系统审查以告知发育协调障碍临床实践指南更新:物理治疗干预
Kai Iwamoto1, Kalala Pines, Carly Lochala
1Children's Hospital Los Angeles, Division of Pediatric Rehabilitation Medicine, Los Angeles, California (Drs Iwamoto and Pines); University of Southern California, Division of Biokinesiology and Physical Therapy, Herman Ostrow School of Dentistry, Los Angeles, California (Drs Iwamoto, Pines, Lochala, Long, and Sargent); and Children's Hospital Los Angeles, Patient Care Services Education and Research, Los Angeles, California (Ms Hess).
对发育协调障碍 (DCD) 干预的物理治疗 (PT) 进行了审查. 证据重申以任务为导向的方法,并支持新的补充活动,如主动视频游戏.
科学领域:
- 儿科物理治疗 儿科物理治疗
- 发展协调障碍研究的研究.
- 临床实践指导方针的制定.
背景情况:
- 发育协调障碍 (DCD) 影响儿童的运动技能.
- 物理治疗 (PT) 是DDC的主要干预措施.
- 临床实践指南 (CPG) 要求定期更新证据.
研究的目的:
- 系统地审查目前关于DCD的PT干预措施的证据.
- 为了告知2020年DCD CPG更新.
- 评估DCD中PT干预的证据质量.
主要方法:
- 在八个数据库中搜索相关研究 (定性,RCT,SR).
- 在审查中包括了16项研究.
- 评估了被纳入研究的偏见风险和证据确定性.
主要成果:
- 2020年DCD CPG推的以任务为导向的干预措施得到了3个SR,3个RCT和1个定性研究的支持.
- 补充活动,包括主动视频游戏,得到了1个SR和7个RCT的支持.
- 补充活动的证据质量从低到非常低不等.
结论:
- 最近的证据再次证实了2020年DCD CPG中的五个干预建议中的三个.
- 低到非常低质量的证据支持DDC的新补充PT活动.
- 结果将指导未来的PT管理和CDD的CPG更新.
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