Enhanced Rehabilitation After Major Trauma (PROPERLY) (PROPERLY)
Major Trauma
About this trial
This is an interventional treatment trial for Major Trauma
Eligibility Criteria
Inclusion Criteria: Participants over 18 years old Registered GP in Greater Manchester or Greater Manchester Resident. Polytrauma or one or more complex /severe isolated injury Rehabilitation goals (e.g., mobility, function, job retention/ return to work) identified using shared decision-making process Patient able to enter programme 6-30 months post injury. For the ERP patients willing to travel to the MIHP for their evaluation and treatment twice a week. Participants with lower limb injuries that continue to have functional impairment. Participants deemed well and safe enough to participate by clinical teams. Normal ECG if previously reported to have abnormal ECG Participants willing to consent to follow up over 12 months Participants with the capacity to consent to the study. Fully healed wounds and bone healed sufficiently to allow at least partial weight bearing Exclusion Criteria: Participants under the age of 18 Participants unable to provide informed consent Participants with multiple pre-existing comorbidities that affect ability to participate in enhanced rehabilitation such as cognitive impairment, unstable angina. Central motor neurological impairment affecting ability to participate in an enhanced rehab programme Absence of functional disability affecting gait and / or function. Plans for further surgery that will impact on gait or function.
Sites / Locations
- Manchester University NHS Foundation Trust - St Mary'sRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Other
Enhanced Rehabilitation Programme (ERP)
Standard Care
60-120 MINUTES OF ENHANCED REHABILITATION Manual Therapy Hydrotherapy Exercise Strength and Conditioning Programmes Gait re-education Pilates/ Yoga Cognitive and Vocational Rehabilitation Occupation Therapy Interventions eg. Anxiety Management, Pacing, Cognitive Behavioural Therapy
Standard care received at usual NHS facility