术前的生活方式修改与结构化炼协议相结合,对全膝关节置换手术后患者的结果进行系统审查:一个系统的审查
1Physiotherapy Department, Bond University, Gold Coast, Queensland, Australia.
Musculoskeletal care
|June 3, 2024
概括
结构化预康复,包括生活方式的改变和运动,在全膝关节置换 (TKR) 患者中显示出有限但有前途的结果. 需要进一步的研究来优化干预策略,以获得更好的术后结果.
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
- 基于证据的实践.
背景情况:
- 医疗指南主张对全膝关节置换 (TKR) 患者进行结构化预康复,包括生活方式修改和运动.
- 目前关于康复前治疗有效性的研究是有限的,重点是仅限于运动的干预措施.
研究的目的:
- 评估结构化预康复方案 (运动和生活方式改变) 对TKR后身体功能和患者报告结果的影响,与通常护理相比.
主要方法:
- 进行了随机对照试验的系统审查,搜索了五个数据库.
- 研究将结构化预康复计划 (生活方式修改和运动) 与TCR患者的通常护理进行了比较.
- 使用RoB 2.0评估方法质量,使用GRADE确定证据确定性.
主要成果:
- 审查中包括了四项研究.
- 观察到预康复的积极趋势,但手术后疼痛,身体功能和自我报告功能的显著改善在研究中是不一致的.
- 一项研究报告说,住院时间缩短;没有注意到生活质量的改善.
结论:
- 预康复有效性的有限证据可能源于干预类型,强度和交付的变化.
- 强有力的证据支持使用结构化预康复方案,包括改变生活方式和运动,以改善TKR患者的术后结果.
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