创伤损伤后复杂骨折的成年人康复计划的关键组成部分:范围审查
Lucy Silvester1, Anna Higo2, Rebecca S Kearney3
1Institute for Applied & Translational Technologies in Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Clifford Bridge Road, Coventry CV2 2DX, United Kingdom.
Injury
|August 11, 2024
概括
复杂骨折的康复策略有很大差异,大多数干预措施都集中在运动和物理治疗上. 目前的证据尚不确,这凸显了对这种患者群体最佳治疗方法的进一步研究的必要性.
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
- 证据综合 证据综合
背景情况:
- 复杂骨折会导致严重的残疾,特别是在劳动人口中.
- 对于患有复杂骨折的成年人来说,出院后最佳的康复策略尚不清楚.
- 这一范围审查映射了有关康复干预的现有证据.
研究的目的:
- 识别和绘制有关医院出院后复杂骨折的成年人康复策略的广泛证据.
- 了解当前干预和干预组件的现状.
主要方法:
- 系统地搜索主体和专业数据库,包括试验注册表.
- 引用搜索和应用干预描述和复制模板 (TIDieR) 检查清单.
- 坚持乔安娜·布里格斯研究所的审查范围的方法.
主要成果:
- 25项研究符合超过19,000项已识别的研究中的资格标准.
- 干预主要以运动为基础,由理疗师进行.
- 共同的组成部分包括运动范围,强化,功能任务,步行/平衡训练和恢复活动的建议.
结论:
- 复杂骨折的康复方法是多样化的,有异质的人群和干预措施.
- 目前的证据对于临床实践的信息是不确定的;建议进行进一步的研究.
- 为制定未来的干预和指导,建议使用定性,专家共识和联合生产方法.
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