相关实验视频

Updated: Jul 17, 2025

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

Published on: January 24, 2018

正式 vs 家庭物理治疗预测脚骨折或脚骨折脱后的结果吗?

Chad M Ferguson¹, Luke Harmer¹, Rachel B Seymour¹

¹Atrium Health Musculoskeletal Institute, Charlotte, NC.

OTA international : the open access journal of orthopaedic trauma

|September 4, 2023

概括

正式物理治疗师监督的康复 (Formal-PT) 和外科医生指导的家庭物理治疗 (Home-PT) 在关节骨折患者中产生了类似的功能结果. 与Home-PT相比,正式PT没有改善患者报告的功能,尽管成本更高.

科学领域:

整形外科手术整形外科手术
物理疗法物理治疗
康复医学康复医学康复医学

背景情况:

脚骨折是常见的骨科伤害.
手术后康复策略各不相同,对功能结果的好处尚不清楚.
评估监督与外科医生指导的康复是至关重要的.

研究的目的:

为了比较基于临床的物理治疗师监督的康复 (正式PT) 与手术指导的家庭康复 (Home-PT) 在手术固定脚骨折后的功能结果.
评估两种康复方法之间的并发症率.

主要方法:

对80名经过手术的双或三脚骨折的患者进行前性观察研究.
根据外科医生的偏好,患者可以接受正式PT或家庭PT.
功能性结果 (FAAM,SMFA得分) 和并发症在6个月后进行了比较.

主要成果:

38名患者 (47.5%) 接受了正式PT;42名患者接受了家庭PT.
6个月后,在正式PT和家庭PT组之间,FAAM或SMFA分数没有显著差异.
正式PT与更高的成本 (2012.96美元/患者) 相关,并且在私人保险患者中更常见.

结论:

监督的物理治疗师主导的康复与手术治疗脚骨折的常规医生指导的家庭物理治疗相比,没有提供更好的功能结果.
目前的实践模式可能会导致对监督物理治疗的准入差异.
未来的研究应该考虑成本效益和以患者为中心的结果措施.

关键词:

脚骨折脚骨折在脚上结果就是结果.物理治疗疗法物理治疗可以预测的可预测性.

更多相关视频

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability

Evaluating Postural Control and Lower-extremity Muscle Activation in Individuals with Chronic Ankle Instability

Published on: September 18, 2020

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis

Predictive Measurement for Windlass Change in Length and Selected Treatment Outcomes in Chronic Plantar Fasciitis

Published on: March 1, 2024

相关概念视频

Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...