Priority 18 from the Broken Bones of the Upper Limb in People over 50

UNCERTAINTY: Does compliance with rehabilitation following an upper limb fracture affect outcomes in people over 50 and if so, how can we improve this?  (JLA PSP Priority 18)
Overall ranking 18
JLA question ID 0093/18
Explanatory note Rehabilitation is important to ensure a patient achieves their best possible outcome following an upper limb fracture. This question looks to determine if it makes a significant difference if a patient does all of their exercises regularly and what is the best way to make sure a patient does their exercises?

Jack K, et al; Barriers to treatment adherence in physiotherapy outpatient clinics: A systematic review. Manual Therapy Volume 15, Issue 3, June 2010, Pages 220-228

Picha KJ & Howell DM; A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self‐efficacy. Musculoskeletal Care, 2018; March 16(1): 233-37

Health Research Classification System category  Injuries and Accidents
Extra information provided by this PSP
Original uncertainty examples How much physio is needed and how many people follow advice? ~ How can you effectively engage patients in rehabilitation post fracture? ~ When patients do not often follow physio exercises, what can we do to improve compliance? ~ How to encourage adherence to physiotherapy when it is boring
Submitted by 3 x Healthcare Professionals, 1 x Carer/Relative
PSP information
PSP unique ID 0093
PSP name Broken Bones of the Upper Limb in People over 50 PSP
Total number of uncertainties identified by this PSP. 50  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop 3 December 2018