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A modified-delphi study establishing consensus in the therapeutic management of posttrauamtic elbow stiffness.
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- Author(s): Whitten, Mary; Silfies, Sheri P.; Grampurohit, Namrata; Fedorczyk, Jane M.
- Source:
Journal of Hand Therapy; Apr2022, Vol. 35 Issue 2, p299-307, 9p- Subject Terms:
- Source:
- Additional Information
- Abstract: • Web based modified Delphi study identifying expert consensus during 3 rounds. • Consensus was found in the following categories: examination procedures, therapeutic interventions, orthotic intervention considerations, contributing patient factors, and clinical decisions and rehabilitation challenges. • Findings of this study support the need for future high-level studies looking at effectiveness of recommended therapeutic interventions. : Web-based modified Delphi study. : Therapy is widely considered the first choice of treatment for posttraumatic stiffness of the elbow since loss of motion is a common sequela following traumatic elbow injuries. There is high variability in practice patterns for the management of the posttraumtic elbow. : The aim of this study is to identify the current therapeutic management of posttraumatic elbow stiffness using expert consensus. : This study surveyed experts using a web-based 3 round modified Delphi method. Quantitative data and comments were collected during the first round. Questions with Likert scaling were used to identify consensus (defined as 75% agreement) with each statement and comment boxes enabled open-ended responses to gather expert opinion. Lack of consensus and data from comments guided the second-round of the survey. This process was repeated after Round 2 to develop the Round 3 survey. Consensus was achieved at Round 3 and no further rounds were needed. : Round 1 included 34 experts (response rate 20%), not all experts were able to continue through all rounds. Round 2 included 18 experts and Round 3 included 15 experts. Survey items were categorized as follows: examination procedures, therapeutic interventions, orthotic intervention considerations, contributing patient factors, and clinical decisions and rehabilitation challenges. Twenty-five percent of items achieved consensus after Round 1, 30% after Round 2 and 52% after Round 3. Although most participants agreed that orthotic intervention is critical to patient outcomes, there were conflicting thoughts about the orthotic design and wearing schedule. : The findings of this web-based modified Delphi study helped to establish a current body of knowledge using expert consensus to guide practice and identify specific questions that can be studied in future clinical studies on posttraumatic elbow stiffness. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Journal of Hand Therapy is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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