开发一项足部和脚强化计划,用于治疗脚下部疼痛:德尔菲共识研究的研究
John W A Osborne1,2, Hylton B Menz3,4, Glen A Whittaker3,4
1Discipline of Podiatry, School of Allied Health, Human Services and Sport, La Trobe University, Victoria, 3086, Australia. j.osborne@latrobe.edu.au.
Journal of foot and ankle research
|October 3, 2023
概括
专家们为脚下部疼痛 (PHP) 制定了共识驱动的渐进性强化计划. 这些程序为未来的研究和管理PHP的临床使用提供了基础.
科学领域:
- 生物力学 生物力学
- 运动生理学 运动生理学
- 肌肉骨康复 肌肉骨康复
背景情况:
- 脚部部疼痛 (PHP) 与脚部和脚肌肉功能降低有关.
- 目前的治疗方法通常涉及加强炼,但缺乏基于证据的计划.
- 需要对PHP进行结构化,以证据为指导的练习干预.
研究的目的:
- 为患有脚下部疼痛 (PHP) 的人制定一个以共识为导向的,渐进性的肌肉强化计划.
- 为使用PHP的不同成年患者配置文件创建量身定制的程序.
主要方法:
- 一个三轮的德尔菲方法研究,涉及38名受邀专家.
- 第1轮:开放式问卷,用于定义三个PHP患者小组的程序特征.
- 第2轮和第3轮:对拟议的演习和训练变量进行反和同意,共识定义为>70%的同意.
主要成果:
- 24名专家参加了比赛,其中18名专家完成了三轮比赛.
- 最初的计划包括10个练习和3个训练变量 (组/重复,重量,频率).
- 达成了高度共识:100%的练习和96%的训练变量在第三轮中达成一致.
结论:
- 该研究成功开发了三个专家同意的PHP的渐进增强程序.
- 这些计划为未来的临床试验提供了基础,研究肌肉增强对PHP的疗效.
- 临床医生可以将这些计划作为脚跟下部疼痛康复策略的组成部分.
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