Evidence map›Paper›PMID 36941178›Full record

Trial reportChinese journal of traumatology = Zhonghua chuang shang za zhi2023

Postoperative subacute static progressive stretch does not increase the risk of distal lower limb venous thromboembolism.

Jun-Kun Zhu, Feng-Feng Wu, Rui-Feng Yang, Fen-Fen Xu, Ya-Li Lin, Miao-Fang Ye

Open access · diamondAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Chinese journal of traumatology = Zhonghua chuang shang za zhi, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 94% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 2 institutions in 1 country.

Jun-Kun ZhuOrthopedics Rehabilitation Department, Lishui Central Hospital, Lishui, Zhejiang Province, 323020, China. Electronic address: zhujunkun1978@aliyun.com.
Feng-Feng WuRehabilitation Department, Huzhou Central Hospital, Hangzhou, 310020, China.
Rui-Feng YangOrthopedics and Trauma Department, Lishui Central Hospital, Lishui, Zhejiang Province, 323020, China.
Fen-Fen XuOrthopedics Rehabilitation Department, Lishui Central Hospital, Lishui, Zhejiang Province, 323020, China.
Ya-Li LinOrthopedics Rehabilitation Department, Lishui Central Hospital, Lishui, Zhejiang Province, 323020, China.
Miao-Fang YeOrthopedics Rehabilitation Department, Lishui Central Hospital, Lishui, Zhejiang Province, 323020, China.
Lishui Central Hospital · CNHuzhou Central Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStatic progressive stretch (SPS) can be applied to treat chronic joint stiffness. However, the impacts of subacute application of SPS to the distal lower limbs, where deep vein thrombosis (DVT) is common, on venous thromboembolism remain unclear. This study aims to explore the risk of venous thromboembolism events following subacute application of SPS.

methodsA retrospective cohort study was conducted on patients diagnosed with DVT following a lower extremity orthopedic surgery before being transferred to the rehabilitation ward from May 2017 to May 2022. Patients with unilateral lower limb comminuted para-articular fractures, transferred to rehabilitation ward for further treatment within 3 weeks after operation, followed up more than 12 weeks since initial manual physiotherapy, and diagnosed DVT by ultrasound before rehabilitation course were included in the study. Patients with polytrauma, without evidence of previous peripheral vascular disease or incompetence, had medication for thrombosis treatment or prophylaxis before the operation, detected with paralysis due to nervous system impairment, infected after operation during the regime, or with acute progression of DVT were excluded. The included patients were randomized to the standard physiotherapy and the SPS integrated groups for observation. Associated DVT and pulmonary embolism data were collected during the physiotherapy course to compare the groups. SSPS 28.0 and GraphPad Prism 9 were used for data processing. A p < 0.05 was set significant difference.

resultsIn total of 154 patients with DVT participating in this study, 75 of them were treated with additional SPS for postoperative rehabilitation. The participants in the SPS group showed improved range of motion (12.3° ± 6.7°). However, in the SPS group, there was no difference in thrombosis volume between the start and termination (p = 0.106, p = 0.787, respectively), although difference was seen intra-therapy (p < 0.001). Contingency analysis revealed the pulmonary embolism incidence (OR = 0.703) in the SPS group compared to the mean physiotherapy.

conclusionThe SPS technique is a safe and reliable option to prevent potential joint stiffness without aggravating the risk of distal DVT for postoperative patients suffering from relevant trauma.

Indexed as

Pulmonary EmbolismVenous ThromboembolismVenous ThrombosisHumansLower ExtremityRetrospective StudiesRisk FactorsDeep vein thrombosisMusculoskeletal manipulationsPhysical therapy modalitiesRehabilitationTrauma

Identifiers

PMID36941178
PMCPMC10244236
OpenAlexW4323275621

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.