Early exercise in blunt chest wall trauma: protocol for a mixed-methods, multicentre, parallel randomised controlled
Ceri Battle1, Amy Charnock2, Sara Davies3
1Welsh Institute of Emergency Medicine Research, Emergency Department, Morriston Hospital, Swansea, UK ceri.battle@wales.nhs.uk.
BMJ Open
|April 8, 2022
Summary
This study investigates an early exercise program to reduce chronic pain and disability after blunt chest trauma. The goal is to improve patient outcomes and quality of life through structured physical activity.
Area of Science:
- Traumatology
- Rehabilitation Medicine
- Clinical Trials
Background:
- Blunt chest wall trauma frequently leads to chronic pain and disability.
- Effective therapeutic interventions for these long-term complications are under-researched.
- A feasibility study has informed the design of this definitive trial.
Purpose of the Study:
- To determine the impact of an early exercise program on chronic pain and disability in patients post-blunt chest wall trauma.
- To assess the cost-effectiveness of the intervention.
- To evaluate the acceptability of the exercise program among patients and clinicians.
Main Methods:
- A mixed-methods, multicentre, parallel randomised controlled trial.
- Patients randomized to routine physiotherapy or routine physiotherapy plus a self-administered exercise program.
- Outcomes measured using Brief Pain Inventory, EuroQol 5-dimensions, 5-Levels, and client services receipt inventory at baseline and 3 months.
- Qualitative data collected via patient and clinician focus groups.
Main Results:
- Data collection ongoing; results not yet available (Pre-results).
- The study is designed to analyze the rate and severity of chronic pain and disability.
- Cost-effectiveness and program acceptability will be key outcome analyses.
Conclusions:
- The findings will inform clinical practice regarding the management of blunt chest wall trauma.
- This trial aims to provide evidence for an effective, accessible intervention.
- Successful implementation could improve long-term recovery and reduce healthcare burden.
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