Distal Radius Fracture Rehabilitation.

IF 6 1区 医学 Q1 ORTHOPEDICS Journal of Orthopaedic & Sports Physical Therapy Pub Date : 2024-09-01 DOI:10.2519/jospt.2024.0301
Saurabh P Mehta, Christos Karagiannopoulos, Marie-Eve Pepin, Bryon T Ballantyne, Susan Michlovitz, Joy C MacDermid, Ruby Grewal, Robroy L Martin
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Abstract

Distal radius fracture (DRF) is arguably the most common upper extremity fracture resulting from a fall accident. These clinical practice guidelines (CPG) were developed to guide all aspects of the management of DRF by physical therapists and other rehabilitation practitioners, such as certified hand therapists. This CPG employed a systematic review methodology to locate, appraise, and synthesize contemporary evidence while developing practice recommendations for determining the prognosis of outcomes, examination, and interventions while managing individuals with DRF. The quality of the primary studies found in the literature search was appraised using standardized tools. The strength of the available evidence for a particular practice domain (e.g., prognosis or intervention) was graded as strong, moderate, weak, or conflicting, where such gradings guided the level of obligation for each practice recommendation. Lastly, the CPG also provided the gaps in the evidence pool for the rehabilitation of DRF that future research efforts can address. J Orthop Sports Phys Ther 2024;54(9):CPG1-CPG78. doi:10.2519/jospt.2024.0301.

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桡骨远端骨折康复。
桡骨远端骨折(DRF)可以说是高处坠落事故中最常见的上肢骨折。本临床实践指南(CPG)旨在指导物理治疗师和其他康复从业人员(如认证手部治疗师)对桡骨远端骨折进行全方位的治疗。本临床实践指南采用了系统回顾的方法来查找、评估和综合当代证据,同时制定了实践建议,以便在管理 DRF 患者时确定预后结果、检查和干预措施。我们使用标准化工具对文献检索中发现的主要研究进行了质量评估。特定实践领域(如预后或干预)的可用证据强度被分为强、中、弱或冲突等级,这些等级为每项实践建议的义务等级提供了指导。最后,CPG 还提供了 DRF 康复证据库中的空白点,供未来研究工作参考。doi:10.2519/jospt.2024.0301.
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来源期刊
CiteScore
8.00
自引率
4.90%
发文量
101
审稿时长
6-12 weeks
期刊介绍: The Journal of Orthopaedic & Sports Physical Therapy® (JOSPT®) publishes scientifically rigorous, clinically relevant content for physical therapists and others in the health care community to advance musculoskeletal and sports-related practice globally. To this end, JOSPT features the latest evidence-based research and clinical cases in musculoskeletal health, injury, and rehabilitation, including physical therapy, orthopaedics, sports medicine, and biomechanics. With an impact factor of 3.090, JOSPT is among the highest ranked physical therapy journals in Clarivate Analytics''s Journal Citation Reports, Science Edition (2017). JOSPT stands eighth of 65 journals in the category of rehabilitation, twelfth of 77 journals in orthopedics, and fourteenth of 81 journals in sport sciences. JOSPT''s 5-year impact factor is 4.061.
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