None listed
Conditions
Brief summary
The main purpose of this study is to determine objectively whether orthopaedic in-patients are able to reproduce partial weight bearing orders by assessing dynamic weight bearing using a highly accurate insole monitor. The study also seeks to investigate factors that influence patients’ ability to accurately reproduce partial weight bearing orders. Finally, the study will investigate, in a preliminary manner, whether the ability to accurately reproduce partial weight bearing orders affects clinical outcomes.
Interventions
All participants will receive standard medical, nursing and allied health care during and after their hospital admission. This care, including instruction in partial weight bearing during mobilisation by physiotherapists, will not change as a result of participation in the current study. Our physiotherapists currently use the hand-under-foot or bathroom scale method to instruct patients in partial weight bearing, with the method chosen at the discretion of the treating physiotherapist. Instruction is repeated until the patient and physiotherapist are confident that the patient can reproduce the partial weight bearing orders. Further instruction on subsequent episodes of mobilisation is undertaken as deemed necessary. Additionally, when mobilising patients, physiotherapy staff observe the patient’s style of mobilisation and estimate whether partial weight bearing to the prescribed level is occurring. Repeated instruction is provided for patients when over-loading is suspected. Instruction in partial weight bearing status will occur only during the period of hospitalisation.
Sponsors
Eligibility
Inclusion criteria
Adult patients admitted to the Royal Adelaide Hospital with an orthopaedic problem/condition where the management includes the prescription of partial weight bearing.
Exclusion criteria
Unwilling to participate