ArticleBMJ open2025
Postoperative rehabilitation training adherence and influencing factors in adults with traumatic fractures in China: a cross-sectional study.
Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
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- Article
- Predicting Home Exercise Adherence after Ischemic Stroke: Development and Validation of a Web-Based Nomogram.Brain and behavior · 2026Article
- Identifying patient profiles based on protection motivation theory to predict exercise adherence in patients with lumbar disc herniation: a latent profile analysis.BMC musculoskeletal disorders · 2026Article
- Therapeutic efficacy of minimally invasive techniques in shoulder/knee/tibial shaft fractures.American journal of translational research · 2026Article
- Exercise adherence and wrist function recovery after distal radius fracture surgery in older adults: a 12 week prospective longitudinal study.Frontiers in medicine · 2026Article
- Surgery-related factors associated with early postoperative kinesiophobia in geriatric hip fracture patients: a risk stratification model.Frontiers in medicine · 2026Article
- Post-traumatic growth and rehabilitation adherence in lower extremity fracture patients: a parallel mediation model.Frontiers in psychology · 2026Article
- The Impact of Perceived Usefulness of Wearable Devices on Treatment Adherence in Fracture Patients: The Chain Mediating Roles of Self-Efficacy and Meaning in Life.Patient preference and adherence · 2026Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore rehabilitation training adherence as well as its related influencing factors among adult patients with traumatic limb fractures to provide a basis for clinical intervention strategies.
designCross-sectional study.
settingDepartment of Rehabilitation Medicine.
participantsAdults within 1 year postoperative for traumatic limb fractures and who underwent rehabilitation training were included in this study.
interventionsNot applicable.
main outcome measuresPatient information was collected using a self-designed general information form. Rehabilitation training adherence was evaluated using the Exercise Adherence Rating Scale (0/64, higher values=higher adherence). Barriers to and facilitators of rehabilitation were assessed using sociodemographic data, ability to perform daily life (ADL), General Self-Efficacy Scale (GSES) and Visual Analogue Scale. Pearson's (r) and determination (R
resultsBetween December 2022 and December 2023, 180 subjects were recruited. The age of the participants ranged from 18 to 93 years, with a mean age of 41.5 years (SD 15.6). The mean Exercise Adherence score was 30.31 (SD 5.8). Adherence to postoperative rehabilitation training tended to be lower in participants of older age (-1.30; 95% CI -2.14 to -0.46; p=0.003), and those who had higher pain scores on the movement (moderate pain (-3.25; 95% CI -4.56 to -1.95; p<0.001) to severe pain (-5.42; 95% CI -7.31 to -3.54; p<0.001)), less education (-2.90; 95% CI -4.17 to -1.64; p<0.001), fewer family income (-1.82; 95% CI -2.77 to -0.87; p<0.001), treated at home (-1.90; 95% CI -3.35 to -0.45; p=0.011) and with lower GSES scores (0.25; 95% CI 0.16 to 0.34; p<0.001).
conclusionsPatients with limb fractures require rehabilitation but often struggle with adherence to interventions. Strategies that focus on targeted education programmes, pain management and self-efficacy improvement may be considered to guide future research and programmatic approaches to enhance adherence to rehabilitation training.
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