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旋转手套修复后的物理治疗需要物理治疗师的监督吗? :一个元分析
Masaki Karasuyama1,2, Masafumi Gotoh3, Takuya Oike4
1Department of Rehabilitation, Minamikawa Orthopedic Hospital, Fukuoka, Japan.
Clinics in shoulder and elbow
|July 13, 2023
概括
监督物理治疗计划 (SPP) 和家庭运动计划 (HEP) 在旋转手套修复 (RCR) 后显示了类似的功能恢复结果. 这表明HEP可以成为SPP的可行替代方案,用于术后康复.
科学领域:
- 整形外科手术 整形外科手术
- 物理治疗是一种物理治疗.
- 康复医学是康复的医学.
背景情况:
- 在旋转手腕修复 (RCR) 后,监督的物理治疗计划 (SPP) 是标准的.
- 在RCR之后,家庭炼计划 (HEP) 的有效性尚未得到充分证实.
- 本研究比较了SPP和HEP在RCR后的功能恢复.
研究的目的:
- 为了比较监督物理治疗计划 (SPP) 与旋转手腕修复 (RCR) 后的家庭炼计划 (HEP) 的功能结果.
主要方法:
- 在主要的电子数据库中进行了系统的文献搜索.
- 主要结局包括恒定得分,ASES得分,UCLA得分和疼痛.
- 使用随机效应模型进行的元分析是在聚合数据上进行的.
主要成果:
- 在RCR后3个月,对于恒定和疼痛分数的SPP和HEP之间没有发现显著差异.
- 分析结果包括恒定得分 (MD, -8.51;P=0.49) 和疼痛得分 (MD, 0.02;P=0.99).
- 由于数据不足,无法分析诸如运动范围和后退率之类的二次结果.
结论:
- 家庭炼计划 (HEP) 显示,在旋转手腕修复 (RCR) 后3个月,功能恢复与监督物理治疗计划 (SPP) 相当.
- 在RCR后,HEP可以作为一种有效的替代性康复策略.
- 需要进一步的研究来分析二次结果和长期结果.
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