Fear-avoidant beliefs and behaviours after upper limb fracture in older people: a systematic review and meta-ethnography
Authors' conclusion
Fear-avoidant beliefs can impact heavily on certain older people's recovery, as well as their longer-term health and wellbeing. Consideration of fear avoidance and taking steps to mitigate against this in the acute upper limb trauma setting will better serve these patients in their ongoing recovery from injury.
Study context
- Population
- Older people with upper limb fracture (distal radial or humeral)
- Participants
- 150 people8 studies
- Outcome
- Themes of fear-avoidant beliefs and behaviours
Methodological detailsGRADE-CERQUAL, Databases searched from inception to 1st April 2023, Participants: 109 distal radial/41 humeral fracture
- GRADE-CERQUAL
- Databases searched from inception to 1st April 2023
- Participants: 109 distal radial/41 humeral fracture
Pooled result
As reported in the abstract
- Theme 1: type of fear-avoidant experiences
- Theme 2: drivers of fear-avoidant beliefs and behaviours
- Theme 3: consequences of fear-avoidant beliefs and behaviours
- Some patients initially consider upper limb fractures relatively minor; over time, often after an initial period of reduced fear, they realise the fractures have wide-ranging consequences with longer-term perspectives on recovery
- Moderate confidence evidence
Original publication
Fear-avoidant beliefs and behaviours after upper limb fracture in older people: a systematic review and meta-ethnography. Osteoporos Int. Published 27 January 2024. doi:10.
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