Abstract:Background:
Ankle fractures are among the most common injuries treated by orthopaedic surgeons. Various postoperative rehabilitation strategies have been promoted, but the ability to improve patient-reported functional outcome has not been clearly demonstrated. We aim to evaluate outcomes associated with clinic-based, physical therapist-supervised rehabilitation (Formal-PT) compared to surgeon-directed rehabilitation (Home-PT).
Methods:
This prospective… Show more
“…Although various aspects of pain were analyzed (eg, pain during (im)mobilization, impact on daily life), no statistically significant difference for pain between the PT group and the ITS group was found. 6,24 10,25 did not find a significant difference in the number of complications between the 2 rehabilitation groups.…”
Section: Painmentioning
confidence: 75%
“…Five studies were considered suitable and subsequently included in this systematic review. 6 , 10 , 16 , 24 , 25 …”
Section: Resultsmentioning
confidence: 99%
“…Other studies included patients with various types of ankle fractures (uni-, bi-, and/or trimalleolar) ( Table 1 ). 6 , 10 , 25 Four studies included operatively treated patients only. 6 , 10 , 16 , 25 Moseley et al 24 included both operated and nonoperatively treated patients.…”
Background: In current literature, the benefit of postoperative physiotherapy versus postoperative instructions by treating specialist only remains unclear. The aim of this review is to systematically assess existing literature regarding the functional outcome of postoperative physiotherapy compared to postoperative instructions by treating specialist only in the rehabilitation of patients with an ankle fracture. The secondary aim is to determine if there is a difference in ankle range of motion, strength, pain, complications, quality of life, and patient’s satisfaction between these 2 rehabilitation methods. Methods: For this review, the PubMed/MEDLINE, PEDro, Embase, Cochrane, and CINAHL databases were searched for studies that compared postoperative rehabilitation groups. Results: The electronic data search detected 20 579 articles. After exclusion, 5 studies with a total of 552 patients were included. Overall, no significant benefit in functional outcome of postoperative physiotherapy was seen compared to the instructions-only group. One study even found a significant benefit in favor of the instructions-only group. An exemption for beneficial effect of the use of physiotherapy could be made for younger patients, as 2 studies described younger age as a factor for better outcomes (functional outcome and ankle range of motion) in the postoperative physiotherapy group. Patients’ satisfaction, described by one study, was found to be significantly higher in the physiotherapy group ( P = .047). All other secondary aims showed no significant difference. Conclusion: Because of the limited number of studies and the heterogeneity among studies, a valid conclusion about the general effect of physiotherapy cannot be formed. However, we identified limited evidence suggesting a possible benefit of physiotherapy in younger patients with an ankle fracture in functional outcome and ankle range of motion.
“…Although various aspects of pain were analyzed (eg, pain during (im)mobilization, impact on daily life), no statistically significant difference for pain between the PT group and the ITS group was found. 6,24 10,25 did not find a significant difference in the number of complications between the 2 rehabilitation groups.…”
Section: Painmentioning
confidence: 75%
“…Five studies were considered suitable and subsequently included in this systematic review. 6 , 10 , 16 , 24 , 25 …”
Section: Resultsmentioning
confidence: 99%
“…Other studies included patients with various types of ankle fractures (uni-, bi-, and/or trimalleolar) ( Table 1 ). 6 , 10 , 25 Four studies included operatively treated patients only. 6 , 10 , 16 , 25 Moseley et al 24 included both operated and nonoperatively treated patients.…”
Background: In current literature, the benefit of postoperative physiotherapy versus postoperative instructions by treating specialist only remains unclear. The aim of this review is to systematically assess existing literature regarding the functional outcome of postoperative physiotherapy compared to postoperative instructions by treating specialist only in the rehabilitation of patients with an ankle fracture. The secondary aim is to determine if there is a difference in ankle range of motion, strength, pain, complications, quality of life, and patient’s satisfaction between these 2 rehabilitation methods. Methods: For this review, the PubMed/MEDLINE, PEDro, Embase, Cochrane, and CINAHL databases were searched for studies that compared postoperative rehabilitation groups. Results: The electronic data search detected 20 579 articles. After exclusion, 5 studies with a total of 552 patients were included. Overall, no significant benefit in functional outcome of postoperative physiotherapy was seen compared to the instructions-only group. One study even found a significant benefit in favor of the instructions-only group. An exemption for beneficial effect of the use of physiotherapy could be made for younger patients, as 2 studies described younger age as a factor for better outcomes (functional outcome and ankle range of motion) in the postoperative physiotherapy group. Patients’ satisfaction, described by one study, was found to be significantly higher in the physiotherapy group ( P = .047). All other secondary aims showed no significant difference. Conclusion: Because of the limited number of studies and the heterogeneity among studies, a valid conclusion about the general effect of physiotherapy cannot be formed. However, we identified limited evidence suggesting a possible benefit of physiotherapy in younger patients with an ankle fracture in functional outcome and ankle range of motion.
“…Of all studies, 40 23–61 described their postoperative rehabilitation strategy but did not evaluate effectiveness and 15 20–22,62–73 focused on evaluating the effectiveness of the postoperative rehabilitation strategy. This section reports only those 40 studies that described their postoperative rehabilitation strategy, focusing on weight-bearing, immobilization, and other therapy administered.…”
“…However, our data find that patients have a perceived preference toward having PT sessions at a rehab center as well as perceiving formal PT over IBPT programs. 1 , 10 , 24 Thus, education for patients on the similar efficacy of formal PT and IBPT programs should be provided.…”
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