Compliance of Functional Exercises in School-age Children with Limb Fractures: Implication for Nursing Countermeasures

Overview

Journal BMC Pediatr

Publisher Biomed Central

Specialty Pediatrics

Date 2022 Mar 15

PMID 35287621

Authors

Hui Liu

Yun Wang

Mengya Li

Dan Chen

Yuping Tang

Affiliations

Soon will be listed here.

Abstract

Background: Functional exercises is very essential to the recovery of patients with fracture. We aimed to evaluate the compliance of functional exercises in school-age children with limb fracture, to provide evidence to the clinical management and nursing care of children with limb fracture.

Methods: School-age children with limb fractures treated in our hospital from January 1, 2020 to June 30, 2021 were selected. The characteristics and postoperative functional exercise compliance of included children were analyzed. Pearson correlation and Logistic regression analysis were conducted to analyze the influencing factors of compliance to functional exercises.

Results: A total of 328 children with limb fracture were included, the incidence of compliance to functional exercise was only 35.98%. Pearson correlation analysis showed that age(r = 0.707), only child of family(r = 0.537), guardians(r = 0.642) and type of temperament(r = 0.635) were correlated with compliance to functional exercises in school-age children with limb fractures (all p < 0.05). Logistic regression analysis indicated that age ≤ 10y (OR2.913, 95%CI2.091 ~ 3.611), only child of family (OR2.006, 95%CI1.683 ~ 2.558), guarded by grandparents (OR1.512, 95%CI1.201 ~ 2.118), non-easy-going temperament (OR4.127, 95%CI3.811 ~ 4.902) were the influencing factors of non-compliance to functional exercises in children with limb fracture (all p < 0.05).

Conclusions: School-age children have poor compliance with functional exercises after limb fractures, and there are many influencing factors. For children with those risks, health care providers should actively intervene in nursing to improve children's exercise compliance and the rehabilitation effect.

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References

Beckmann M, Bruun-Olsen V, Pripp A, Bergland A, Smith T, Heiberg K . Effect of an additional health-professional-led exercise programme on clinical health outcomes after hip fracture. Physiother Res Int. 2021; 26(2):e1896. DOI: 10.1002/pri.1896. View

Naik P . Remodelling in Children's Fractures and Limits of Acceptability. Indian J Orthop. 2021; 55(3):549-559. PMC: 8081818. DOI: 10.1007/s43465-020-00320-2. View

Grgic O, Shevroja E, Dhamo B, Uitterlinden A, Wolvius E, Rivadeneira F . Skeletal maturation in relation to ethnic background in children of school age: The Generation R Study. Bone. 2019; 132:115180. DOI: 10.1016/j.bone.2019.115180. View

Harding A, Weeks B, Lambert C, Watson S, Weis L, Beck B . Exploring thoracic kyphosis and incident fracture from vertebral morphology with high-intensity exercise in middle-aged and older men with osteopenia and osteoporosis: a secondary analysis of the LIFTMOR-M trial. Osteoporos Int. 2020; 32(3):451-465. DOI: 10.1007/s00198-020-05583-x. View

Chow C, Rizwan A, Xu R, Poulin L, Bhardwaj V, Van Lieshout R . Association of Temperament With Preoperative Anxiety in Pediatric Patients Undergoing Surgery: A Systematic Review and Meta-analysis. JAMA Netw Open. 2019; 2(6):e195614. PMC: 6563582. DOI: 10.1001/jamanetworkopen.2019.5614. View

Ferrer F, Castell E, Marco F, Juste Ruiz M, Rico J, Roca A . Influence of weight status on bone mineral content measured by DXA in children. BMC Pediatr. 2021; 21(1):185. PMC: 8056645. DOI: 10.1186/s12887-021-02665-5. View

Zaqout M, Vandekerckhove K, De Wolf D, Panzer J, Bove T, Francois K . Determinants of Physical Fitness in Children with Repaired Congenital Heart Disease. Pediatr Cardiol. 2021; 42(4):857-865. DOI: 10.1007/s00246-021-02551-y. View

Mohsenzade P, Amirhakimi A, Honar N, Saki F, Omrani G, Dabbaghmanesh M . Bone density, fractures and the associated factors in iranian children and adolescent with Osteogenesis Imperfecta. BMC Pediatr. 2021; 21(1):37. PMC: 7807702. DOI: 10.1186/s12887-020-02491-1. View

Phelan I, Furness P, Dunn H, Carrion-Plaza A, Matsangidou M, Dimitri P . Immersive virtual reality in children with upper limb injuries: Findings from a feasibility study. J Pediatr Rehabil Med. 2021; 14(3):401-414. PMC: 9108569. DOI: 10.3233/PRM-190635. View

10.

