Cognitive-Behavioral-Based Physical Therapy for Improving Recovery After a Traumatic Lower-Extremity Injury: The Results of a Randomized Controlled Trial.

Este estudio ha sido identificado como potencialmente de alto impacto. La métrica de alto impacto de OE, basada en la inteligencia artificial, estima la influencia que puede tener un artículo integrando señales procedentes tanto de la revista en la que se publica como del contenido científico del propio artículo. Desarrollado mediante el procesamiento del lenguaje natural más avanzado, el modelo de Alto Impacto de OE predice con mayor precisión el futuro rendimiento de las citas de un estudio que el factor de impacto de la revista por sí solo. Esto permite reconocer antes las investigaciones clínicamente significativas y ayuda a los lectores a centrarse en los artículos con más probabilidades de configurar la práctica futura.

Resumen del estudio

Three hundred twenty-five patients with traumatic lower-extremity injuries requiring operative fixation were randomized to receive cognitive-behavioral-based physical therapy (CBPT) or a standardized education program. The primary outcome of interest was the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function scale. Secondary outcomes included objective physical function tests (4-square step test, timed stair ascent, sit-to-stand, walking speed), PROMIS Pain Intensity, PROMIS Pain Interference, and general health via the Veterans RAND-12 survey. Outcomes were assessed at 6 and 12 months after hospital discharge. Overall, the results of the study revealed no significant difference in physical function between groups at 12 months, and no differences were observed in any secondary outcomes. These findings suggest that telephone-delivered CBPT does not provide additional benefit over an education-based intervention in this population.