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Reverse Total Shoulder Arthroplasty
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在接受肩部手术的患者中,患者报告的和临床医生测量的肩部运动范围之间的相关性
Casey Beleckas1, Daniel F Schodlbauer, Jonathan C Levy
1From the Levy Shoulder to Hand Center at Paley Orthopedic and Spine Institute Boca Raton, FL (Beleckas, Schodlbauer, Levy).
概括
患者报告的肩部运动范围 (ROM) 与临床医生的测量高度和内部旋转有很强的相关性,对于绑架则适度. 这证实了肩膀移动性的远程评估.
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
- 数字健康数字健康
背景情况:
- 对于临床和研究应用的远程患者监测越来越感兴趣.
- 需要验证的方法来评估肩部运动范围 (ROM),而不是亲自访问.
研究的目的:
- 评估患者报告和临床医生测量 (CM) 肩膀ROM之间的相关性.
- 评估患者报告的肩部运动结果的可靠性.
主要方法:
- 在16年内对13842名患者进行了回顾性队列研究.
- 收集患者报告和CM肩部ROM (升高,绑架,内部旋转) 使用基于图像的调查和直接测量.
- 使用斯皮尔曼相关性分析来比较ROM措施.
主要成果:
- 在患者报告和CM升高 (r=0.70) 和内部旋转 (r=0.66) 之间观察到强烈的相关性.
- 在患者报告和CM绑架之间发现了中等相关性 (r=0.59).
- 关节整形小组在所有三种ROM测量中都显示出强烈的相关性.
结论:
- 患者报告的肩膀ROM是临床医生测量的可靠代理,特别是在升高和内部旋转方面.
- 远程评估肩部移动性是可行的,减少了对面评估的需要.
- 研究结果支持将患者报告的结果措施纳入远程骨科护理.
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