Evidence map›Paper›PMID 29166890›Full record

Trial reportBMC musculoskeletal disorders2017

Continuous passive motion and physical therapy (CPM) versus physical therapy (PT) versus delayed physical therapy (DPT) after surgical release for elbow contractures; a study protocol for a prospective randomized controlled trial.

Jetske Viveen, Job N Doornberg, Izaak F Kodde, Pjotr Goossens, Koen L M Koenraadt, Bertram The, Denise Eygendaal

Open access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Hidden instability in posttraumatic stiff elbows.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2021
    Article
  6. Review
  7. The post-traumatic stiff elbow: A review.Journal of clinical orthopaedics and trauma · 2021
    Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Jetske Viveen, Department of Orthopaedic Surgery, Amphia Hospital, PO box 90158, Molengracht 21, 4818, CK, Breda, The Netherlands. jetskeviveen@gmail.com.
Job N DoornbergDepartment of Orthopaedic Surgery, Flinders University, Bedford Park SA, Adelaide, 5042, Australia.
Izaak F KoddeDepartment of Orthopaedic Surgery, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam-Zuidoost, The Netherlands.
Pjotr Goossens, Department of Orthopaedic Surgery, Amphia Hospital, PO box 90158, Molengracht 21, 4818, CK, Breda, The Netherlands.
Koen L M Koenraadt, Foundation for Orthopaedic Research, Care & Education, Amphia Hospital, 4818 , CK, Breda, The Netherlands.
Bertram The, Department of Orthopaedic Surgery, Amphia Hospital, PO box 90158, Molengracht 21, 4818, CK, Breda, The Netherlands.
Denise Eygendaal, Department of Orthopaedic Surgery, Amphia Hospital, PO box 90158, Molengracht 21, 4818, CK, Breda, The Netherlands.
Amphia Ziekenhuis · NLUniversity of Amsterdam · NLFlinders University · AU

Funding

Amphia Research Foundation na
6 · The paper itself

Abstract

backgroundThe elbow is prone to stiffness after trauma. To regain functional elbow motion several conservative- and surgical treatment options are available. Conservative treatment includes physical therapy, intra-articular injections with corticosteroids and a static progressive or dynamic splinting program. If conservative treatment fails, an operative release of the posttraumatic stiff elbow is often performed. The best Evidence-Based rehabilitation protocol for patients after an operative release is unknown to date and differs per surgeon, hospital and country. Options include early- or delayed motion supervised by a physical therapist, immediate continuous passive motion (CPM), (night) splinting and a static progressive or dynamic splinting program. METHODS/

designThe SET-Study (Stiff Elbow Trial) is a single-centre, prospective, randomized controlled trial. The primary objective of this study is to compare the active Range of Motion (ROM) (flexion arc and rotational arc) twelve months after surgery between three groups. The first group will receive in-hospital CPM in combination with early motion Physical Therapy (PT) supervised by a physical therapist, the second group will receive only in-hospital early motion PT supervised by a physical therapist and the third group will receive outpatient supervised PT from postoperative day seven till ten. Secondary outcome measures will be Patient Reported Outcome Measures (PROMs) including the Mayo Elbow Performance Score (MEPS), the Oxford Elbow Score (OES), the quick Disabilities of Arm, Shoulder and Hand (qDASH) score, Visual Analogue pain Scale in rest and activity (VAS), Pain Catastrophizing Scale (PCS), the Short Form (SF)-36, the Centre for Epidemiological Studies Depression Scale Revised (CESD-R) and the Work Rehabilitation Questionnaire (WORQ) for the upper limb. DISCUSSION: A successful completion of this trial will provide evidence on the best rehabilitation protocol in order to (re)gain optimal motion after surgical release of the stiff elbow.

trial registrationThe trial is registered at the Dutch Trial Register: NTR6067 , 31-8-2016.

Indexed as

AdolescentAdultAgedContractureElbow JointFemaleFollow-Up StudiesHumansMaleMiddle AgedMotion Therapy, Continuous PassivePhysical Therapy ModalitiesProspective StudiesRange of Motion, ArticularTime FactorsYoung AdultContinuous passive motionOperationPhysical therapyRandomized controlled trialRehabilitationStiff elbowSurgery

Identifiers

PMID29166890
PMCPMC5700741
OpenAlexW2768308359

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.