert)- or intra-articular fractures of the pelvis and lower extremities. A standardized permissive weight-bearing protocol was used for all patients. Time to full weight-bearing and number of complications were recorded.Results: This study included 150 patients, 69% male, with a median age of 48 years (interquartiie range (IQR) 33.0, 57.0). The median time to full weight bearing was 12.0 weeks (IQR 6.8, 19.2). The complication rate during rehabilitation was 10%.Conclusion: The permissive weight-bearing protocol, as described, might be beneficial and has potential to be implemented in trauma patients with surgically treated (peri)- or intra-articular fractures of the pelvis and lower extremities.
Databáze: OpenAIRE
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