改善长期坚持身体康复的干预措施:系统审查
Colleen A Burke1,2,3, Katie J Seidler1, Zachary D Rethorn1
1Durham Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, North Carolina.
Journal of geriatric physical therapy (2001)
|January 12, 2024
概括
添加到身体康复中增强坚持的成分显示,有限的证据表明,它可以改善骨关节炎和慢性腰部疼痛的长期结果. 需要更多的研究来开发有效的策略来维持家庭炼计划.
科学领域:
- 康复医学 康复医学 康复医学
- 行为科学 行为科学
- 临床试验 临床试验
背景情况:
- 身体康复对于管理关节骨关节炎和慢性腰部疼痛至关重要.
- 坚持以家庭为基础的康复计划往往很差,限制了长期的有效性.
- 加强坚持的干预措施越来越多地被探索,以改善患者的治疗结果.
研究的目的:
- 评估身体康复干预措施的影响,并补充了增强坚持的成分,对成年人患有关节炎或慢性腰痛的结局的影响.
- 综合来自随机和非随机试验的证据,以确定这些联合干预措施的有效性.
主要方法:
- 在MEDLINE,CINAHL Complete和Embase数据库中进行了全面的文献搜索,截至2021年7月27日.
- 包括的研究是随机和非随机试验,比较了带有和没有增强坚持成分的身体康复.
- 评估结果措施至少在康复后3个月进行评估.
主要成果:
- 十项研究符合纳入标准,干预措施与康复同时进行或顺序进行.
- 非常有限的证据表明,辅助坚持干预措施对长期身体功能,自我有效性或不良事件有有益的治疗效果.
- 只有一个低偏差风险的研究报告了对长期坚持的积极影响.
结论:
- 没有足够的证据来支持使用增强坚持的干预措施来促进长期坚持家庭康复计划.
- 未来的研究应该专注于开发和测试专门设计的干预措施,以针对家庭康复计划的行为维护.
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