在患有远距离半径骨折的女性患者中,身体性能水平和患者报告的结果
Byung Hun Oh1, Rawdhah Kamil Kalantan1, Jae Kwang Kim1
1Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Journal of bone metabolism
|December 19, 2024
概括
以短物理性能电池 (SPPB) 测量较低的体力表现,与远距离半径骨折 (DRF) 手术后更糟糕的结果有关. 改善身体功能可能会促进这些患者的康复.
科学领域:
- 整形外科手术 整形外科手术
- 老年医学 老年医学
- 康复科学 康复科学 康复科学
背景情况:
- 距离半径骨折 (DRF) 是常见的伤害,特别是在老年人中.
- 对于DRF的手术结果通常使用患者报告的措施来评估.
- 术前身体功能对这些结果的影响需要进一步调查.
研究的目的:
- 为了确定物理性能水平和DRF手术后患者报告的结果 (PROs) 之间的关联.
- 在手术治疗的DRF患者中确定影响PROs的因素.
主要方法:
- 对157名经过手术的DRF妇女进行了回顾性审查.
- 在创伤后一个月内使用短物理性能电池 (SPPB) 评估身体表现.
- 在手术后一年使用多变量回归分析评估PROs (DASH,PRWE).
主要成果:
- 较低的SPPB分数与较高的手臂,肩膀和手的残疾 (DASH) 和患者指定的手腕评估 (PRWE) 分数显著相关.
- 主导手的参与也与较差的PRO相关.
- SPPB分数是功能结果的重要预测指标.
结论:
- 通过SPPB评估的手术前身体表现水平,是DRF手术后临床结果的重要预测指标.
- 医疗保健提供者应将体力表现作为管理DRF患者的关键因素.
- 建议采用综合方法,将骨折治疗与身体性能提升相结合,以优化患者的康复.
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