Physiotherapy assessment and treatment of patients with tibial external fixator: a systematic scoping review.

To map evidence regarding physiotherapy assessment and treatment of patients with tibial external fixator (EF), and to point out literature gaps for further research. Systematic scoping review conducted in four databases. We included both experimental and non-experimental studies involving patients...

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Published in:Disability & Rehabilitation Vol. 46; no. 9; pp. 1673 - 1685
Main Authors: Scholl Schell, Mauricio, Xavier de Araujo, Francisco, Silva, Marcelo Faria
Format: research systematic review tables/charts Journal Article
Published: Taylor & Francis Ltd May2024
Online Access:View this record in EBSCOhost
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      dt: May2024
      vid: 46
      iid: 9
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09638288.2023.2202419
        176934388
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        atl: Physiotherapy assessment and treatment of patients with tibial external fixator: a systematic scoping review.
      aug:
        au:
          Scholl Schell, Mauricio
          Xavier de Araujo, Francisco
          Silva, Marcelo Faria
        affil: Physiotherapy Department, Post Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, Brazil
      sug:
        subj:
          Physical Therapy Evaluation
          External Fixators Utilization
          Tibial Fractures Rehabilitation
          Fracture Fixation Methods
          Human
          Scoping Review
          Medline
          CINAHL Database
          Embase
          Physiotherapy Evidence Database
          Pain Evaluation
          Quality of Life Evaluation
          Patient Satisfaction Evaluation
      ab: To map evidence regarding physiotherapy assessment and treatment of patients with tibial external fixator (EF), and to point out literature gaps for further research. Systematic scoping review conducted in four databases. We included both experimental and non-experimental studies involving patients with tibial EF and outcomes of interest. We recorded study design, population, sample size, sample age, reason for EF use, type of surgery, type of EF used, instruments used for assessing function, pain, quality of life, satisfaction, psychosocial aspects, and physiotherapy treatment descriptions from included studies. We categorised data accordingly to outcomes assessed and physiotherapy treatments description. Eighty-six studies were included involving 3070 patients. Causes of fixator use were traumatic conditions, acquired and congenital deformities, and non-traumatic conditions, like compartmental osteoarthritis. Function was assessed in about three-quarters of included studies, though other outcomes were not presented in most studies. Only one study described satisfactorily the physiotherapy treatment. Almost half of the studies did not provide any description of the rehabilitation process. There is little evidence about the assessment of function, pain, quality of life, satisfaction, psychosocial aspects, and other outcomes in tibial EF patients. Physiotherapy treatment in these patients is poorly reported.Protocol registration: Open Science Framework: doi:10.17605/OSF.IO/UT2DA Rehabilitation programmes and research should consider that most studies with tibial external fixator (EF) patients did not evaluate outcomes routinely used in physiotherapy assessment. Rehabilitation programmes should consider that the instruments used in evaluation of tibial EF patients have unknown measurement properties. Rehabilitation programmes should consider that treatment of patients with tibial EF involves different types of interventions, however, they are poorly described or not described in most studies.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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