关于康复中风后手 edem 的策略:一个范围审查
Alyssa Pelak1, Fahad Zamir2, Ruchi Patel3
1Weill Cornell Medical College, New York, NY, USA.
概括
脑卒中后手 edem 管理缺乏共识. 压缩包装和手腕手臂形等物理模式对减少和家庭使用有希望,但需要更多的研究.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 医学研究 医学研究
背景情况:
- 脑卒中后手是影响患者生活质量的常见并发症.
- 对于中风后手 edem 的最佳管理策略仍然没有定义.
研究的目的:
- 审查对中风后手的干预措施.
- 评估它们在减少胀方面的有效性.
- 检查不同中风患者群体的干预可用性.
主要方法:
- 采用了一个范围审查方法,遵循乔安娜·布里格斯研究所的指导方针.
- 在五个数据库中进行了系统搜索.
- 两位独立审查员选了研究,第三位审查员解决了差异.
主要成果:
- 分析了19项涉及653名患者的研究.
- 干预措施分为物理/机械,神经调节和药物/替代疗法.
- 物理方式 (压缩包裹,手腕手臂形,流体治疗) 显示出对减少的持续积极结果.
结论:
- 对于特定的中风后手干预措施的证据有限且异质.
- 专注于可访问的方法的个性化治疗可能会改善坚持.
- 未来的研究需要更大的样本,更长的随访和标准化的措施.
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