Evidence map›Paper›PMID 34593011›Full record

SynthesisOrphanet journal of rare diseases2021

Physiotherapy for epidermolysis bullosa: clinical practice guidelines.

Amy Weisman, Jennifer M Chan, Chantal LaPointe, Kaye Sjoholm, Kristy Steinau, Kaycie Artus, Suci Widhiati, Rebecca Bodan, Michelle Wood, Julio C Salas-Alanis and 3 more

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Orphanet journal of rare diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

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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

13 authors at 8 institutions in 5 countries.

Amy WeismanDepartment of Rehabilitation Services, Stanford Children's Health, 321 Middlefield Road, Menlo Park, CA, 94025, USA. aweisman@stanfordchildrens.org.ORCID 0000-0001-9302-9010
Jennifer M ChanDepartment of Rehabilitation Services, Stanford Children's Health, 321 Middlefield Road, Menlo Park, CA, 94025, USA.
Chantal LaPointePhysiotherapy, Centre Hospitalier Universitaire Sainte-Justine, Montreal, Canada.
Kaye SjoholmDepartment of Rehabilitation, Phoenix Children's Hospital, Phoenix, AZ, USA.
Kristy SteinauCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Kaycie ArtusCamp Spirit, EB Winter Camp in Colorado, Golden, CO, USA.
Suci WidhiatiPediatric Dermatology Division, Department of Dermatology and Venereology, Faculty of Medicine, Universitas Sebelas Maret - Dr. Moewardi General Hospital, Surakarta, Indonesia.
Rebecca BodanSchool of Nursing, California State University Fullerton, Fullerton, CA, USA.
Michelle WoodDepartment of Physiotherapy, Great Ormond Street NHS Foundation Trust, London, UK.
Julio C Salas-AlanisDermatology Department, Instituto de Dermatologia Jalisco, Guadalajara, Jalisco, Mexico.
Anna Carolina RochaDEBRA Brazil, Blumenau, Santa Catarina, Brazil.
Beata FaitliDepartment of Physiotherapy, Great Ormond Street NHS Foundation Trust, London, UK.
Phuong KhuuDepartment of Rehabilitation Services, Stanford Children's Health, 321 Middlefield Road, Menlo Park, CA, 94025, USA.
Great Ormond Street Hospital for Children NHS Foundation Trust · GBCalifornia State University, Fullerton · USCentre Hospitalier Universitaire Sainte-Justine · CACincinnati Children's Hospital Medical Center · USPhoenix Children's Hospital · USSebelas Maret University · IDStanford Medicine · USUniversidad Autónoma de Nuevo León · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidermolysis bullosa (EB) is characterized by skin fragility with blister formation occurring spontaneously or following minor trauma such as gentle pressure or friction. Current physiotherapy practice is based on anecdotal care, clinical expertise and creative problem solving with caregivers and individuals with EB. Evidence based intervention is needed to establish a foundation of knowledge and to guide international practitioners to create and improve standards of care to effectively work with individuals living with EB. This clinical practice guideline (CPG) was created for the purpose of providing evidence based interventions and best clinical practices for the physiotherapy management of individuals with EB. A survey was conducted within the EB community and six outcomes were identified as a priority to address in physiotherapy management, including (1) attaining developmental motor milestones, (2) identifying safe and functional mobility in the natural environment, (3) encouraging ambulation endurance, (4) supporting safe ability to bear weight, (5) improving access to physiotherapy services, and (6) optimizing interaction with the community. A systematic literature review was conducted and articles were critically analyzed by an international panel consisting of thirteen members: healthcare professionals (including physiotherapist, doctors, and occupational therapist), caregivers, and individuals with EB. Recommendations were formulated from evidence and panel consensus. An external panel of twelve were invited to improve the quality and gather feedback on draft manuscript and recommendations. This CPG describes the development of recommendations for physiotherapy management including several best practice interventions. This guideline lays the foundational work for physiotherapist throughout the world to provide high quality services while improving and maintaining functional mobility and independence within the EB community. The CPG outlines limitations in the evidence available and possible future research needed to improve physiotherapy practice.

Indexed as

Epidermolysis BullosaMedicinePhysiciansBlisterHumansPhysical Therapy ModalitiesClinical practice guidelineEpidermolysis bullosaMobilityMotor developmentPhysical therapistPhysiotherapyWeight bearing

Identifiers

PMID34593011
PMCPMC8481321
OpenAlexW3204127143

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.