期刊
JOURNAL OF ORTHOPAEDIC TRAUMA
卷 36, 期 -, 页码 S1-S7出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/BOT.0000000000002283
关键词
orthopaedics; rehabilitation; cognitive-behavioral therapy
资金
- Office of the Assistant Secretary of Defense for Health Affairs through the Peer-Reviewed Orthopaedic Research Program [W81XWH-16-2-0060]
Physical and psychological impairment resulting from traumatic injuries affects employment and functional independence. Extremity trauma negatively affects long-term physical function, work ability, recreational activities, and mental health. Pain levels and psychosocial factors play a crucial role in recovery.
Physical and psychological impairment resulting from traumatic injuries is often significant and affects employment and functional independence. Extremity trauma has been shown to negatively affect long-term self-reported physical function, the ability to work, and participation in recreational activities and contributes to increased rates of anxiety and/or depression. High pain levels early in the recovery process and psychosocial factors play a prominent role in recovery after traumatic lower extremity injury. Cognitive-behavioral therapy pain programs have been shown to mitigate these effects. However, patient access issues related to financial and transportation constraints and the competing demands of treatment focused on the physical sequelae of traumatic injury limit patient participation in this treatment modality. This article describes a telephone-delivered cognitive-behavioral-based physical therapy (CBPT-Trauma) program and design of a multicenter trial to determine its effectiveness after lower extremity trauma. Three hundred twenty-five patients from 7 Level 1 trauma centers were randomized to CBPT-Trauma or an education program after hospital discharge. The primary hypothesis is that compared with patients who receive an education program, patients who receive the CBPT-Trauma program will have improved physical function, pain, and physical and mental health at 12 months after hospital discharge.
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