Current Concepts in Rehabilitation Protocols to Optimize Patient Function Following Musculoskeletal Trauma

You, Daniel; Leighton, Jennifer L.; Schneider, Prism

doi:10.1016/j.injury.2020.03.047

Cited by 4 publications

(2 citation statements)

References 39 publications

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“…Optimizing functional recovery in survivors of severe trauma has received comparatively little attention. Following musculoskeletal trauma, the bed rest and immobilization of previous decades is now recognized to lead to unwarranted weakness, stiffness, chronic pain and functional decline [ 50 ]. Consequently, multidisciplinary rehabilitation programs involving psychology, nutrition, physiotherapy, and pain medicine are considered best practice.…”

Section: Longer Term Care: How To Improve Anti-inflammatory and Anti-...mentioning

confidence: 99%

Transforming research to improve therapies for trauma in the twenty-first century

Juffermans,

Gözden,

Brohi

et al. 2024

Crit Care

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Improvements have been made in optimizing initial care of trauma patients, both in prehospital systems as well as in the emergency department, and these have also favorably affected longer term outcomes. However, as specific treatments for bleeding are largely lacking, many patients continue to die from hemorrhage. Also, major knowledge gaps remain on the impact of tissue injury on the host immune and coagulation response, which hampers the development of interventions to treat or prevent organ failure, thrombosis, infections or other complications of trauma. Thereby, trauma remains a challenge for intensivists. This review describes the most pressing research questions in trauma, as well as new approaches to trauma research, with the aim to bring improved therapies to the bedside within the twenty-first century.

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Section: Longer Term Care: How To Improve Anti-inflammatory and Anti-...mentioning

confidence: 99%

Transforming research to improve therapies for trauma in the twenty-first century

Juffermans,

Gözden,

Brohi

et al. 2024

Crit Care

View full text Add to dashboard Cite

show abstract

“…Next, it is crucial for the rehabilitation team to establish proper milestones and goals, ensuring patients are not falling behind, becoming stiff, or in some cases moving too fast 3 . A dedicated, multi-disciplinary team approach consisting of orthopaedic surgeon, physical therapist, occupational therapist, strength and conditioning specialist, nursing team, pain services, nutritionist, and psychologist is crucial 9,10,11 This provides the team with better preparation and minimizes risks of medical errors. Not only standardized, the protocol should also be personalized based on patient's capabilities and level of cooperation 5 .…”

Section: Rehabilitation: Key Principlesmentioning

confidence: 99%

PRINCIPLE OF REHABILITATION & COMPLICATION PREVENTION AFTER MUSCULOSKELETAL TRAUMA

Utomo

Akbar²

2021

JMJ

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Rehabilitation plays a major role to maximize outcome and prevent complications following musculoskeletal trauma and its interventions. It is reported in several studies that mortality risk in patients not receiving rehabilitation was higher compared with patients who received one. The key principles include adequate pain management, anti-infection measures, early ambulation and physical therapy, establishing proper milestones and goals, well-communicated multi-disciplinary approach, and the establishment of standardized and personalized treatment protocol. Early mobilization is supported, as long as wound healing has been taken into consideration. Holistic approach to ensure both physical and psychosocial well-being is recommended, along with special care for geriatric and paediatric populations. Furthermore, alternative medicines such as acupuncture and meditation are currently gaining popularity and subsequently advocated as adjunct therapies.

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Time to Save Time: Beneficial Effects of Blood Flow Restriction Training and the Need to Quantify the Time Potentially Saved by Its Application During Musculoskeletal Rehabilitation

et al. 2021

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The main goal of musculoskeletal rehabilitation is to achieve the pre-injury and/or pre-surgical physical function level with a low risk of re-injury. Blood flow restriction (BFR) training is a promising alternative to conventional therapy approaches during musculoskeletal rehabilitation because various studies support its beneficial effects on muscle mass, strength, aerobic capacity, and pain perception. In this perspective article, we used an evidence-based progressive model of a rehabilitative program that integrated BFR in four rehabilitation phases: (1) passive BFR, (2) BFR combined with aerobic training, (3) BFR combined with low-load resistance training, and (4) BFR combined with low-load resistance training and traditional high-load resistance training. Considering the current research, we suppose that a BFR-assisted rehabilitation has the potential to shorten the time course of therapy to reach the stage where the patient is able to tolerate resistance training with high loads. The information and arguments presented are intended to stimulate future research, which compares the time to achieve rehabilitative milestones and their physiological bases in each stage of the musculoskeletal rehabilitation process. This requires the quantification of BFR training-induced adaptations (eg, muscle mass, strength, capillary-to-muscle-area ratio, hypoalgesia, molecular changes) and the associated changes in performance with a high measurement frequency (≤1 wk) to test our hypothesis. This information will help to quantify the time saved by BFR-assisted musculoskeletal rehabilitation. This is of particular importance for patients, because the potentially accelerated recovery of physical functioning would allow to return to their work and/or social life earlier. Furthermore, other stakeholders in the healthcare system (eg, physicians, nurses, physiotherapists, insurance companies) might benefit from that with regard to work and financial burden.

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Current Concepts in Rehabilitation Protocols to Optimize Patient Function Following Musculoskeletal Trauma

Cited by 4 publications

References 39 publications

Transforming research to improve therapies for trauma in the twenty-first century

Transforming research to improve therapies for trauma in the twenty-first century

PRINCIPLE OF REHABILITATION & COMPLICATION PREVENTION AFTER MUSCULOSKELETAL TRAUMA

Time to Save Time: Beneficial Effects of Blood Flow Restriction Training and the Need to Quantify the Time Potentially Saved by Its Application During Musculoskeletal Rehabilitation

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