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Updated: Sep 13, 2025

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Structured Motor Rehabilitation After Selective Nerve Transfers
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开发一套基于共识的结论测量结果的核心集,用于腰椎神经外科手术:一项德尔菲研究,重点关注超负荷的端到侧前骨间神经转移到腰椎神经
Tachit Jiravichitchai1,2,3,4, Joy MacDermid2,3, Maryam Farzad2,3,5
1Department of Rehabilitation Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Journal of hand surgery global online
|July 31, 2025
概括
这项研究开发了一套标准化的结果,用于超级充电端到侧 (SETS) 前骨干到骨神经的转移. 这一核心结果集将有助于更好地评估部神经外科手术的有效性.
科学领域:
- 神经外科 神经外科
- 整形外科手术 整形外科手术
- 康复医学 康复医学 康复医学
背景情况:
- 严重的部神经病变通常需要神经转移程序,如超级充电端到侧 (SETS) 前骨干到部神经转移.
- 缺少标准化结果措施来评估SETS程序的有效性,这阻碍了研究和临床实践.
研究的目的:
- 开发一个基于共识的核心结果测量工具,用于部神经外科手术.
- 特别关注与SETS相关的结果. 前骨内科转移到部神经.
主要方法:
- 一个经过两轮修改的Delphi过程,涉及15名多学科专家.
- 基于文献审查和专家意见的调查,共识定义为≥75%的同意.
- 第二轮精细化了SETS程序的具体结果.
主要成果:
- 在关键领域达成共识:运动功能,功能能力,生活质量,疼痛,敏捷性和感官评估.
- 对于SETS程序,优先考虑侧面击强度和日常生活功能自我评估.
- 经认可的验证工具:患者评级的部神经评估,SF-12,VAS,九洞杆测试和两点歧视.
结论:
- 建立了一个基于共识的核心成果集,用于部神经重建,特别是SETS程序.
- 该框架整合了患者报告和临床医生评估的措施.
- 旨在支持研究和临床实践的标准化,以改善患者的治疗结果.
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