介绍一个简单的工具患者自我评估的手腕运动范围的工具
Maximilian C Stumpfe1, Kaya Beneke1, Raymund E Horch1
1Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nürnberg FAU, Krankenhausstraße 12, 91054 Erlangen, Germany.
Life (Basel, Switzerland)
|August 29, 2024
概括
一个新的仪模板使患者能够准确地自测手腕运动范围 (ROM),用于手部康复. 这种具有成本效益的工具增强了远程医疗,为远程患者监控提供了可靠的替代方案.
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
- 生物医学工程 生物医学工程
背景情况:
- 手部疾病经常会损害手腕运动范围 (ROM).
- 随着COVID-19的流行,人们越来越需要有效的远程患者监测解决方案,特别是手部康复.
- 传统的ROM评估方法可能很昂贵,并且缺乏简单性,无法广泛应用远程医疗.
研究的目的:
- 评估患者自测手腕ROM的可行性和准确性,使用一种新的仪模板.
- 评价这种方法作为一个具有成本效益和可靠的工具,用于手部康复的远程评估.
- 为了比较自我测量的ROM与临床医生进行的标准仪.
主要方法:
- 一项前性研究,涉及50名成人参与者 (18-65岁) 没有手腕固定.
- 开发了一种自行设计的度仪模板,用于测量手腕曲/延伸和辐射/腰椎绑架.
- 盲目比较患者的自我测量与学生,专家 (标准测量) 和居民 (测量模板) 的测量.
主要成果:
- 在ROM测量中的平均差异因运动方向而异,节绑架的差异最小.
- 在辐射绑架,延伸和曲方面注意到了实质性的偏差.
- 患者与专家的比较显示,在50%的病例中,曲和节绑架的偏差低于5度.
结论:
- 自行设计的光度计模板为大多数手腕ROM运动提供了与标准方法相比的准确性.
- 这种由患者管理的工具为远程ROM评估提供了具有成本效益和可靠的替代方案.
- 这些发现支持将这种度计模板集成到远程医疗平台中,以提高手部康复的可访问性和效率.
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