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Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation: a systematic.

Published byJesko Brinkerhoff Modified over 6 years ago

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Presentation on theme: "Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation: a systematic."— Presentation transcript:

1 Prescribed exercise programs may not be effective in reducing impairments and improving activity during upper limb fracture rehabilitation: a systematic review  Andrea M Bruder, Nora Shields, Karen J Dodd, Nicholas F Taylor  Journal of Physiotherapy  Volume 63, Issue 4, Pages (October 2017) DOI: /j.jphys Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

2 Figure 1 Flow of studies through the review.
aOne article reported follow-up data from a study that was already included. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

3 Figure 2 Percentage of included trials achieving each TIDieR item with the description of the experimental group intervention. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

4 Figure 3 Percentage of included trials achieving each TIDieR item with the description of the control group intervention. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

5 Figure 4 Standardised mean difference (95% CI) of effect of early exercise and mobilisation compared with delayed exercise and immobilisation after proximal humeral fracture. Abd=abduction, Flex=flexion, Phys=physical domain, ROM=range of motion, SF-36=short form 36. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

6 Figure 5 Standardised mean difference (95% CI) of exercise to the unaffected limb including a home exercise program compared to a home exercise program after distal radius fracture. Ext=extension, Flex=flexion, Fx=fracture, Pro=pronation, PRWE=patient rated wrist evaluation, ROM=range of motion, Sup=supination. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

7 Figure 6 Standardised mean difference (95% CI) of effect of a therapy program compared to a home exercise program after conservatively managed distal radius fracture. ADL=activities of daily living, Ext=extension, Flex=flexion, ROM=range of motion. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

8 Figure 7 Standardised mean difference (95%CI) of effect of therapy program on grip strength (kgs) compared with a home exercise program at 12 weeks post distal radius fracture immobilisation. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

9 Figure 9 Standardised mean difference (95% CI) of effect of a therapy program compared to a home exercise program after surgically managed distal radius fracture. DASH=Disabilities of the Arm, Shoulder and Hand questionnaire, Dev=deviation, Ext=extension, Flex=flexion, Pro=pronation, PRWE=patient-rated wrist evaluation, ROM=range of motion, Sup=supination. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

10 Figure 10 Standardised mean difference (95%CI) of effect of therapy program on pain compared with a home exercise program at 12 weeks post distal radius fracture. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

11 Figure 12 Standardised mean difference (95%CI) of effect of therapy program on grip strength (lb) compared with a home exercise program at 12 weeks post distal radius fracture. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

12 Figure 14 Standardised mean difference (95% CI) of effect of physiotherapy including supervised exercise and a home exercise program compared to a home exercise program after proximal humeral fractures. AROM=active range of motion, PROM=passive range of motion, Sh=shoulder. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

13 Figure 15 Standardised mean difference (95% CI) of effect of occupational therapy including physiotherapy and supervised exercise compared to physiotherapy including supervised exercises after conservatively managed distal radius fracture. DASH=Disabilities of the Arm, Shoulder and Hand questionnaire, Ext=extension, Flex=flexion, OT=occupational therapy intervention, Pro=pronation, PT=physiotherapy intervention, ROM=range of motion, Sup=supination. Journal of Physiotherapy  , DOI: ( /j.jphys ) Copyright © 2017 Australian Physiotherapy Association Terms and Conditions

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