Ponzano M, Rodrigues I, Hosseini Z, Ashe M, Butt D, Chilibeck P . Progressive Resistance Training for Improving Health-Related Outcomes in People at Risk of Fracture: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Phys Ther. 2020; 101(2). DOI: 10.1093/ptj/pzaa221. View

11.

Kohler-Forsberg O, Keers R, Uher R, Hauser J, Maier W, Rietschel M . Dimensions of temperament and character as predictors of antidepressant discontinuation, response and adverse reactions during treatment with nortriptyline and escitalopram. Psychol Med. 2021; 53(6):2522-2530. DOI: 10.1017/S003329172100444X. View

12.

Tan C, Depiazzi J, Bear N, Blennerhassett L, Page R, Gibson N . Exercise handout and one-on-one hand therapy for management of stiffness after plaster cast immobilization of simple phalangeal and metacarpal fractures in children: A randomized, noninferiority trial. J Hand Ther. 2020; 34(3):423-432.e7. DOI: 10.1016/j.jht.2020.03.017. View

13.

Li J, Yuan X, Cao Y, Liu T, Gou P, Li X . The effects of home confinement on pediatric fractures during the COVID 19 outbreak. Ital J Pediatr. 2021; 47(1):142. PMC: 8242274. DOI: 10.1186/s13052-021-01092-7. View

14.

Cresswell E, Ruspi B, Wollman C, Peal B, Deng S, Toler A . Determination of correlation of proximal sesamoid bone osteoarthritis with high-speed furlong exercise and catastrophic sesamoid bone fracture in Thoroughbred racehorses. Am J Vet Res. 2021; 82(6):467-477. DOI: 10.2460/ajvr.82.6.467. View

15.

Xiang F, Li B, Xiao S, Liu H, Wen J, Li X . The midterm outcomes of ankle Dias-Tachdjian pronation-eversion external rotation physeal fracture in children treated by open reduction internal fixation with one-stage medial-lateral combined incision. J Pediatr Orthop B. 2021; 30(5):438-442. PMC: 8318562. DOI: 10.1097/BPB.0000000000000836. View

16.

Grgic O, Chung K, Shevroja E, Trajanoska K, Uitterlinden A, Wolvius E . Fractures in school age children in relation to sex and ethnic background: The Generation R Study. Bone. 2019; 121:227-231. DOI: 10.1016/j.bone.2019.01.019. View

17.

Delshad M, Beck K, Conlon C, Mugridge O, Kruger M, von Hurst P . Fracture risk factors among children living in New Zealand. J Steroid Biochem Mol Biol. 2020; 200:105655. DOI: 10.1016/j.jsbmb.2020.105655. View

18.

Binder E, Christensen J, Stevens-Lapsley J, Bartley J, Berry S, Dobs A . A multi-center trial of exercise and testosterone therapy in women after hip fracture: Design, methods and impact of the COVID-19 pandemic. Contemp Clin Trials. 2021; 104:106356. PMC: 9119796. DOI: 10.1016/j.cct.2021.106356. View

19.

Ariza-Vega P, Ortiz-Pina M, Kristensen M, Castellote-Caballero Y, Jimenez-Moleon J . High perceived caregiver burden for relatives of patients following hip fracture surgery. Disabil Rehabil. 2017; 41(3):311-318. DOI: 10.1080/09638288.2017.1390612. View

20.

Zhang X, Butts W, You T . Exercise interventions, physical function, and mobility after hip fracture: a systematic review and meta-analysis. Disabil Rehabil. 2021; 44(18):4986-4996. DOI: 10.1080/09638288.2021.1924299. View