PDF(Pubmed)
Abstract：
UNASSIGNED: External fixation devices are commonly used in orthopaedic surgery to manage a range of pathologies. In this patient population, there is currently no consensus on optimal rehabilitation techniques. There exists a large variation in practice, with a limited understanding of how these affect treatment outcomes.
UNASSIGNED: Following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, a systematic review was conducted of Allied and Complementary Medicine Database (AMED), Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PEDro, and COCHRANE databases, grey literature sources and forward and backward searching of included articles. Studies were selected following rigorous screening with predefined inclusion criteria. Data quality was assessed using validated appraisal tools. Articles were synthesised by rehabilitation type and descriptive analysis was subsequently performed.
UNASSIGNED: From 1,156 articles identified, 18 were eligible for inclusion. The overall quality was low, with clinical commentaries and case studies being the most common study type. Studies were synthesised by rehabilitation type, the most common themes being gait re-education, strengthening, therapy-assisted, active exercises and weight-bearing exercises.
UNASSIGNED: There is a lack of high-quality evidence to support meaningful recommendations and guide rehabilitation practices for this patient cohort. Further research for patients being treated in external fixation, especially related to the potential effects of physical rehabilitation on bone healing, return of strength, mobility and independent function is likely to have transferability within wider orthopaedic populations.
UNASSIGNED: This systematic review is unable to provide clinical recommendations due to the poor quality of the available literature. However, it is hoped this paper will provide a foundation for further research to improve rehabilitation for patients being treated with external fixation.
UNASSIGNED: Pawson JR, Church D, Fletcher J, et al. Rehabilitation Techniques for Adults Undergoing External Fixation Treatment for Lower Limb Reconstruction: A Systematic Review. Strategies Trauma Limb Reconstr 2024;19(1):45-55.
UNASSIGNED: Following Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines, a systematic review was conducted of Allied and Complementary Medicine Database (AMED), Cumulative Index to Nursing and Allied Health Literature (CINAHL), MEDLINE, PEDro, and COCHRANE databases, grey literature sources and forward and backward searching of included articles. Studies were selected following rigorous screening with predefined inclusion criteria. Data quality was assessed using validated appraisal tools. Articles were synthesised by rehabilitation type and descriptive analysis was subsequently performed.
UNASSIGNED: From 1,156 articles identified, 18 were eligible for inclusion. The overall quality was low, with clinical commentaries and case studies being the most common study type. Studies were synthesised by rehabilitation type, the most common themes being gait re-education, strengthening, therapy-assisted, active exercises and weight-bearing exercises.
UNASSIGNED: There is a lack of high-quality evidence to support meaningful recommendations and guide rehabilitation practices for this patient cohort. Further research for patients being treated in external fixation, especially related to the potential effects of physical rehabilitation on bone healing, return of strength, mobility and independent function is likely to have transferability within wider orthopaedic populations.
UNASSIGNED: This systematic review is unable to provide clinical recommendations due to the poor quality of the available literature. However, it is hoped this paper will provide a foundation for further research to improve rehabilitation for patients being treated with external fixation.
UNASSIGNED: Pawson JR, Church D, Fletcher J, et al. Rehabilitation Techniques for Adults Undergoing External Fixation Treatment for Lower Limb Reconstruction: A Systematic Review. Strategies Trauma Limb Reconstr 2024;19(1):45-55.
摘要：
■外部固定装置通常用于骨科手术中，以管理一系列病理。在这个患者群体中，目前对最佳康复技术尚无共识。在实践中存在很大的差异，对这些如何影响治疗结果的理解有限。
■遵循系统审查和荟萃分析（PRISMA）指南的首选报告项目，对联合和补充医学数据库(AMED)进行了系统评价，护理和相关健康文献累积指数(CINAHL)，MEDLINE,PEDro,和COCHRANE数据库，灰色文献来源和对收录文章的前后搜索。在严格筛选和预定的纳入标准后选择研究。使用经过验证的评估工具评估数据质量。按康复类型合成文章，随后进行描述性分析。
■从确定的1,156篇文章中，18人符合入选条件。整体质量较低，临床评论和案例研究是最常见的研究类型。研究是按康复类型综合的，最常见的主题是步态再教育，加强,治疗辅助，积极练习和负重练习。
缺乏高质量的证据来支持有意义的建议并指导该患者队列的康复实践。对接受外固定治疗的患者的进一步研究，特别是身体康复对骨骼愈合的潜在影响，力量的回归,移动性和独立功能在更广泛的骨科人群中可能具有转移性。
■由于现有文献的质量较差，该系统综述无法提供临床建议。然而,希望本文能为进一步研究外固定架治疗患者的康复提供基础。
■PawsonJR,教堂D,弗莱彻J,etal.成人外固定治疗下肢重建的康复技术：系统评价。创伤肢体重建策略2024；19(1)：45-55。
■遵循系统审查和荟萃分析（PRISMA）指南的首选报告项目，对联合和补充医学数据库(AMED)进行了系统评价，护理和相关健康文献累积指数(CINAHL)，MEDLINE,PEDro,和COCHRANE数据库，灰色文献来源和对收录文章的前后搜索。在严格筛选和预定的纳入标准后选择研究。使用经过验证的评估工具评估数据质量。按康复类型合成文章，随后进行描述性分析。
■从确定的1,156篇文章中，18人符合入选条件。整体质量较低，临床评论和案例研究是最常见的研究类型。研究是按康复类型综合的，最常见的主题是步态再教育，加强,治疗辅助，积极练习和负重练习。
缺乏高质量的证据来支持有意义的建议并指导该患者队列的康复实践。对接受外固定治疗的患者的进一步研究，特别是身体康复对骨骼愈合的潜在影响，力量的回归,移动性和独立功能在更广泛的骨科人群中可能具有转移性。
■由于现有文献的质量较差，该系统综述无法提供临床建议。然而,希望本文能为进一步研究外固定架治疗患者的康复提供基础。
■PawsonJR,教堂D,弗莱彻J,etal.成人外固定治疗下肢重建的康复技术：系统评价。创伤肢体重建策略2024；19(1)：45-55。
