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用基于下肢表现和自我报告的结局措施评估膝关节肌肉骨疾病的身体功能:一个范围审查

Andrés Pierobon¹, Will Taylor¹, Richelle Caya²

¹University of Otago, Wellington, New Zealand.

Brazilian journal of physical therapy

|December 12, 2024

概括

自我报告的结果措施 (SROMs) 评估更多的身体功能,而不是基于绩效的结果措施 (PBOMs) 对于膝盖疾病. 对前交叉带 (ACL) 和骨关节疼痛 (PFP) 的测量比对膝关节关节炎 (OA) 的测量更具挑战性的功能.

科学领域:

整形外科整形外科整形外科
康复科学康复科学康复科学
物理疗法物理治疗

背景情况:

身体功能评估对于管理膝关节肌肉骨疾病至关重要.
对于膝关节疾病,有许多自我报告的结果指标 (SROM) 和基于绩效的结果指标 (PBOM) 存在.
这些物理功能评估工具的内容和范围仍然未被充分探索.

研究的目的:

通过下肢PBOM和SROM评估的身体功能的广度和频率进行调查.
专注于患有膝关节骨关节炎 (OA),前十字带 (ACL) 损伤和骨关节疼痛 (PFP) 的患者.

主要方法:

采用了一种全面的范围审查方法.
包括专注于开发或测量膝关节功能结果指标的研究.
评估的身体功能被提取并映射到国际功能,残疾和健康分类 (ICF) 框架中.

主要成果:

在选4146.6后,包括了143篇文章.
SROMs评估了9个身体功能的中位数,而PBOMs评估了1个.
最受评价的功能包括爬楼梯,短距离步行和坐立.
爬楼梯是最常见的膝盖OA和PFP;跳跃是最常见的ACL伤害.

结论:

与PBOM测量的离散活动相比,SROM提供了更广泛的物理功能的评估.
对ACL和PFP群体的测量包括比膝盖OA更复杂的身体功能.
现有的结局措施可能无法充分评估膝关节骨质炎患者的身体表现,这些患者的损伤程度各不相同.

关键词:

前十字带受伤的前部十字带受伤.膝关节骨关节炎是一种关节炎.关节关节疼痛是一种疼痛.患者报告的结果衡量患者报告的结果.物理功能性表现物理功能性表现心理测量心理测量心理测量

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