Feasibility and validity of ambulant biofeedback devices to improve weight-bearing compliance in trauma patients with lower extremity fractures: A narrative review

J Rehabil Med. 2020 Aug 31;52(8):jrm00092. doi: 10.2340/16501977-2721.

Abstract

Background: Ambulant biofeedback devices can be used to provide real-time feedback for trauma patients on weight-bearing regimes. The devices also enable prescribing clinicians to monitor and train patients' level of weight-bearing. However, there is limited evidence regarding the feasibility of use of such devices in controlling weight-bearing, and their full potential remains to be elucidated.

Objective: To investigate the feasibility of using ambulant biofeedback training devices to improve compliance with weight-bearing regimes in trauma patients with lower extremity fractures.

Methods: A literature review of the feasibility and clinical validity of ambulant biofeedback devices.

Results: Three clinically validated biofeedback devices were found feasible for use in monitoring the compliance of patients who have lower extremity fractures with different weight-bearing regimes.

Conclusion: Further information about the feasibility and clinical validity of biofeedback training devices is nee-ded in order to optimize weight-bearing instructions for patients.

Keywords: ambulatory biofeedback device; compliance; lower extremity fracture; partial weight-bearing; permissive weight-bearing; trauma patient.

Publication types

  • Review

MeSH terms

  • Biofeedback, Psychology / methods*
  • Feasibility Studies
  • Female
  • Fractures, Bone / therapy*
  • Humans
  • Lower Extremity / injuries*
  • Male
  • Patient Compliance
  • Reproducibility of Results
  • Weight-Bearing / physiology*
  • Wounds and Injuries / therapy*