关于仪器辅助软组织调动预防措施和国际专家共识:修改后的Delphi研究
Scott W Cheatham1,2, Russell T Baker3,4, M Terry Loghmani5
1Department of Kinesiology, California State University Dominguez Hills, Carson, CA 90747, USA.
Healthcare (Basel, Switzerland)
|March 28, 2025
概括
这项研究建立了有关仪器辅助软组织动员 (IASTM) 预防措施和适应症的专家共识. 它为临床医生提供了安全应用IASTM的基本指南,确保在患者护理中采用最佳实践.
科学领域:
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
- 肌肉骨干预 肌肉骨干预
背景情况:
- 仪器辅助软组织动员 (IASTM) 是医疗保健专业人员广泛使用的肌肉关干预.
- 在了解有关IASTM治疗预防措施和禁忌的专家共识方面存在重大差距.
- 之前的研究还没有在IASTM专家之间就安全指南达成共识.
研究的目的:
- 为了确定仪器辅助软组织动员 (IASTM) 的预防措施和适用情况.
- 在国际IASTM专家之间就这些安全参数达成共识.
主要方法:
- 对24名国际IASTM专家进行了修改后的三轮Delphi调查.
- 专家评估了81种医疗条件和治疗考虑IASTM安全性.
- 共识被定义为>70%的协议,项目使用协议强度等级 (等级A-D) 排名.
主要成果:
- 所有24名专家完成了所有三轮,最终100%批准了项目列表.
- 在许多关于IASTM的预防措施和禁忌方面达成了共识.
- 禁忌是最大的类别 (n=16,A-C级),其次是联合预防措施/禁忌 (n=8,D级).
结论:
- 这项研究是首次使用协议强度尺度记录有关IASTM预防措施和禁忌的专家共识.
- 这些发现为临床医生安全实施IASTM提供了关键指南.
- 这项研究是建立IASTM应用最佳实践建议的基本步骤.
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