■Dupuytren病是一种手部的纤维增生性疾病,具有异质性的发病机理,从早期结节发育到晚期数字挛缩。在术前不常规提供手治疗干预。本系统评价的目的是探讨术前Dupuytren病的手治疗干预措施的疗效。
■对中央数据库进行了系统审查,CINAHL,OVIDMedline和OVIDEMBASE,PubMed,BNI,WebofScience,从数据库开始到2022年4月进行灰色文献和参考搜索,并于2023年8月确认。纳入的研究需要非手术干预和未接受手术干预的Dupuytren病患者的结果数据。两名审稿人进行了搜索,独立评估资格并完成方法学质量评估.数据进行了叙述性总结。
■选择了17项研究进行最终纳入。干预措施包括体外冲击波疗法(ESWT),皮质类固醇注射液(CSI),夹板,按摩和拉伸,超声治疗(美国),温控高能可调激光器(他们)。ESWT积极维持或改善疼痛,活动范围(AROM),手臂肩膀的残疾,和手(DASH)得分,和握力。美国积极保持或改善ROM和抓地力。Splinting积极保持或改进ROM,CSI正向改善结节大小。交叉摩擦按摩积极影响AROM和他们改善疼痛和DASH评分。
■Dupuytren病术前管理的治疗干预措施的结果在很大程度上是积极的。然而,需要对这些干预措施进行进一步的高质量研究,以了解它们在治疗Dupuytren病方面的全部潜力.
UNASSIGNED: Dupuytren\'s Disease is a fibroproliferative disorder of the hand, with a heterogenous pathogenesis, ranging from early-stage nodule development to late-stage digital contractures. Hand therapy intervention is not routinely provided pre-operatively. The objective of this systematic review was to explore the efficacy of hand therapy interventions provided for pre-operative Dupuytren\'s Disease.
UNASSIGNED: A systematic review was undertaken of the databases CENTRAL, CINAHL, OVID Medline and OVID EMBASE, PubMed, BNI, Web of Science, with grey literature and reference searches conducted from database inception to April 2022, and confirmed in August 2023. Included studies required non-surgical intervention and outcome data on individuals with Dupuytren\'s Disease who have not had surgical intervention. Two reviewers conducted the searches, independently assessed eligibility and completed methodological quality assessments. Data were summarised narratively.
UNASSIGNED: Seventeen studies were selected for final inclusion. Interventions included Extracorporeal Shockwave Therapy (ESWT), Corticosteroid Injection (CSI), Splinting, Massage and Stretching, Ultrasound Therapy (US), Temperature Controlled High Energy Adjustable Laser (THEAL). ESWT positively maintained or improved pain, active range of motion (AROM), Disabilities of the Arm Shoulder, and Hand (DASH) scores, and grip strength. US positively maintained or improved ROM and grip. Splinting positively maintained or improved ROM, CSI positively improved nodule size. Cross Frictional Massage positively impacted AROM and THEAL improved pain and DASH scores.
UNASSIGNED: Outcomes from therapeutic interventions for pre-operative management of Dupuytren\'s Disease were largely positive. However, there is a need for further high-quality research into these interventions to understand their full potential for the management of Dupuytren\'s Disease.