Gan, JH; Bearne, L; Walters, S; Room, J; Booth, G; Trompeter, A; Nikoletou, D
(2024)
The feasibility, acceptability, safety, and effects of early weight bearing in humeral fractures – a scoping review.
Disability and Rehabilitation.
ISSN 0963-8288
https://doi.org/10.1080/09638288.2024.2351594
SGUL Authors: Gan, Jia Hui Bearne, Lindsay Mary Nikoletou, Dimitra
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Abstract
Purpose Non-weight bearing is often recommended after humeral fractures. This review aims to summarise the extent and nature of the evidence for the feasibility, acceptability, safety, and effects of early weight bearing (EWB) in people with humeral fractures, treated operatively or non-operatively. Methods Data sources identified published (PUBMED, EMBASE, CINAHL) and unpublished (ClinicalTrials.gov, CENTRAL, NIHR Open Research, OpenGrey) literature. Independent data extraction was conducted by two reviewers. Results 13 901 records were retrieved. Ten studies, involving 515 post-operative patients and 351 healthcare professionals, were included. EWB was found to be feasible in nine studies. There was limited evidence regarding adherence to EWB. Trauma and orthopaedic surgeons reported that EWB was acceptable. This depended on surgery type and whether it was a post-operative polytrauma case. No acceptability data was reported from patients’ perspectives. Only one study reported two patients who developed unsatisfactory outcomes from excessive post-operative EWB. Positive effects of EWB were reported on disability level, pain, shoulder and elbow motion, and union. Conclusion There is some evidence for the feasibility, safety, and effectiveness of post-operative EWB after humeral fractures. There was limited data on the acceptability of EWB. Heterogeneous study designs, and variations in EWB protocols limit conclusions.
Item Type: | Article | ||||||
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Additional Information: | © 2024 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent. The scoping review protocol is available open access on the OSF platform at: https://doi.org/10.17605/OSF.IO/ZKAD9 | ||||||
Keywords: | 11 Medical and Health Sciences, Rehabilitation | ||||||
SGUL Research Institute / Research Centre: | Academic Structure > Institute of Medical, Biomedical and Allied Health Education (IMBE) Academic Structure > Population Health Research Institute (INPH) |
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Journal or Publication Title: | Disability and Rehabilitation | ||||||
ISSN: | 0963-8288 | ||||||
Dates: |
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Publisher License: | Creative Commons: Attribution 4.0 | ||||||
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URI: | https://openaccess.sgul.ac.uk/id/eprint/116456 | ||||||
Publisher's version: | https://doi.org/10.1080/09638288.2024.2351594 |
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