在患有的患者中对腹壁功能评估的范围审查
Haiye Shen1,2, Dominic Farris3, David L Sanders4
1Department of Clinical and Biomedical Sciences, Faculty of Health and Life Sciences, University of Exeter, Exeter, Exeter, EX1 2LU, UK.
Hernia : the journal of hernias and abdominal wall surgery
|November 24, 2025
概括
腹壁功能评估的差异很大,重点是肌肉力量,但方法不一致. 需要采用标准化的方法,以便在修复方面更好地进行临床和研究的比较.
科学领域:
- 手术修复的结果.
- 康复科学是康复的科学.
- 生物机械评估评估
背景情况:
- 腹壁功能障碍在患者中很常见,影响生活质量,需要手术修复.
- 目前对腹壁功能进行术后评估的标准不一致,阻碍了治疗的可比性.
- 本次审查解决了在管理中对标准化功能评估的需求.
研究的目的:
- 识别和批判性地评估所有用于评估腹壁功能的方法和工具.
- 建立一个全面的概述目前的评估实践的腹壁功能.
主要方法:
- 在PubMed,EMBASE和Cochrane控制试验中央注册表中进行了全面的文献搜索.
- 包括的研究使用任何评估方法研究了腹壁功能,没有出版日期限制.
- 数据提取侧重于评估工具和功能领域,由两个审查员独立执行.
主要成果:
- 包括18项研究,主要 (88.9%) 关注腹肌强度评估.
- 其他功能方面,如干移动性,核心稳定性和姿势控制,不经常被评估.
- 在评估定义,方法和时间上观察到显著的异质性.
结论:
- 目前的腹壁功能评估存在很大差异,特别是在肌肉力量方面.
- 不一致的工具 (动力计,sEMG,临床试验) 和不同的术后时间点使比较变得复杂.
- 由于缺乏全面的,标准化的方法来评估跨领域和时间点的腹壁功能,存在一个关键的差距.
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