整体关节整形术后的康复阶段,预防措施和移动目标
1Department of Physical Therapy, Boston University, Boston, MA, USA.
概括
全关节整形术 (THA) 改善关节骨关节炎 (OA) 的功能,但需要康复. 本综述概述了当前的THA术后护理指南,以优化患者的康复和结果.
科学领域:
- 整形外科手术 整形外科手术
- 康复医学 康复医学 康复医学
- 生物机械工程 生物机械工程
背景情况:
- 全关节整形术 (THA) 越来越多地在患有晚期关节炎 (OA) 的年轻患者中进行.
- 单独的THA往往无法完全恢复患者的功能.
- 术后康复对于优化THA后的结果至关重要.
研究的目的:
- 审查和总结目前对THA后术后康复的建议.
- 为了解决缺乏对THA康复进行同行评审的临床实践指南的问题.
- 巩固有关THA术后管理的现有文献和临床专业知识.
主要方法:
- 对THA术后管理的当前建议的文献综述.
- 综合有关康复阶段,部预防措施和结果的信息.
- 分析康复设置和交付方式对患者功能的影响.
- 在THA之后对步态力学进行检查.
主要成果:
- 目前的文献和临床专业知识指导THA术后管理,因为没有正式的指导方针.
- 康复策略的重点是优化关节运动,力量和整体功能.
- 康复服务的设置和方式会影响术后的结果.
- 步行力学是评估功能恢复的一个关键考虑因素.
结论:
- 最佳的术后康复对于最大限度地提高THA后的功能恢复至关重要.
- 需要采用综合方法,考虑康复阶段,预防措施和步态.
- 需要进一步的研究和指导方针的制定,以标准化THA术后护理.
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