关节镜术后的功能,疼痛和活动水平的恢复轨迹和速度
Alexandra Baker Lutz1, Dominic J Ventimiglia1, Evan L Honig1
1Department of Orthopaedic Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
关节镜恢复显示在4-7个月内功能和活动水平显著改善,尽管疼痛恢复有所不同. 这些发现有助于管理患者的期望,并识别那些需要改变术后护理的人.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 康复科学 康复科学 康复科学
背景情况:
- 了解关节镜复苏对于患者的期望和识别有风险的人来说至关重要.
- 定义典型的恢复轨迹有助于临床管理和协议优化.
研究的目的:
- 为了确定功能,疼痛和活动水平的恢复概况,在关节镜术后的两年内.
- 建立关节镜术后康复的基准.
主要方法:
- 一个单一中心的注册中心确定了92名接受关节透视术的患者.
- 使用了患者报告结果测量信息系统 (PROMIS),身体功能 (PF) 和疼痛干扰 (PI),数值疼痛量表 (NPS) 和泰格纳活动量表 (TAS).
- 非线性增长模型分析了两年的复苏趋势.
主要成果:
- 在两年后,所有结果指标都出现了显著的改善.
- 恢复50%的时间为PROMIS PF的11.0周,PROMIS PI的6.7周,TAS的18.5周.
- 预计PROMIS PF的完全恢复时间为17.0周,PROMIS PI为37.4周,TAS为28.8周,疼痛在12周内停滞.
结论:
- 身体功能和活动水平通常在4个月和7个月左右达到平原.
- 关节镜术后的疼痛恢复显示出更多的变化.
- 这些恢复基准可以为患者的讨论提供信息,并指导术后协议的调整.
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