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? |
| Evidence |
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 |