远半径骨折的飞行锁板固定后影响功能的因素:对148项研究的范围审查
Susanne Boel1, Anders Vinther2, Alice Ø Hansen3
1Department of Physiotherapy and Occupational Therapy, Copenhagen University Hospital, Herlev and Gentofte; Department of Clinical Research, University of Southern Denmark, Odense; Centre for Innovative Medical Technology, Odense University Hospital, Odense. Susanne.boel.01@regionh.dk.
Acta orthopaedica
|June 9, 2023
概括
这次审查考察了与飞行板固定治疗的远半径骨折 (DRF) 后影响手部功能的因素. 研究主要集中在身体结构上,对活动和参与的关注较少.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学是康复的医学.
- 手疗法手疗法是一种手疗法.
背景情况:
- 距离半径骨折 (DRFs) 是常见的伤害.
- 伏拉板固定是DRF的频繁手术治疗方法.
- 了解影响手部功能的因素对于患者的康复和向治疗至关重要.
研究的目的:
- 在DRFs的飞行板固定后,对影响手部功能的因素进行范围审查.
- 提供评估因素及其对患者结果的影响的全面概述.
主要方法:
- 搜索了6个数据库 (2005-2021) 关于DRF用飞行锁定板进行手术治疗的研究.
- 包括的研究评估了影响手术后3个月以上功能的人口统计学,术前和术后因素.
- 将已识别的因素映射到国际功能,残疾和健康分类 (ICF) 框架中.
主要成果:
- 148项研究确定了708个因素,分为39个主题.
- 这些因素主要映射到"身体功能和结构" (26个主题),而不是"活动和参与" (5个主题).
- 骨折类型,年龄和性别是最常被研究的因素.
结论:
- 许多因素影响DRF飞固定后的手部功能,评估通常发生在手术后6周内.
- 现有的研究大力强调"身体的功能和结构",忽视了"活动和参与".
- 进一步的研究应探索影响活动和参与的因素,以加强患者康复.
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