Weak For Recommendation
Serial casting may be provided to treat contracture in people with SCI.
| Serial casting (v no intervention) on joint mobility in people with SCI that have contracture | |||||||
|---|---|---|---|---|---|---|---|
| P | People with SCI at risk of contracture | Evidence recommendation No evidence recommendation Reason: No RCTs | Weak opinion statement FOR Serial casting may be provided to treat contracture in people with SCI. Clinical note: Serial casting is only recommended if the contractures are impacting activity and participation. It can cause serious pressure injuries, particularly in those with spasticity, and/or impaired or absent sensation, so should only be administered by physiotherapists with experience in serial casting and with careful ongoing monitoring. |
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| I | Serial casting | ||||||
| C | No intervention | Consensus-based opinion statement Weak for (79%) |
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| O | Contracture | ||||||
The Australian and NZ SCI Physiotherapy guideline committee recommends serial casting to treat contracture in people with SCI. This is a consensus-based opinion statement supported by the opinions of the experts. There are no randomized controlled trials on this topic. The guideline states:
Serial casting may be provided to treat contracture in people with SCI.
This statement was formed by considering the opinions of the experts alongside other factors. The other factors that were considered were benefits and harms, values and preferences, resource use, equity, accessibility, and feasibility. This is a consensus-based opinion statement. Consensus-based opinion statements are less robust than evidence-based recommendations. They can be strong or weak. This is a weak consensus-based opinion statement which means that the guideline panel is confident they can probably recommend serial castingĀ to treat contracture in people with SCI based on opinion.
To learn more about this recommendation go to the research summary.