JMIR Publications

ABSTRACT

Background:

Pelvic fractures lead to disability and a poor health-related quality of life, thereby contributing to the burden of disease in SA. Rehabilitation plays an important role in improving the functional outcomes in patients with pelvic fractures. However, there is limited published research that presents optimal interventions and guidelines to improve outcomes in the affected individuals.

Objective:

Examine and map the range of and gaps in rehabilitation approaches and strategies used by healthcare professionals globally, in the management of adult patients with pelvic fractures.

Methods:

The synthesis of evidence will follow the framework outlined by Arksey and O’Malley and supported by the Joanna Briggs Institute. The identification of research questions; the identification of relevant studies; the selection of eligible studies; charting data; collating, summarising and reporting of results; and consultation with relevant stakeholders will be undertaken. Peer reviewed articles written in English, from quantitative, qualitative and mixed methods studies, from Google Scholar, Medline, PubMed and Cochrane Library will be considered. Studies eligible for selection will be full texts, written in English and about adult patients with pelvic fractures. Studies on children with pelvic fractures, on interventions following pathological pelvic fractures, opinion papers and commentaries will be excluded from the study. Rayyan software will be used for title and abstract screening to determine inclusion in the study and to improve collaboration between the reviewers. The Mixed Methods Appraisal Tool (MMAT), version 2018, will be utilised to appraise the quality of the studies.

Results:

This protocol will guide a scoping review to examine and map the range of and gaps in rehabilitation approaches and strategies used by healthcare professionals globally, in the management of adult patients with pelvic fractures, irrespective of level of care. Impairments, activity limitations and participation restrictions in patients with pelvic fractures will be highlighted, which will give an indication of the rehabilitation needs of the affected individuals. Results of this review might provide evidence for healthcare professionals, policy makers and scholars to aid rehabilitative care and further integration of patients into healthcare systems and community.

Conclusions:

The rehabilitation needs of patients with pelvic fractures will be drawn from this review and will be presented in a flow diagram. Rehabilitation approaches and strategies in the management of patients with pelvic fractures will be identified, in order to guide healthcare professionals in the promotion of quality healthcare for these patients. Clinical Trial: Open Science Framework (OSF) (registration number: osf.io/f9w3z).