| Title: |
Comparison of physiotherapy practice in university hospitals following chest trauma between two countries with different trauma panoramas : a prospective observational study |
| Authors: |
Fagevik Olsén, Monika; Sehlin, Maria; Svensson, Annie; Roos, Ronel; Slobo, Margareta; Svensson-Raskh, Anna; Van Aswegen, Helena |
| Publisher Information: |
Umeå universitet, Avdelningen för fysioterapi; Department of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden; Department of Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa; Department of Neurobiology, Care Sciences and Society, Division of Physiotherapy, Karolinska Institute, Stockholm, Sweden; Women's Health and Allied Health Professionals Theme, Medical Unit Occupational Therapy and Physiotherapy, Karolinska University Hospital, Stockholm, Sweden; Department of Physiotherapy, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, Gauteng, South Africa; Department of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden |
| Publication Year: |
2025 |
| Collection: |
Umeå University: Publications (DiVA) |
| Subject Terms: |
Physical Therapy Modalities; Trauma; Trauma management; Physiotherapy; Fysioterapi |
| Description: |
Objectives: The study aimed to describe and compare the clinical physiotherapy management of patients hospitalised due to chest trauma in South Africa (SA) and Sweden. Design: A prospective observational multicentre international study. Setting: Two university-Affiliated public sector hospitals in SA and four university-Affiliated public sector hospitals in Sweden. Participants: In total, 364 adults, hospitalised due to chest trauma were consecutively recruited of which 179 were from SA and 185 were from Sweden. Outcome measures: Physiotherapy practice was recorded in parallel with standard care. In addition, pulmonary complications and length of hospital stay were collected. Results: Despite differences in the type of trauma between the national cohorts (83% penetrating traumas in SA and 95% blunt traumas in Sweden), most patients received physiotherapy treatment during the first 3 days in hospital. Physiotherapy interventions such as mobilisation (day 1: sit on edge of bed; days 1-3: walking) and exercises to maintain range of motion (days 1-3: shoulder; day 3: trunk) were initiated earlier in SA (p |
| Document Type: |
article in journal/newspaper |
| File Description: |
application/pdf |
| Language: |
English |
| Relation: |
BMJ Open, 2025, 15:2; PMID 39947828; ISI:001421830600001 |
| DOI: |
10.1136/bmjopen-2024-092892 |
| Availability: |
http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-235847; https://doi.org/10.1136/bmjopen-2024-092892 |
| Rights: |
info:eu-repo/semantics/openAccess |
| Accession Number: |
edsbas.3CD0DD48 |
| Database: |
BASE |