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Effectiveness of standardized approach versus usual care on physiotherapy treatment for patients submitted to alveolar bone graft: a pilot study
Vidotto LS, Bigliassi M, Alencar TRR, Silva TMS, Probst VS
Physiotherapy Theory and Practice 2015;31(5):347-353
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

AIM: To compare the acute effects of a standardized physiotherapy protocol versus a typical non-standardized physiotherapyprotocol on pain and performance of patients undergoing alveolar bone graft (ABG). METHOD: Sixteen patients (9 males; 12 (11 to 13) years) with cleft lip and palate undergoing ABG were allocated into two groups: (1) experimental group -- EG (standardized physiotherapy protocol); and (2) control group -- CG (typical, non-standardizedphysiotherapy treatment). Range of motion, muscle strength, gait speed, and pain level were assessed prior to surgical intervention (PRE), as well as on the first, second, and third post-operative days (1st, 2nd, and 3rd PO, respectively). RESULTS: Recovery with respect to range of motion of hip flexion was more pronounced in the EG (64.6 +/- 11.0) in comparison to the CG (48.5 +/- 17.7 on the 3rd PO; p < 0.05). In addition, less pain was observed in the EG (0 (0 to 0.2) versus 2 (0.7 to 3) in the CG on the 3rd PO; p < 0.05). CONCLUSION: A standardized physiotherapy protocol appears to be better than a non-standardized physiotherapy protocol for acute improvement of range of motion of hip flexion and for reducing pain in patients undergoing ABG.

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