Adherence to Physiotherapy Guidelines for Acute Ankle Injury
Author Information
Author(s): Philip J van der Wees, Erik JM Hendriks, Mariette Jansen, Hans van Beers, Rob A de Bie, Joost Dekker
Primary Institution: Maastricht University
Hypothesis
The study investigates adherence to the clinical guideline for acute ankle injury and identifies patient characteristics that determine adherence.
Conclusion
The study found that adherence to the clinical guideline for acute ankle sprain is possible in daily practice, but there are areas for improvement.
Supporting Evidence
- Adherence to individual recommendations varied from 71% to 100%.
- In 99 patients (57%), physiotherapists showed adherence to all indicators.
- The odds to receive more than six treatment sessions were statistically significant for females, recurrent sprains, and co-morbidity.
Takeaway
This study looked at how well physiotherapists follow guidelines for treating ankle injuries and found that while they mostly do a good job, there are still ways to do better.
Methodology
A prospective cohort study involving 22 physiotherapists who collected data on 174 patients with acute ankle injuries.
Potential Biases
Potential selection bias as physiotherapists who participated may have been more competent in treating ankle injuries.
Limitations
The study may overestimate adherence due to the selection of physiotherapists who are more knowledgeable about the guidelines.
Participant Demographics
{"gender":{"male":100,"female":74},"average_age":29.8,"education":{"low_medium":112,"high":61},"employment_status":{"employed":91,"student":49,"housewife":16,"disabled":3,"unemployed":2}}
Statistical Information
P-Value
p<0.001
Confidence Interval
95% CI: 1.41–10.72
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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