Priority 2 from the Complex Fractures PSP
|UNCERTAINTY: What is the optimal outpatient rehabilitation strategy for patients with complex fractures? (JLA PSP Priority 2)|
|JLA question ID||0105/2|
|Explanatory note||Patients with complex fractures may spend significant amounts of time completing rehabilitation over months or years. This may be very challenging and involve many trips to the rehabilitation facility.|
NG37 and NG39 – discuss patient rehabilitation in the context of providing adequate information. They state that this is very important to patients citing the qualitative study listed here.
No other relevant trial evidence Cochrane/PUBMED since 2015.
|Health Research Classification System category||Injuries and accidents|
|Extra information provided by this PSP|
|Original uncertainty examples||what is the optimum regimen of physio for various injuries ~ Was the level of inpatient physiotherapy satisfactory?? ~ I wanted to do a lot of physiotherapy to maximise my recovery but was concerned about avoiding making things worse. This wasn’t always clear. ~ does enough rehab exist / happen ? ~ What is the best approach for regaining ankle rangle of movement once immobilisation is ceased? i.e. hydrotherapy, heat, intensive exercise. Often significant delay from fracture clinic follow up to out-patient MSK services.|
|Submitted by||8 x Surgeon/Doctor, 1 x Carer for patient, 6 x Physio, 7 x Patient, Healthcare Professional (unspecified) x 3, 1 x Knows a patient|
|PSP unique ID||0105|
|PSP name||Complex Fractures|
|Total number of uncertainties identified by this PSP.||58 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)|
|Date of priority setting workshop||8th June 2021|