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EarLy Exercise in blunt Chest wall Trauma: A multi-centre, parallel randomised controlled trial (ELECT2 Trial).
Ceri Battle1, Timothy Driscoll2, Deborah Fitzsimmons3
1Physiotherapy Dept, Morriston Hospital, Swansea, Wales, UK; Swansea Trials Unit. Swansea University Medical School, Swansea University, Swansea, UK.
Injury
|December 14, 2024
Summary
Early exercise programs for blunt chest wall trauma did not significantly reduce chronic pain or improve quality of life. Personalized, later-commenced programs may be more effective for trauma patients.
Area of Science:
- Trauma Care
- Rehabilitation Medicine
- Clinical Trials
Background:
- Blunt chest wall trauma frequently leads to chronic pain and reduced Health-Related Quality of Life (HRQoL).
- Early intervention strategies are being explored to mitigate these long-term effects.
Purpose of the Study:
- To evaluate the impact of early thoracic and shoulder girdle exercises on chronic pain and HRQoL in patients with blunt chest wall trauma.
- To compare an early exercise intervention against standard care for these outcomes.
Main Methods:
- A multi-center, parallel randomized controlled trial was conducted.
- Adult patients with blunt chest wall trauma were assigned to either an early exercise intervention group or a control group receiving normal care.
- Outcomes, including chronic pain prevalence and severity (Brief Pain Inventory) and HRQoL (EQ-5D-5 L), were assessed at baseline and three months post-injury.
Main Results:
- No statistically significant differences were observed in chronic pain prevalence (p=0.098), pain severity (p=0.473), or HRQoL (p=0.350) between the intervention and control groups at three months.
- The intervention group exhibited higher costs compared to the control group in the health economic analysis.
- The study recruited 360 participants, with a mean age of 63.6 years; 59.8% were male.
Conclusions:
- A standardized, early exercise program is not universally effective for all patients with blunt chest wall trauma.
- Future research should investigate the efficacy of personalized exercise programs initiated at least one week post-injury.
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