Evidence-Based Orthopaedics   |    
Injured Limbs Recover Better with Early Mobilization and Functional Bracing Than with Cast Immobilization

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For correspondence: Professor C.B. Del Mar,
Centre for General Practice, Faculty Health Science
and Medicine, Bond University, Gold Coast,
Queensland 4229, Australia. E-mail address:
Sources of funding: Centre for General Practice, University of Queensland and Primary Health Care Research, Evaluation and Development Strategy.
Nash CE, Mickan SM, Del Mar CB, Glasziou PP. Resting Injured Limbs Delays Recovery: A Systematic Review.
J Fam Pract
. 2004 Sep;53: 706-12.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2005 May 01;87(5):1167-1167. doi: 10.2106/JBJS.8705.ebo3
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Question: In patients with acute limb injuries, how does cast immobilization compare with early mobilization?Data sources: Studies were identified by searching the Cochrane Central Register of Controlled Trials and Cochrane Database of Systematic Reviews, MEDLINE (1966 to 2002), EMBASE Excerpta Medica, and Web of Science, and the references of retrieved studies.Study selection and assessment: Studies in any language were selected if they were randomized controlled trials comparing cast immobilization with early mobilization in patients with acute limb injuries, if the follow-up was =80%, and if the patient population was not predominantly young children. Study quality was assessed according to the criteria of the Cochrane Musculoskeletal Injuries Group (maximum score, 18).
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