Extended rehabilitation programs improve physical function after hip fracture .
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تم تحديد هذه الدراسة على أنها ذات تأثير كبير محتمل.
يُقدّر مقياس التأثير العالي الذي يعتمد على الذكاء الاصطناعي من OE التأثير المحتمل لورقة بحثية ما من خلال دمج الإشارات من كل من المجلة التي نُشرت فيها والمحتوى العلمي للمقالة نفسها.
تم تطوير نموذج OE High Impact باستخدام أحدث تقنيات معالجة اللغة الطبيعية، ويتنبأ نموذج OE High Impact بدقة أكبر بأداء الاقتباس المستقبلي للدراسة أكثر من معامل تأثير المجلة وحده.
وهذا يتيح التعرف المبكر على الأبحاث ذات المغزى السريري ويساعد القراء على التركيز على المقالات التي من المرجح أن تشكل الممارسة المستقبلية.
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2013;1(3):113 Phys Ther. 2012 Nov;92(11):1437-51. doi: 10.2522/ptj.20110274. Epub 2012 Jul 19.Exclusive Author Interview
Mohammad A. Auais (International Centre for Health Innovation, Western University) discusses the effect of extended exercise rehabilitation after hip fracture.
This meta-analysis included 13 randomized controlled trails (1107 fractures) that assessed the effects of an extended exercise rehabilitation program on the physical functioning of patients with hip fractures. The results of the meta-analysis and systematic review indicate that an extended exercise rehabilitation program improves knee extension strength, balance, physical performance based tests, the Timed "Up and Go" test, and fast gait speed when compared with a standard rehabilitation program for patients with hip fractures.
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نعم = 1
غير مؤكد = 0.5
غير ذي صلة = 0
لا = 0
يقيّم تقييم معايير الإبلاغ الشفافية التي يبلغ بها المؤلفون عن الخصائص المنهجية والتجريبية للتجربة في المنشور. ينقسم التقييم إلى خمس فئات معروضة أدناه.
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Detsky AS, Naylor CD, O'Rourke K, McGeer AJ, L'Abbé KA. J Clin Epidemiol. 1992;45:255-65
مؤشر الهشاشة هو أداة تساعد في تفسير النتائج المهمة، وتوفر مقياسًا لقوة النتيجة. ويمثل مؤشر الهشاشة عدد الأحداث المتتالية التي يجب إضافتها إلى نتيجة ثنائية التفرع لجعل النتيجة غير مهمة. يمثل الرقم الصغير نتيجة أضعف ويمثل الرقم الكبير نتيجة أقوى.
لماذا كانت هناك حاجة لهذه الدراسة الآن؟
Hip fractures are the most serious form of osteoporotic fracture. When these fractures are sustained, the goals of treatment include returning patients to a pre-event functional level and preventing recurrent fractures. Unfortunately, only 50% of survivors regain their former levels of mobility. Interest in the effects of an extended rehabilitation period has increased due to the fact that functional status of patients seem to decline after rehabilitation services are stopped. However, the long-term effects of this program are unclear, as findings have been conflicting. This study aimed to determine whether an extended exercise rehabilitation program offered improvement over the regular rehabilitation program with regard to the physical functioning of patients who have undergone surgical repair of a hip fracture.
ما هو سؤال البحث الرئيسي؟
Does an extended rehabilitation program improve the physical function of patients who have undergone surgical repair of a hip fracture when compared to usual care?
- Extended rehabilitation programs significantly improved knee muscle strength on the affected (ES=0.47, 95% CI=0.27 to 0.66, p<0.001) and nonaffected side (ES=0.45, 95% CI=0.16 to 0.74, p=0.002), balance (ES=0.32, 95% CI=0.15 to 0.49, p<0.001), physical performance-based tests (ES=0.53, 95% CI=0.27 to 0.78, p<0.001), timed "Up and Go" test (ES=0.83, 95% CI=0.28 to 1.4, p=0.003), and fast gait speed (ES=0.42, 95% CI=0.11 to 0.73, p=0.008) when compared to standard rehabilitation programs.
- Results from the 6 Minute Walk Test (ES=0.22, 95% CI=0.12 to 0.57, p=0.21), normal gait speed (ES=0.16, 95% CI=0.17 to 0.48, p=0.35), activities of daily living (ES=0.14, 95% CI=0.07 to 0.35, p=0.2), instrumental activities of daily living (ES=0.2, 95% CI=0.07 to 0.48, p=0.14), and the physical function subscale of the 36-Item Short-Form Health Survey (ES=0.2, 95% CI=0.03 to 0.44, p=0.09) were not significantly different between the patients that completed extended rehabilitation programs and the patients that completed standard rehabilitation programs.
ما الذي يجب أن أتذكره أكثر؟
The data suggests that extended rehabilitation programs result in significantly greater improvement than standard rehabilitation programs with respect to knee muscle strength on the affected and nonaffected side, balance, physical performance-based tests, timed "Up and Go" test, and fast gait speed among patients who required surgical intervention for a fracture of the hip.
كيف سيؤثر ذلك على رعاية مرضاي؟
Extended rehabilitation programs may improve physical functioning of the hip when compared to standard rehabilitation programs for hip fractures. However, in order to reach a definite conclusion regarding extended rehabilitation programs, randomized controlled trials with larger sample sizes are required, as well as cost analyses.
تنويه
هذا المحتوى الموجود في هذه الصفحة هو لأغراض إعلامية فقط وليس الغرض منه أن يكون بديلاً عن المشورة الطبية المتخصصة أو التشخيص أو العلاج. إذا كنت بحاجة إلى علاج طبي، اطلب دائمًا مشورة طبيبك أو اذهب إلى أقرب قسم طوارئ إليك. الآراء والمعتقدات ووجهات النظر التي يعبر عنها الأفراد في المحتوى الموجود في هذه الصفحة لا تعكس آراء ومعتقدات ووجهات نظر أورثوإيفيدنس.
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