Consensus Project

Weightbearing consensus

Weightbearing consensus working group

Weightbearing consensus

 

Supplementary Material

10.1302/0301-620X.106B.BJJ-2024-0371.R1

 

Supplementary Material 1

 

Weightbearing consensus working group - stakeholders and positions of responsibility:

Stakeholder

Representative organization(s)

Affiliation

Alex Trompeter 

PhD, MBBS, BSc,

FRCS(Tr&Orth),

PgCertHBE, FHEA

(Chair)

Consensus Chairperson

BOA Trauma

Committee

BOA Clinical Standards

Committee

BLRS

St George’s University of London

St George’s University Hospital, London

Will Eardley

MSc PgCertMedEd

DipSEM(UK+I), MD,

FRCSEd (Tr&Orth)

NHFD

GIRFT – orthopaedic trauma TARN

South Tees Hospitals NHS Trust

Chris Moran  MD, FRCS

NHSE

National Strategic Incident Director, NHSEngland

Yael Gelfer 

BSc, MD, PhD, FRCS

BSCOS

GIRFT – Paediatric

Orthopaedics

St George’s University of London

St George’s University Hospital, London

Daren Forward  MA, FRCS, DM

OTS

Nottingham University Hospitals

Nick Aresti 

MBBS, BSc(Hons),

AFFMLM, FHEA,

FRCS(Tr&Orth)

BOA orthopaedic committee

(representing all specialist societies)

BOA Clinical Standards

Committee

Barts Health NHS Trust

Katie Sheehan  

BSc, mCSP, Dip Stat,

PhD

BGS

Global FFN

Bone & Joint Health, Blizard Institute, Faculty of Medicine and Dentistry, Queen Mary

University of London

Sarah Johnson-Lynn FRCS(Tr&Orth), PhD

BOFAS

University of York

James Cook University Hospital

Deborah Eastwood

FRCS

(Immediate past president, BOA)

BOA

Royal National Orthopaedic Hospital

Lindsay Bearne

PhD, MSc, MCSP,

FHEA

Independent

Population Health Research Institute, St George’s, University of London

Katrina Mitchell BSc, MSc, mCSP

ATOCP CSP

Southern Health NHS Foundation Trust

Emma Ryan

BSc, MSc, mCSP

ATOCP

NHSE Frailty Network

Isle of White NHS Trust

Sally Wilson MSc

RCN

Royal College of Nursing

Elizabeth Taylor

PhD, PgDip OT,

MA(Hons), MSc, FHEA

RCOT

Royal College of Occupational Therapy St George’s University of London

Veronique Spiteri FRCS

BSCOS

GIRFT – Paediatric

Orthopaedics

Birmingham Children’s Hospital

Jenny Gould

PPI Panel

n/a

Arif Hoque

PPI Panel

n/a

Karen Keates

PPI Panel

n/a

Garth Murphy

PPI Panel

n/a

Matthew Costa 

PhD, FRCS(Tr&Orth)

Scientific and Academic advisor

Oxford Trauma and Emergency Care,

Kadoorie Centre, John Radcliffe Hospital,

Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford.

Jessica Ryan-Phillips BMus/MA

Study Administrator

University of Oxford

 

Glossary:

ATOCP – Association of Trauma and Orthopaedic Chartered Physiotherapists

BGS – British Geriatrics Society

BLRS – British Limb Reconstruction Society

BOA – British Orthopaedic Association

BOFAS – British Orthopaedic Foot and Ankle Society

BSCOS – British Society of Children’s Orthopaedic Surgery CSP – Chartered Society of Physiotherapy

FFN – Fragility Fracture Network

GIRFT – Getting It Right First Time

NHFD – National Hip Fracture Database

NHSE – NHS England

OTS – Orthopaedic Trauma Society

PPI – Patient and Public Involvement

RCN – Royal College of Nursing

RCOT – Royal College of Occupational Therapy

TARN – Trauma Audit Research Network

 

Supplementary Material 2

 

Pre-meeting questionnaire:

Sent to all professional stakeholders and patient representatives Responses on a Likert Scale of 1-9 (1 = Disagree, 9 = Agree)

 

  1. The current descriptors for prescribing weightbearing instructions after injury are clear and easy to interpret
  2. The standardization of weightbearing terminology is of value in clinical practice to healthcare providers
  3. The standardization of weightbearing terminology is of value in clinical practice to patients
  4. The standardization of weightbearing terminology is of value in academic research
  5. The standardization of weightbearing terminology is of value in policy and guideline development
  6. Most patients will safely self-regulate the amount of weight transferred through a limb after injury
  7. Any restrictions in weightbearing after injury should have a clinical justification recorded in the patient notes
  8. Any restrictions in weightbearing that directly delay a patient’s discharge from hospital, or are unmanageable should be reviewed and changed within 48 hours
  9. Any restrictions to weightbearing should be reviewed every 2 weeks
  10. With respect to each of the following, please state whether you agree the instruction is clear in what it means to you
    1. Non Weight Bearing
    2. Touch Weight Bearing
    3. Partial Weight Bearing
    4. Protected Weight Bearing
    5. Weight Bearing as Tolerated
    6. Weight Bearing for Rehabilitation
    7. Full Weight Bearing
  11. Do you feel that patients understand these terms?

 

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