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创伤前肩部脱后的术后康复:一个系统的范围审查
Martha Coyle1, Anju Jaggi2, Lewis Weatherburn3
1School of Health Sciences, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
Shoulder & elbow
|October 9, 2023
概括
创伤前肩部脱的术后康复缺乏明确的指导方针,固定和运动时间的变化很大. 对于未来关于康复有效性的研究,需要标准化的术语和结果措施.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 创伤前肩部脱位 (TASD) 通常需要手术稳定.
- 在TASD手术后,术后康复方案和结果测量选择尚未明确.
研究的目的:
- 系统地审查和描述TASD手术后康复计划的内容.
- 检查术后TASD康复研究中使用的结果措施的选择.
主要方法:
- 在2000-2021年期间,使用电子数据库 (Medline,EMBASE,CINAHL,AMED) 进行了系统范围审查.
- 包括在内的是后术TASD康复的队列研究和临床试验.
- 两个独立的审查员进行了研究选择,数据提取和质量评估.
主要成果:
- 分析了12项涵盖14个康复计划的研究.
- 不动化期的差异很大 (从1天到6周),运动开始时间从1周到7周.
- 结果测量选择存在显著的变化,共识有限.
结论:
- 目前指导TASD手术后康复的证据很少.
- 关于加速康复的定义和结果措施缺乏共识.
- 在进行疗效研究之前,标准化术语和康复阶段是必不可少的.
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