Health Condition 1: M968- Other intraoperative and postprocedural complications and disorders of musculoskeletal system, not elsewhere classified
Conditions
Interventions
Intervention1: Early Physiotherapy Intervention: Participants in Group A will receive early, structured physiotherapy intervention initiated within 24 72 hours postoperatively and continued for a peri
Sponsors
Uttar Pradesh University of Medical Sciences Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing orthopedic trauma-related surgical procedures, including fractures, joint dislocations, ligament reconstruction, and soft tissue surgeries. Patients in the early postoperative phase (within 48 72 hours after surgery). Patients aged between 18 and 65 years. (Ponkilainen V et al., 2022). [24] Both male and female patients. Medically stable and cleared by the treating surgeon to participate in physiotherapy. Patients able to understand and follow instructions for the physiotherapy program. Patients willing to adhere to the treatment protocol and attend all scheduled sessions. Patients providing written informed consent prior to participation.
Exclusion criteria
Exclusion criteria: Patients with pre-existing respiratory disorders (e.g., chronic obstructive pulmonary disease, bronchial asthma, or other severe pulmonary conditions). Patients with systemic conditions (e.g., uncontrolled diabetes mellitus, severe peripheral vascular disorders, or active infection). Patients with neurological impairments (e.g., stroke, peripheral neuropathy, or altered sensorium) that may affect participation or outcome assessment. Medically unstable patients in whom physiotherapy intervention cannot be safely administered or outcomes cannot be reliably assessed. Patients who are unwilling or unable to provide informed consent.
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| 1. Edema Outcome Measure: Circumferential Limb Measurement (cm) Outcome Details: Edema measured using non-elastic measuring tape at standardized anatomical landmarks around affected limb (cm). 2. Respiratory Function Outcome Measure: Chest Expansion (cm) Outcome Details: Chest expansion measured using measuring tape at axillary/xiphoid level, difference between maximal inspiration and expiration (cm). 3. Pressure Ulcer Status Outcome Measure: PUSH Tool Score (0-17) Outcome Details: PUSH Tool (Pressure Ulcer Scale for Healing): surface area (0-10), exudate (0-3), tissue type (0-4), total 0-17 ordinal scale, lower score = better healing.Timepoint: T0 (Day 1/baseline), T1 (Day 4), T2 (Day 10 or discharge, whichever is earlier) | — |
Primary
| Measure | Time frame |
|---|---|
| REEDA Scale (0-15) and Wound Size (cm ) using Smartphone Digital Planimetry Outcome Details: Wound healing assessed using REEDA Scale (Redness, Edema, Ecchymosis, Discharge, Approximation; each scored 0-3 ordinal scale, total 0-15, lower score = better healing, and wound size measured using smartphone-based digital planimetry (cm ) with high-resolution photographs at standardized 30 cm distance and 1 cm calibration gridTimepoint: T0 (Day 1/baseline), T1 (Day 4), T2 (Day 10 or discharge, whichever is earlier) | — |
Countries
India
Contacts
Public ContactADITI GUPTA
Uttar Pradesh University of Medical Sciences
Outcome results
None listed