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在脊柱手术中优化手术前康复:对评估,干预和可行性的叙述性审查

Justin L Reyes¹, Josephine R Coury¹, Alexandra Dionne¹

¹The Och Spine Hospital, New York-Presbyterian/Columbia University Irving Medical Center, 5141 Broadway, 3 Field West, New York, NY, 10034, USA.

Spine deformity

|May 24, 2024

概括

预康复计划通过改善功能和降低成本,增强脊柱手术患者的康复能力. 需要进一步的研究才能充分了解它们的好处.

科学领域:

整形外科整形外科整形外科
康复医学康复医学康复医学
脊柱外科手术脊柱外科手术

背景情况:

手术后的物理治疗 (PT) 对于肌肉骨康复至关重要.
有限的研究存在于脊柱外科手术前手术康复的有效性.

研究的目的:

审查有关脊柱手术术术前康复计划的现有文献.
评估预康复在改善患者结果和降低医疗保健成本方面的作用.

主要方法:

通过使用主要科学数据库 (PubMed,Google Scholar,EMBASE,PMC) 进行了一项文献综述.
专注于成年脊柱手术患者手术前康复的研究被编译和分析.

主要成果:

预康复,包括运动和行为改变,改善疼痛和功能强度.
计划可以减少住院时间,返回工作的时间和医疗保健支出.
脆弱性 (FRAIL尺度) 和身体功能测试 (TUGT,5R-STST,HGS) 可以确定合适的候选人.

结论:

预康复显示出提高生活质量和身体功能的潜力.
它可以减少疼痛,住院,返回工作时间和整体成本.
由于目前该领域的文献有限,需要进行更多的研究.

关键词:

退行性脊柱疾病是一种退行性脊柱疾病.周边操作优化优化康复预先治疗康复前治疗在手术前进行物理治疗.脊椎形症是什么? 脊椎形症是什么?脊柱外科手术脊柱外科手术

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