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© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

Abstract

Background and Objectives. This overview of Cochrane systematic reviews (CSRs) reports on current evidence on the effectiveness of rehabilitation interventions for persons with upper limb fractures (ULFs), and the quality of the evidence. Materials and Methods. Following the inclusion criteria defined by the World Health Organization, all CSRs tagged in the Cochrane Rehabilitation database that were relevant for persons with ULFs were included. A mapping synthesis was used to group outcomes and comparisons of included CSRs, indicating the effect of rehabilitation interventions and the certainty of evidence. Results. A total of three CSRs were included in the evidence map. The certainty of evidence was judged as low to very low. Early occupational and hand therapy, cyclic pneumatic soft tissue compression, and cross-education, when started during immobilization, may improve grip strength and wrist range of motion, with results maintained up to 12 weeks from the cast removal, compared to no intervention. Approaches such as occupational therapy and passive mobilisation, started post-immobilization, are probably safe in terms of secondary complications. However, the overall evidence of rehabilitative interventions related to proximal humeral fractures has been judged insufficient for all the outcomes considered. A paucity of primary studies and CSRs for elbow fractures was noted. Conclusions. This overview provided the effect and the certainty of evidence of rehabilitation interventions available after ULFs using a mapping synthesis. To date, there is a need to further the effectiveness and safety of these interventions for persons with ULFs, improving methodological quality of the research in the field.

Details

Title
Overview of Cochrane Systematic Reviews for Rehabilitation Interventions in Individuals with Upper Limb Fractures: A Mapping Synthesis
Author
Liguori, Sara 1   VIAFID ORCID Logo  ; Moretti, Antimo 2   VIAFID ORCID Logo  ; Toro, Giuseppe 2   VIAFID ORCID Logo  ; Arienti, Chiara 3 ; Patrini, Michele 4 ; Kiekens, Carlotte 4   VIAFID ORCID Logo  ; Negrini, Stefano 5   VIAFID ORCID Logo  ; Iolascon, Giovanni 2   VIAFID ORCID Logo  ; Gimigliano, Francesca 6   VIAFID ORCID Logo 

 Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; [email protected] (S.L.); [email protected] (A.M.); [email protected] (G.I.); Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; [email protected] 
 Department of Medical and Surgical Specialties and Dentistry, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; [email protected] (S.L.); [email protected] (A.M.); [email protected] (G.I.) 
 IRCCS Fondazione Don Carlo Gnocchi, 20148 Milan, Italy; [email protected] 
 IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy; [email protected] (M.P.); [email protected] (C.K.); [email protected] (S.N.) 
 IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy; [email protected] (M.P.); [email protected] (C.K.); [email protected] (S.N.); Department of Biomedical, Surgical and Dental Sciences, Università “La Statale”, 20122 Milan, Italy 
 Department of Mental and Physical Health and Preventive Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy; [email protected] 
First page
469
Publication year
2024
Publication date
2024
Publisher
MDPI AG
ISSN
1010660X
e-ISSN
16489144
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
3003343776
Copyright
© 2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.