Journal article
Cognitive-Behavioral-Based Physical Therapy for Improving Recovery After Traumatic Orthopaedic Lower Extremity Injury (CBPT-Trauma)
Journal of orthopaedic trauma, Vol.36(Suppl 1), pp.S1-S7
01/01/2022
DOI: 10.1097/BOT.0000000000002283
PMID: 34924512
Abstract
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.
Details
- Title: Subtitle
- Cognitive-Behavioral-Based Physical Therapy for Improving Recovery After Traumatic Orthopaedic Lower Extremity Injury (CBPT-Trauma)
- Creators
- Kristin R Archer - Vanderbilt University Medical CenterClaudia A Davidson - Vanderbilt University Medical CenterDana Alkhoury - Johns Hopkins UniversitySusan W Vanston - Vanderbilt University Medical CenterTanisha L Moore - Vanderbilt University Medical CenterAndrea Deluca - Johns Hopkins UniversityJoshua F Betz - Johns Hopkins UniversityRichard E Thompson - Johns Hopkins UniversityWilliam T Obremskey - Vanderbilt University Medical CenterGerard P Slobogean - University of Maryland, BaltimoreDanielle H Melton - The University of Texas Health Science Center at HoustonJason M Wilken - University of IowaMadhav A Karunakar - Carolinas Medical CenterJessica C Rivera - University Medical Center New OrleansHassan R Mir - Florida Orthopaedic InstituteTodd O McKinley - Indiana University HealthKatherine P Frey - Johns Hopkins UniversityRenan C Castillo - Johns Hopkins UniversityStephen T Wegener - Johns Hopkins UniversityMETRC
- Resource Type
- Journal article
- Publication Details
- Journal of orthopaedic trauma, Vol.36(Suppl 1), pp.S1-S7
- DOI
- 10.1097/BOT.0000000000002283
- PMID
- 34924512
- ISSN
- 0890-5339
- eISSN
- 1531-2291
- Language
- English
- Date published
- 01/01/2022
- Academic Unit
- Physical Therapy and Rehabilitation Science
- Record Identifier
- 9984295058802771
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