PDF(Pubmed)
Abstract：
UNASSIGNED: In the acute phase after a spinal cord injury or disease (SCI/D), various therapeutic assessments and interventions are applied with the goal of restoring structures, preventing complications and preparing the patient as best as possible for further activity and finally participation. The goal was to identify and evaluate the available evidence on assessments and interventions for body functions and structures to prepare adults with acute spinal cord SCI/D for activity and participation during the first 14 days.
UNASSIGNED: A scoping review was conducted. The search was performed on June 19, 2023 using the databases PubMed, PEDro, Cochrane library and Embase. These were screened for studies including patients with acute SCI/D and physiotherapeutic or occupational therapy assessments and interventions. Only studies in English or German published between 2012 and 2023 were included.
UNASSIGNED: Twelve publications met the inclusion criteria, namely three systematic reviews, two randomized controlled trials, two observational studies and five clinical practice guidelines. Assessments as the Spinal Cord Independence Measure, as well as exercises such as daily passive mobilization of body structures against contractures were used in the entire population, while others were only applied in subgroups of SCI/D such as the Graded Redefined Assessment of Strength, Sensation and Prehension or functional electrical stimulation with and without additional movements. The methodological quality of the studies found varied greatly from good to very poor.
UNASSIGNED: Heterogeneity in research design and study population as well as lack of high-quality studies do not cover the standard of clinical management in the acute phase and further comprehensive research is needed.
UNASSIGNED: A scoping review was conducted. The search was performed on June 19, 2023 using the databases PubMed, PEDro, Cochrane library and Embase. These were screened for studies including patients with acute SCI/D and physiotherapeutic or occupational therapy assessments and interventions. Only studies in English or German published between 2012 and 2023 were included.
UNASSIGNED: Twelve publications met the inclusion criteria, namely three systematic reviews, two randomized controlled trials, two observational studies and five clinical practice guidelines. Assessments as the Spinal Cord Independence Measure, as well as exercises such as daily passive mobilization of body structures against contractures were used in the entire population, while others were only applied in subgroups of SCI/D such as the Graded Redefined Assessment of Strength, Sensation and Prehension or functional electrical stimulation with and without additional movements. The methodological quality of the studies found varied greatly from good to very poor.
UNASSIGNED: Heterogeneity in research design and study population as well as lack of high-quality studies do not cover the standard of clinical management in the acute phase and further comprehensive research is needed.
摘要：
■在脊髓损伤或疾病（SCI/D）后的急性期，各种治疗评估和干预措施的应用目的是恢复结构，预防并发症，并尽可能为患者做好进一步活动和最终参与的准备。目的是确定和评估有关身体功能和结构评估和干预措施的可用证据，以准备急性脊髓SCI/D的成年人在最初14天的活动和参与。
■进行了范围审查。搜索是在2023年6月19日使用数据库PubMed进行的，PEDro,Cochrane图书馆和Embase。对这些患者进行了筛选，包括急性SCI/D患者以及物理治疗或职业治疗评估和干预措施。仅包括2012年至2023年之间发表的英语或德语研究。
■12份出版物符合入选标准，即三次系统审查，两项随机对照试验,两项观察性研究和五项临床实践指南。作为脊髓独立性测量的评估，以及在整个人群中使用诸如每日被动动员身体结构以抵抗挛缩之类的运动，而其他仅应用于SCI/D的亚组，如强度分级重新定义评估，有和没有额外运动的感觉和预感或功能性电刺激。发现的研究的方法学质量差异很大，从好到非常差。
■研究设计和研究人群的异质性以及缺乏高质量的研究无法涵盖急性期的临床管理标准，需要进一步的综合研究。
■进行了范围审查。搜索是在2023年6月19日使用数据库PubMed进行的，PEDro,Cochrane图书馆和Embase。对这些患者进行了筛选，包括急性SCI/D患者以及物理治疗或职业治疗评估和干预措施。仅包括2012年至2023年之间发表的英语或德语研究。
■12份出版物符合入选标准，即三次系统审查，两项随机对照试验,两项观察性研究和五项临床实践指南。作为脊髓独立性测量的评估，以及在整个人群中使用诸如每日被动动员身体结构以抵抗挛缩之类的运动，而其他仅应用于SCI/D的亚组，如强度分级重新定义评估，有和没有额外运动的感觉和预感或功能性电刺激。发现的研究的方法学质量差异很大，从好到非常差。
■研究设计和研究人群的异质性以及缺乏高质量的研究无法涵盖急性期的临床管理标准，需要进一步的综合研究。
