用假肢或没有假肢的儿科上肢缺陷的功能结果措施:系统性审查和评估
Holly Cordray1, Miguel Fiandeiro1, Manisha Banala1
1Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Prosthetics and orthotics international
|June 11, 2025
概括
没有单一的结局措施可以完美地评估儿科上肢缺陷 (ULD). 辅助手评估和肌电控制能力评估显示出观察性评估的前景,而儿童截肢假肢项目功能状态清单是问卷的临时建议.
科学领域:
- 整形外科和康复治疗
- 儿科健康 儿科健康
- 假肢和辅助设备的使用
背景情况:
- 儿童上肢缺陷 (ULD) 的有效整形护理需要可靠的结果措施来跟踪儿童发育期间的功能进展和假肢控制.
- 目前的评估工具可能无法充分捕捉ULD儿童功能能力和假肢整合的细微差别.
研究的目的:
- 系统地审查和批判性地评估现有的工具来评估ULD儿童上肢功能.
- 确定在临床实践和研究环境中使用的最心理测量合理和可行的结果措施.
主要方法:
- 在PubMed,Embase,CINAHL和Scopus进行了系统的文献搜索,遵循PRISMA指南.
- 包括了评估ULD儿童 (18岁以下) 仪器有效性,可靠性和响应能力的研究.
- 多个审稿人独立选研究,提取数据,评估偏差风险,并使用COSMIN方法对心理特征进行评分.
主要成果:
- 包括19份报告,描述了4项基于绩效的测试和6项患者报告的结果措施.
- 目前,对于儿科ULDs没有单一的理想结局指标.
- 肌电控制能力评估和辅助手评估证明了标准化观察评估的最佳可行性和心理测量,特别是肌电假肢.
- 儿童截肢假肢项目功能状态清单暂时被推作为父母报告的问卷,尽管需要修订和可靠性研究.
结论:
- 对于儿科ULDs的现有结果措施需要进一步开发和验证.
- 辅助手评估和肌电控制能力评估是最有前途的观察工具.
- 需要进一步的研究来完善和验证家长报告的问卷,以便更广泛的临床实施.
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