Three short sessions of physiotherapy during rehabilitation after hip fracture were no more effective in improving mobility than a single longer session: a randomised controlled trial

Trials and tribulations of transparency related to inconsistencies between plan and conduct in peer‐reviewed physiotherapy publications: A methodology review

“…Nine (26.5%) 45,50,51,59,61–63,71,74 RCTs had a novel outcome (i.e., not prespecified in the registry) and none declared these outcomes as novel. A statistical analysis plan was present in 5 (14.7%) 55,62,65,67,72 registrations, but only one was congruent with the published study 67 . Seven (20.6%) 46,56–58,67,75,76 registrations had no discrepancies from the associated study.…”

“…Of the 40 RCTs reviewed, 7 were available via open access. Most RCTs ( n = 34, 85.0%) were registered, 25 prospectively 43–67 and 9 retrospectively 68–76 . All RCT registrations were accessible for review.…”

“…The primary outcome was explicitly stated in the majority of studies ( n = 28, 70.0%) 43,44,46–49,51–57,59,61,62,64,65,67,68,71–78 as were the secondary outcomes ( n = 27, 67.5%) 43,44,46–49,51–53,55–57,59,61,62,64,65,67,68,71–78 . Eligibility criteria was listed in all 34 (100.0%) registrations, but only 2 63,67 had results posted in the registry (5.9%) (Table 1).…”

“…A comparison of the published RCTs with associated registrations demonstrated that the primary outcome was identical in 15 studies (44.1%) 46,48,54,56–59,62,65–67,73–76 and for those with secondary outcomes it was identical in seven studies (20.6%) 46,56–58,67,75,76 . Nine (26.5%) 45,50,51,59,61–63,71,74 RCTs had a novel outcome (i.e., not prespecified in the registry) and none declared these outcomes as novel.…”

Nuevas perspectivas sobre educación, salud y movimiento

“…Si bien es importante, el diagnóstico precoz, manejo del estado general del paciente y tratamiento quirúrgico oportuno, lo es también un adecuado protocolo de actuación en rehabilitación integral, ya que muchas veces de ello depende que el paciente se reintegre a su actividad cotidiana. Lamentablemente, menos del 50% de los pacientes postoperados de fractura de cadera, reciben rehabilitación física (Senserrick et al, 2021), la cual tiene como objetivo restaurar la movilidad y recuperación funcional, fomentando la independencia del paciente (Peiris et al, 2013). Se ha demostrado que la actividad previa a la cirugía de cadera es factor determinante para la recuperación de la función, teniendo mejores resultados aquellos pacientes que previamente realizaban mayor actividad (Talkowski et al, 2009).…”