Evidence-based rehabilitation therapy following surgery for (peri-)articular fractures: A systematic review
Autor: | Guido Meys, Yvette Y van Horn, Henk A.M. Seelen, Marlous L A P Schnackers, Rob J. E. M. Smeets, Peter R. Brink |
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Jazyk: | angličtina |
Rok vydání: | 2019 |
Předmět: |
medicine.medical_specialty
Evidence-based practice medicine.medical_treatment MEDLINE Physical Therapy Sports Therapy and Rehabilitation CINAHL proximal humerus Scientific evidence rehabilitation Fractures Bone tibial plateau International Classification of Functioning Disability and Health systematic review medicine Humans Humerus therapy protocol Rehabilitation acetabulum business.industry (peri-)articular fractures lcsh:RM1-950 General Medicine Acetabulum Treatment Outcome medicine.anatomical_structure lcsh:Therapeutics. Pharmacology (peri-) articular fractures Physical therapy business HUMERUS aftercare |
Zdroj: | Journal of Rehabilitation Medicine, Vol 51, Iss 9, Pp 638-645 (2019) |
ISSN: | 1651-2081 1650-1977 |
Popis: | Objective: To assess the availability of explicitly reported protocols describing post-surgery rehabilitation of (peri-) articular fractures of the proximal humerus, acetabulum and/or tibial plateau, and to critically review any scientific evidence on the effectiveness of these protocols. Data sources: MEDLINE (PubMed), Cochrane databases, CINAHL, PEDro and Embase (Ovid) were searched to November 2018. Furthermore, stakeholder internet sites, clinical guidelines and standard textbooks were searched. Study selection: Screening was performed independently by 2 researchers based on a priori defined eligibility criteria. Data synthesis: Five papers addressed post-surgical rehabilitation of proximal humerus fractures, one paper addressed acetabulum fractures. No eligible information was found on stakeholder sites or in standard textbooks. Overall, the main focus of the protocols identified was on the International Classification of Functioning, Disability and Health (ICF) "Body Functions and Structures" level. In general, little information about therapy dosage was reported. None of the protocols provided scientific evidence on which the content of described rehabilitation programmes was based. Conclusion: This review reveals a paucity of explicitly formulated protocols focussing on post-surgical rehabilitation of common (peri-) articular fractures targeting patient-centred care at all ICF levels. There is a need for more scientific evidence on which to base protocols regarding common (peri-) articular fracture rehabilitation. |
Databáze: | OpenAIRE |
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