Aims: Weightbearing instructions after musculoskeletal injury or orthopaedic surgery are a key aspect of the rehabilitation pathway and prescription. The terminology used to describe the weightbearing status of the patient is variable; many different terms are used, and there is recognition and evidence that the lack of standardized terminology contributes to confusion in practice.
Methods: A consensus exercise was conducted involving all the major stakeholders in the patient journey for those with musculoskeletal injury. The consensus exercise primary aim was to seek agreement on a standardized set of terminology for weightbearing instructions.
Results: A pre-meeting questionnaire was conducted. The one-day consensus meeting, including patient representatives, identified three agreed terms only to be used in defining the weightbearing status of the patient: 1) non-weightbearing; 2) limited weightbearing; and 3) unrestricted weightbearing.
Conclusion: This study represents the first and only exercise in standardizing rehabilitation terminology in orthopaedics, as agreed by all major stakeholders in the patient pathway and the patients themselves. The standardization of language allows for higher-quality and more accurate research to be conducted, and is one small part of the bigger picture in increasing the mobility of patients after orthopaedic injury or surgery.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1302/0301-620X.106B.BJJ-2024-0371.R1 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
The Influence of Two Teaching Approaches on Foot Loading in Skiing Beginners-A Comparative Study.
Sensors (Basel)
November 2024
Institute of Biomechanics and Orthopaedics, German Sport University Cologne, 50933 Cologne, Germany.
(1) Background: Alpine skiing, with its long history, has experienced numerous innovations and developments on all levels ranging from technology to fashion over the past 120 years. However, teaching approaches for beginners remained quite consistent for many decades and are mainly grounded in experience. The One-Ski-Method (OSM) is an alternative approach to the predominant snowplow (SP) method with the strategy to initially experience and acquire the elementary positions and actions on one ski in order to subsequently transfer these to two skis.
View Article and Find Full Text PDFThe Italian version of the Postural Assessment Scale for Stroke Patients (PASS): transcultural translation and validation.
Arch Physiother
December 2024
Governo Clinico e Qualità, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Policlinico di Sant'Orsola, Bologna - Italy.
Article Synopsis
- The Postural Assessment Scale for Stroke Patients (PASS) has been validated in Italian to ensure consistent use among health professionals, emphasizing uniform scoring and interpretation.
- A standardized translation and adaptation process was followed, which included a pilot study leading to the creation of the PASS-IT, with testing for reliability and validity using various assessments for stroke patients.
- The results indicated that the PASS-IT demonstrated high reliability and internal consistency, making it a valuable tool for both clinical practice and research for stroke patients in acute and subacute stages.
Influence of tactile and verbal guidance on lateral weight-shifting in double-leg standing after total hip arthroplasty.
J Bodyw Mov Ther
October 2024
Physical Therapy Course, Faculty of Welfare and Health Science, Oita University, Oita, Japan. Electronic address:
Article Synopsis
- Anomalous gait following total hip arthroplasty (THA) is characterized by excessive trunk lateral flexion, which can hinder walking ability; lateral weight shifting exercises during double-leg standing may help improve this.
- This study aimed to evaluate how physical therapists' instructions to minimize trunk lateral flexion during these exercises affect the movement patterns and muscle activity of THA patients.
- Results showed that guided patients demonstrated less trunk lateral flexion and improved hip mechanics compared to those without instruction, highlighting the importance of therapist guidance in rehabilitation post-THA, especially considering variations in trunk flexion direction.
Permissive weight bearing versus restrictive weight bearing in surgically treated trauma patients with displaced intra-articular calcaneal fractures (the PIONEER study): study protocol for a multicenter randomized controlled trial.
Trials
November 2024
Department of Trauma Surgery, Maastricht University Medical Center+, P. Debyelaan 25, Maastricht, 6229 HX, The Netherlands.
Article Synopsis
- This study investigates rehabilitation approaches for patients with surgically treated displaced intra-articular calcaneal fractures (DIACFs), comparing permissive weight bearing (PWB) and restricted weight bearing (RWB) protocols to identify the best option for recovery and overall health outcomes.
- A randomized controlled trial will involve 115 patients aged 18-67, assessing primary functional outcomes via the American Orthopaedic Foot & Ankle Society Score (AOFAS) and secondary outcomes including quality of life and cost-effectiveness.
- The goal is to determine if the PWB protocol is at least as effective as the RWB protocol in terms of safety and recovery, with follow-ups scheduled at specific intervals over
Evaluation of an Active Rehabilitation Program With Early Weightbearing and No Immobilization After Tibial Tubercle Distalization.
Orthop J Sports Med
November 2024
Department of Surgery, Tampere University Hospital, Tampere, Finland.
Background: Abnormal patellar height (patella alta) has been reported to be one of the main predisposing factors for recurrent patellar dislocation, and it can be surgically corrected by distalizing tibial tubercle osteotomy (DTTO). Rehabilitation after DTTO often includes limitations on weightbearing and restrictions on knee range of motion by means of bracing, increasing the risk of slow progression of the rehabilitation.
Hypothesis: An active rehabilitation program with no restrictions on weightbearing and range of movement would yield a low risk of postoperative complications and a fast recovery period.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!