脊柱操纵和动员在儿科 - - 一个国际基于证据的立场陈述,用于物理治疗师
Anita R Gross1, Kenneth A Olson2, Jan Pool3
1Rehabilitation Sciences, McMaster University, Hamilton, Canada.
The Journal of manual & manipulative therapy
|June 10, 2024
概括
物理治疗师应谨慎对待儿童的脊柱操纵和动员,避免在婴儿和非肌肉骨疾病中使用. 有限的证据支持其用于特定的儿科肌肉骨问题.
科学领域:
- 物理治疗是物理治疗.
- 儿科肌肉骨健康 儿科肌肉骨健康
- 基于证据的实践.
背景情况:
- 一个国际工作组为物理治疗师制定了基于证据的立场陈述.
- 专注于在儿科群体 (<18岁) 中安全有效地使用脊柱操纵和动员.
- 解决了肌肉骨和非肌肉骨疾病.
研究的目的:
- 为物理治疗师提供临床推理指导,用于儿童的脊柱操纵和动员.
- 为儿科患者群体制定基于证据的实践立场陈述.
- 确保安全有效地应用这些技术.
主要方法:
- 采用了三个阶段的指导方针开发过程.
- 包括文献综述 (范围和心理测量属性),与专家进行三轮德尔菲调查,并通过证据到决策分析进行细化.
- 立场陈述是通过多层审查流程开发的.
主要成果:
- 对于婴儿或非肌肉骨性儿科疾病,不建议对脊柱进行操纵和动员.
- 可能适用于肌肉骨疾病的青少年,部背部疼痛的儿童 (胸部操纵) 或脊柱运动障碍 (动员) 的儿童.
- 没有高确定性证据支持这些干预措施;已报告轻度至重度伤害,但风险率未确定.
结论:
- 确定了指导物理治疗师临床推理的具体指令.
- 未来的研究应该优先考虑儿童部背部疼痛的试验,结果测量属性,知识翻译和危害.
- 基于证据的指导方针对于适当的儿科脊柱操纵和动员使用至关重要.
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