EXACT: Exercise or Advice after ankle fracture. Design of a randomised controlled trial

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dc.contributor.author Beckenkamp, PR
dc.contributor.author Lin, CC
dc.contributor.author Herbert, RD
dc.contributor.author Haas, M
dc.contributor.author Khera, K
dc.contributor.author Moseley, AM
dc.date.accessioned 2012-03-02T06:03:19Z
dc.date.issued 2011
dc.identifier.citation BMC Musculoskeletal Disorders, 2011, 12
dc.identifier.other C1 en_US
dc.identifier.uri http://hdl.handle.net/10453/17434
dc.description.abstract Background: Ankle fractures are common. Management of ankle fractures generally involves a period of immobilisation followed by rehabilitation to reduce pain, stiffness, weakness and swelling. The effects of a rehabilitation program are still unclear. However, it has been shown that important components of rehabilitation programs may not confer additional benefits over exercise alone. The primary aim of this trial is to determine the effectiveness and cost-effectiveness of an exercise-based rehabilitation program after ankle fracture, compared to advice alone. Methods/Design. A pragmatic randomised trial will be conducted. Participants will be 342 adults with stiff, painful ankles after ankle fracture treated with immobilisation. They will be randomly allocated using a concealed randomisation procedure to either an Advice or Rehabilitation group. Participants in the Advice group will receive verbal and written advice about exercise at the time of removal of immobilisation. Participants in the Rehabilitation group will be provided with a 4-week rehabilitation program that is designed, monitored and progressed by a physiotherapist, in addition to verbal and written advice. Outcomes will be measured by a blinded assessor at 1, 3 and 6 months. The primary outcomes will be activity limitation and quality-adjusted life years. Discussion. This pragmatic trial will determine if a rehabilitation program reduces activity limitation and improves quality of life, compared to advice alone, after immobilisation for ankle fracture. © 2011 Beckenkamp et al; licensee BioMed Central Ltd.
dc.language eng
dc.relation.isbasedon 10.1186/1471-2474-12-148
dc.title EXACT: Exercise or Advice after ankle fracture. Design of a randomised controlled trial
dc.type Journal Article
dc.parent BMC Musculoskeletal Disorders
dc.journal.volume 12
dc.journal.number 148 en_US
dc.publocation London, UK en_US
dc.identifier.startpage 1 en_US
dc.identifier.endpage 7 en_US
dc.cauo.name BUS.Centre for Health Economics Research and Evaluation en_US
dc.conference Verified OK en_US
dc.for 140208 Health Economics
dc.for 1103 Clinical Sciences
dc.personcode 020119
dc.percentage 67 en_US
dc.classification.name Health Economics en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US
dc.date.activity en_US
dc.location.activity en_US
pubs.embargo.period Not known
pubs.organisational-group /University of Technology Sydney
pubs.organisational-group /University of Technology Sydney/Faculty of Business
pubs.organisational-group /University of Technology Sydney/Strength - Health Economics and Research Evaluation
utslib.copyright.status Open Access
utslib.copyright.date 2015-04-15 12:23:47.074767+10
pubs.consider-herdc true
utslib.collection.history General (ID: 2)

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