head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue2
Subject Area: Public Health
-
DOI: 10.5272/jimab.2025312.6195
Published online: 09 May 2025

Case report
J of IMAB. 2025 Apr-Jun;31(2):6195-6198
PHYSIOTHERAPY MANAGEMENT IN PATIENTS IN THE EARLY POSTOPERATIVE PERIOD IN THE ORTHOPAEDIC-TRAUMALOGICAL PRACTICE
Denitsa VasilevaORCID logoCorresponding Autoremail,
Department of Public Health and Health Care, Faculty of Public Health, University of Ruse "Angel Kanchev", Bulgaria.

ABSTRACT:
Fractures are a common trauma leading to serious functional disability and impaired quality of life. In the course of orthopedic practice, the main role of the multidisciplinary team is the rapid and reliable reconstruction of the anatomical integrity of the bone as a condition for ensuring rapid functional recovery, but the effect of psycho-emotional trauma on the rehabilitation process is often underestimated.
Materials and methods. In the literature review in the period 2009 - 2024 in the scientific databases of Scopus, Elsevier, PubMed and Google Scholar, we did not find protocols for rehabilitation in the early postoperative period in patients with fractures, according to their psycho-emotional attitude to the recovery from the trauma. For this reason, we developed an algorithm for physiotherapeutic management in such patients according to the rehabilitation potential and their psychological attitude regarding their recovery.
Discussion: It has been proven that the general rehabilitation protocols in the early postoperative period for trauma patients are rarely universally applicable, and referring them to the physiotherapy and rehabilitation departments, they do not always receive the optimal physical load there, according to their needs.
Conclusion. We believe that our proposed algorithm would be useful for clinical physiotherapy practice in patients with orthopedic injuries in the early postoperative period and would lead to better functional results and a higher quality of life. The effectiveness of the proposed algorithm should be investigated in future research.

Keywords: physiotherapy, early postoperative period, orthopedic trauma, stress syndrome,

pdf - Download FULL TEXT /PDF 820 KB/
Please cite this article as: Vasileva D. Physiotherapy management in patients in the early postoperative period in the orthopaedic-traumalogical practice. J of IMAB. 2025 Apr-Jun;31(2):6195-6198. [Crossref - 10.5272/jimab.2025312.6198]

Corresponding AutorCorrespondence to: Denitsa Vasileva, Department of Public Health and Health Care, University of Ruse "Angel Kanchev"; 97 Aleksandrovska str., Ruse, Bulgaria; E-mail: ddecheva@uni-ruse.bg

REFERENCES:
1. Vincent HK, Horodyski M, Vincent KR, Brisbane ST, Sadasivan KK. Psychological Distress After. Orthopedic Trauma: Prevalence in Patients and Implications for Rehabilitation. PM R. 2015 Sep;7(9):978-989. [PubMed]
2. Perracini MR, Kristensen MT, Cunningham C, Sherrington C. Physiotherapy following fragility fractures. Injury. 2018 Aug;49(8):1413-1417. [PubMed]
3. Claydon JH, Robinson L, Aldridge SE. Patients' perceptions of repair, rehabilitation and recovery after major orthopaedic trauma: a qualitative study. Physiotherapy. 2017 Sep;103(3):322-329. [PubMed]
4. Shahid MZI,  Syed MK, Khalid M, Akram MR, Hamid, Inamullah S. Psychological effects of orthopedic trauma. Pak Postgrad Med J. 2023; 35(2):68-72. [Internet]
5. Chen JL, Luo R, Liu M. Prevalence of depression and anxiety and associated factors among geriatric orthopedic trauma inpatients: A cross-sectional study. World J Clin Cases. 2022 Jan 21;10(3):919-928. [PubMed ]
6. Schemitsch C, Nauth A. Psychological factors and recovery from trauma. Injury. 2020 May;51 Suppl 2: S64-S66. [PubMed]
7. Lee CH, Choi CH, Yoon SY, Lee JK. Post-traumatic Stress Disorder Associated With Orthopaedic Trauma: A Study in Patients With Extremity Fractures. J Orthop Trauma. 2015 Jun;29(6):e198-202. [PubMed ]
8. Mosqueda LA. Assessment of Rehabilitation Potential. Clin Geriatr Med. 1993 Nov;9(4):689-703, [PubMed]
9. Karaganova I, Mindova S. [Guidelines for Preparation of Kinesitherapeutic Programs on a Given Case (Clinical Case)] [in Bulgarian] Proceedings of University of Ruse. 2020; 59(8.1):12-18. [Internet]
10. Flanigan DC, Everhart JS, Glassman AH. Psychological Factors Affecting Rehabilitation and Outcomes Following Elective Orthopaedic Surgery. J Am Acad Orthop Surg. 2015 Sep;23(9):563-70. [PubMed]
11. Vasileva D, Gramatikov S. Limiting Factors on the Rehabilitation Potential in the Elderly Postoperative Period in Orthopedic – Traumatology Patients of Geriatric Profile. Rom  J Phys Ther. 2022 Jun;28(48):17-26. [Internet ]
12. Peiris CL, Taylor NF, Shields N. Patients receiving inpatient rehabilitation for lower limb orthopaedic conditions do much less physical activity than recommended in guidelines for healthy older adults: an observational study. J Physiother. 2013 Mar;59(1):39-44. [PubMed]
13. Muscatelli S, Hayley S, O’Hara NN, O’Hara LM, Sprague SA, Slobogean GP. Prevalence of Depression  and Post-traumatic Stress Disorder After Acute Orthopaedic Trauma: A Systematic Review and Meta-Analysis. J Orthop Trauma. 2017 Jan;31(1):47-55. [PubMed]
14. Nota SP, Bot AG, Ring D, Kloen P. Disability and depression after orthopaedic trauma. Injury. 2015 Feb;46(2):207-12. [PubMed]
15.Volkmer B, Sadler E, Lambe K, Martin FC, Ayis S, Beaupre L, et al. Orthopaedic physiotherapists' perceptions of mechanisms for observed variation in the implementation of physiotherapy practices in the early postoperative phase after hip fracture: a UK qualitative study. Age Ageing. 2021 Nov 10;50(6):1961-1970. [PubMed]
16. Castillo RC, Archer KR, Bradford Newcomb A, Wegener ST. Pain and Psychological Distress Following Orthopedic Trauma: A Call for Collaborative  Models of Care. Techniques in Orthopaedics. 2016 Dec;31(4):228-234. [Crossref]

Received: 11 December 2024
Published online: 09 May 2025

back to Online Journal