The author's hypothesized that the implementation of a digital physiotherapy intervention is feasible and effective to improve functional independence and quality of life. Qualitative outcomes will also be explored. At the end of the 4-week intervention (T1-post) a new assessment of the outcome will be performed adding data on adherence, satisfaction ( ad hoc questionnaire and TSQ), and barriers of use. Subjects will receive a baseline (T0-pre) assessment of Functional Independence and Quality of Life. Sixty subjects will be enrolled and randomly divided into two groups: the experimental group (EG) will receive a 4-week digital physiotherapy intervention through an app in a recycled mobile device after hospital discharge the control group (CG) will receive the physiotherapy standard care recommended for patients discharged from the hospital. It is a single-blind study, where the evaluator does not know the nature of the intervention. This study protocol will explore a digital physiotherapy intervention in children with ankle fracture in a low-resource setting to improve functional independence and quality of life.Ī randomized clinical trial with a mixed quantitative-qualitative design will be carried out. In rural India the scarcity of physiotherapists and inequalities complicate the recovery of traumatized children. The mean VAS score for pain at the start of the protocol was 7.14 (SD-1.222) which improved to 0 at 18 months.Ĭonclusion: SHARP is a non-invasive, easy to follow and reproduce, home based exercise program effective in early improvement of pain and disability in patients with frozen shoulderĪdhesive Capsulitis, Frozen Shoulder, Shoulder Accelerated Rehabilitation Protocol (SHARP) Maximum patients reached a constant shoulder score of 100 at 15 months (22 patients). RESULTS: The mean constant shoulder score at the start of protocol was 26.69 (SD- 8.522), which improved to 98.58 (SD-2.892) at 15 months. Method and Material: Thirty six consecutive idiopathic frozen shoulder patients with a painful shoulder of more than 4 weeks and less than 6 months duration and with limitation of active and passive range of movement greater than 25% in abduction and external rotation compared with the other shoulder were selected and subjected to the SHARP protocol. Hence, we decided to develop and validate a Shoulder Accelerated Rehabilitation Protocol (SHARP) for patients with frozen shoulder in our Indian scenario. Furthermore, the compliance of the patient is not good and cost of physiotherapy is high. Most of the protocols are extensive and do not suite the Indian scenario as most of the patients are not involved in active sports or high end activities. There are many variations of physical therapy protocol. Introduction: Adhesive capsulitis or frozen shoulder is a condition characterized by generalized pain and stiffness with progressive global restricted motion of the shoulder1.
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