Evidence map›Paper›PMID 38955960›Full record

SynthesisMusculoskeletal surgery2024

Effectiveness of behavior change in rehabilitation interventions to improve functional recovery after lower limb fracture: a systematic review.

Christopher Bretherton, Ahmed Al-Saadawi, Fraser Thomson, Harbinder Sandhu, Janis Baird, Xavier Griffin

Abstract readSystematic Review
In one paragraph

Synthesis in Musculoskeletal surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Christopher BrethertonBone and Joint Health, Blizard Institute, Queen Mary University London, 4 Newark Street, London, E1 2AT, UK. c.bretherton@qmul.ac.uk.ORCID http://orcid.org/0000-0001-9569-0734
Ahmed Al-SaadawiSchool of Medicine, Faculty of Medicine and Dentistry, Queen Mary University of London, London, England, UK.ORCID http://orcid.org/0009-0000-5105-0903
Fraser ThomsonOxford University Hospitals NHS Foundation Trust, Oxford, UK.
Harbinder SandhuDivision of Health Sciences, Warwick Clinical Trials Unit, University of Warwick, Coventry, CV4 7AL, UK.ORCID http://orcid.org/0000-0003-1522-8078
Janis BairdCentre for Developmental Origins of Health and Disease, University of Southampton, Southampton, SO17 1BJ, UK.ORCID http://orcid.org/0000-0002-4039-4361
Xavier GriffinBone and Joint Health, Blizard Institute, Queen Mary University London, 4 Newark Street, London, E1 2AT, UK.ORCID http://orcid.org/0000-0003-2976-7523

Funding

NIHR Barts Biomedical Research Centre, Queen Mary University of London NIHR203330
6 · The paper itself

Abstract

Ankle fractures are common injuries that can significantly impact mobility and quality of life. Rehabilitation following ankle fracture treatment is crucial for recovery, yet adherence to regimens remains a challenge. Behaviour Change Techniques (BCTs) have been suggested to improve adherence, but their effectiveness in ankle fracture rehabilitation is not well established. This review aimed to evaluate the effectiveness of BCTs in the rehabilitation of ankle fracture patients. We conducted a comprehensive search across multiple databases, including MEDLINE and EMBASE, focusing on Randomised Controlled Trials (RCTs) that incorporated BCTs into rehabilitation interventions. The effectiveness of BCTs on patient-reported outcomes (PROMs), quality of life, and adverse events was analysed. Nine RCTs met the inclusion criteria, encompassing a range of interventions that employed BCTs, most commonly including goal setting and instruction on how to perform behaviours, specifically physiotherapy exercises. The review found limited evidence supporting their effectiveness in improving PROMs. Only one study showed a significant positive effect, but it was deemed at high risk of bias. The lack of integration of behavioural theory in the design of rehabilitation interventions and the varied nature of the BCTs employed across studies may contribute to these findings. The use of BCTs in ankle fracture rehabilitation is prevalent, but this review highlights a significant gap their role of enhancing patient outcomes. Future research should incorporate a theory-based approach to intervention design, utilising a broader range of BCTs, to fully evaluate their potential in improving rehabilitation adherence and outcomes following ankle fracture .

Indexed as

Ankle FracturesRecovery of FunctionBehavior TherapyHumansPatient Reported Outcome MeasuresPhysical Therapy ModalitiesQuality of LifeRandomized Controlled Trials as TopicTreatment OutcomeAnkle fractureBehaviour Change TechniqueRehabilitation

Identifiers

PMID38955960
PMCPMC11582149

What OpenQuestion holds

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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.