用于Treatment的骨架在儿童 (OSTRICH):一个随机对照试验的症状平脚的治疗
Sarah Cockayne1, Kalpita Baird1, Sally Gates2
1York Trials Unit, Department of Health Sciences, University of York, York, UK.
Health technology assessment (Winchester, England)
|August 13, 2025
概括
这项关于儿童平脚的研究发现,预制骨架加上运动和咨询并没有显示出明显的好处,而不是仅仅是运动和咨询. 由于COVID-19流行病的影响和有限的数据,需要更多的研究.
科学领域:
- 儿科整形医生 儿科整形医生
- 临床试验方法论 临床试验方法论
- 卫生经济学 卫生经济学
背景情况:
- 有症状的平脚 (pes planus) 在儿童和年轻人中很常见.
- 有各种治疗方法,但缺乏高质量的有效性证据.
- 这项研究解决了对儿科平脚治疗疗效的证据的需求.
研究的目的:
- 评估预制骨架与运动和咨询相结合的临床和成本效益.
- 对比运动和建议单独的儿童有症状的平脚.
- 使用儿童牛津脚脚问卷测量身体功能.
主要方法:
- 实用,多中心,双臂个人随机对照试验.
- 包括6-14岁的儿童,有症状的平脚.
- 最长12个月的随访期,包括经济和定性评估.
主要成果:
- COVID-19大流行严重影响了招聘,只有134名参与者随机选择.
- 由于数据有限,无法完全进行计划中的统计和经济分析.
- 定性数据显示,疼痛和姿势是关键问题,人们更喜欢 Orthoses 而不是运动.
结论:
- 由于严重的中断,该研究无法按计划实现其目标.
- 对儿科平脚整形术的临床和成本效益的证据仍然没有确定性.
- 需要进一步的研究来建立有效的治疗策略.
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