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多元组件家庭物理治疗与部骨折后恢复的常规护理相比

Nikhil K Prasad¹, Rashmita Bajracharya², Marniker Wijesinha²

¹Department of Surgery, University of Maryland Medical Center, Baltimore, MD; Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, MD.

Archives of physical medicine and rehabilitation

|August 23, 2023

概括

在家进行物理治疗可以改善关节骨折后的功能恢复. 两个多组分干预 (PUSH和PULSE) 显示,与通常护理相比,短期体能电池 (SPPB) 和步行速度得到了更大的改善.

科学领域:

老年学是一门学科.
康复医学康复医学康复医学
整形外科整形外科整形外科

背景情况:

部骨折显著影响老年人的功能恢复和独立性.
常规护理往往导致长期功能结果低于最佳.
家庭物理治疗为改善骨折后康复提供了一个潜在的途径.

研究的目的:

为了比较两种基于家庭的多组分物理治疗干预措施与部骨折后功能恢复的通常护理的有效性.
量化16周干预措施对身体表现和运动能力的影响.

主要方法:

一个交叉研究的比较,利用来自社区行走项目 (CAP) 和巴尔的摩部研究-第七队列 (BHS-7) 的数据.
参与者包括接受特定 (PUSH) 或非特定 (PULSE) 多组分物理治疗或常规护理 (BHS-7) 的关节骨折患者 (N=549).
在骨折后的多个时间点使用短物理性能电池 (SPPB) 和步行速度来评估功能恢复.

主要成果:

与BHS-7常规护理组相比,PUSH和PULSE组的参与者在SPPB得分上表现出明显更大的改善 (分别为0.7分和0.9分).
与BHS-7相比,PUSH和PULSE组的步行速度也显著改善 (分别为0.08 m/s和0.06 m/s).
协调样本之间的基线特征有所不同,但干预仍然产生了积极的结果.

结论:

基于家庭的多组分物理治疗计划与部骨折后功能恢复的增强有关.
这些干预措施在体力表现和移动性方面表现出优异的结果,与通常的护理相比.
这些发现支持将结构化家庭物理治疗纳入关节骨折后护理途径.

关键词:

部骨折部骨折部骨折物理疗法物理治疗康复康复康复康复

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