Orthopedic inpatients' ability to accurately reproduce partial weight bearing orders

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dc.contributor.authorYu, S.
dc.contributor.authorMcDonald, T.
dc.contributor.authorJesudason, C.
dc.contributor.authorStiller, K.
dc.contributor.authorSullivan, T.
dc.date.issued2014
dc.description.abstractPartial weight bearing is often prescribed for patients with orthopedic injuries. Patients’ ability to accurately reproduce partial weight bearing orders is variable, and its impact on clinical outcomes is unknown. This observational study measured patients’ ability to reproduce partial weight bearing orders, factors influencing this, patients’ and physiotherapists’ ability to gauge partial weight bearing accuracy, and the effect of partial weight bearing accuracy on long-term clinical outcomes. Fifty-one orthopedic inpatients prescribed partial weight bearing were included. All received standard medical/nursing/physiotherapy care. Physiotherapists instructed patients in partial weight bearing using the hand-under-foot, bathroom scales, and/or verbal methods of instruction. Weight bearing was measured on up to 3 occasions during hospitalization using a force-sensitive insole. Factors that had the potential to influence partial weight bearing accuracy were recorded. Patients and their physiotherapists rated their perception of partial weight bearing accuracy. Three-month clinical follow-up data were retrieved from medical records. The majority of patients (72% or more) exceeded their target load, with mean peak weight bearing as high as 19.3 kg over target load (285% of target load). Weight bearing significantly increased over the 3 measurement occasions (P<.001) and was significantly associated with greater body weight (P=.04). Patients and physiotherapists were unable to accurately gauge partial weight bearing accuracy. The incidence of clinically important complications at 3 months was 9% and not significantly associated with partial weight bearing accuracy during hospitalization (P≥.45). Patients are unable to accurately reproduce partial weight bearing orders when trained with the hand-under-foot, bathroom scales, or verbal methods of instruction.
dc.description.statementofresponsibilitySerena Yu, Tony McDonald, Christabel Jesudason, Kathy Stiller, Thomas Sullivan
dc.identifier.citationOrthopedics, 2014; 37(1):e10-e18
dc.identifier.doi10.3928/01477447-20131219-10
dc.identifier.issn0147-7447
dc.identifier.issn1938-2367
dc.identifier.orcidSullivan, T. [0000-0002-6930-5406]
dc.identifier.urihttp://hdl.handle.net/2440/93259
dc.language.isoen
dc.publisherHealio
dc.rightsCopyright status unknown
dc.source.urihttps://doi.org/10.3928/01477447-20131219-10
dc.subjectHumans
dc.subjectLeg Injuries
dc.subjectOrthopedic Procedures
dc.subjectSelf Care
dc.subjectPatient Compliance
dc.subjectPhysical Therapy Modalities
dc.subjectAdult
dc.subjectAged
dc.subjectAged, 80 and over
dc.subjectBones of Lower Extremity
dc.subjectWeight-Bearing
dc.subjectMiddle Aged
dc.subjectFemale
dc.subjectMale
dc.titleOrthopedic inpatients' ability to accurately reproduce partial weight bearing orders
dc.typeJournal article
pubs.publication-statusPublished

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