PDF(Pubmed)
Abstract：
Orthoses are commonly prescribed to relieve symptoms for musculoskeletal and neurological conditions; however, patients stop wearing orthoses as recommended for many reasons. When considering the effectiveness of orthoses, there needs to be an objective way to monitor whether participants wear the orthosis as instructed, because if this is not followed, the orthoses will not work as intended. This review aimed to identify, summarise, and compare objective methods used to measure compliance with orthoses applied to the extremities. Databases (Scopus, Web of Science, Embase, CINAHL, and MEDLINE) were searched for eligible studies. Twenty-three studies were accepted in the final review, including five studies that employed upper limb orthoses, two that employed hip orthoses, and fifteen that employed lower limb orthoses. To measure compliance objectively, studies utilised temperature sensors, pressure sensors, accelerometers, a step counter, or a combination of sensors. All sensor types have their own advantages and disadvantages and should be chosen based on study-specific parameters. Sensor-derived monitoring provides quantitative, objective data that are beneficial in both clinical and research settings. The ideal solution to monitoring compliance would consist of both objective and user-reported aspects that, in combination, would provide an all-encompassing picture of the orthotic treatment prescribed.
摘要：
矫形器通常用于缓解肌肉骨骼和神经系统疾病的症状；然而，由于许多原因，患者停止佩戴建议的矫形器。当考虑矫形器的有效性时，需要有一个客观的方法来监测参与者是否按照指示佩戴矫形器，因为如果不这样做，矫形器将无法按预期工作。这篇综述旨在确定，总结,并比较用于测量应用于四肢矫形器的依从性的客观方法。数据库(Scopus，WebofScience,Embase,CINAHL,和MEDLINE）搜索符合条件的研究。在最终审查中接受了23项研究，包括五项使用上肢矫形器的研究，两个使用髋关节矫形器，和十五个使用下肢矫形器的人。为了客观衡量合规性，研究利用温度传感器，压力传感器,加速度计,一个步数计数器,或传感器的组合。所有类型的传感器都有自己的优点和缺点，应根据特定于研究的参数进行选择。传感器衍生的监测提供了定量，在临床和研究环境中都有益的客观数据。监测合规性的理想解决方案将包括客观和用户报告的方面，结合起来，将提供处方矫正治疗的全方位图片。
