Rehabilitation of stage-one scapholunate instability (ReSOS): An online survey of UK practice.

IF 0.9 Q4 REHABILITATION Hand Therapy Pub Date : 2024-12-01 Epub Date: 2024-08-16 DOI:10.1177/17589983241268056
Martin K Holmes, Caroline Miller, Michael Mansfield
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Abstract

Introduction: Scapholunate instability is one of the most frequent types of wrist instability, but optimal management is not established. This research aims to identify current conservative management strategies for stage-one scapholunate instability and how these interventions are evaluated in the UK.

Methods: A cross-sectional online survey of UK physiotherapists and occupational therapists with self-reported experience in the rehabilitation of stage-one scapholunate instability (ReSOS), was developed using the CROSS guideline and a clinical vignette. The frequency of treatment strategies was collated via a five-point Likert-type scale and evaluation strategies via fixed-response answers at three-to-six, seven-to-eleven and after 12 weeks post-injury. Data were analysed descriptively.

Results: Forty-three electronic surveys were completed and analysed. Thirty physiotherapists and 13 occupational therapists responded, with 90% working in the NHS. Activity advice and education was the most frequently used treatment at all time-points (100%, 98%, 98%). Quick-DASH was most frequently used region-specific patient reported outcome measure at all time-points (72%, 60%, 67%).

Discussion: Despite some identified themes, including neuromuscular rehabilitation strategies, the supporting evidence is limited in the ReSOS. It is unclear what rehabilitation and evaluation strategies are optimal and the development of a consensus on best practice is recommended.

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第一阶段肩胛骨不稳的康复(ReSOS):英国实践在线调查。
简介肩胛骨不稳是最常见的腕关节不稳类型之一,但最佳治疗方法尚未确定。本研究旨在确定目前针对第一阶段肩胛骨不稳的保守治疗策略,以及这些干预措施在英国的评估情况:方法:利用 CROSS 指南和临床小故事,对英国物理治疗师和职业治疗师进行了一项横断面在线调查,这些物理治疗师和职业治疗师均自称在第一期肩胛骨不稳的康复治疗(ReSOS)方面具有丰富经验。通过五点李克特量表对治疗策略的频率进行了核对,并通过固定应答答案对受伤后 3 至 6 周、7 至 11 周和 12 周后的评估策略进行了核对。对数据进行了描述性分析:完成并分析了 43 份电子调查问卷。30名物理治疗师和13名职业治疗师做出了回复,其中90%在国家医疗服务系统工作。在所有时间点上,活动建议和教育都是最常用的治疗方法(100%、98%、98%)。在所有时间点上,Quick-DASH 是最常用的特定地区患者报告结果测量方法(72%、60%、67%):讨论:尽管确定了一些主题,包括神经肌肉康复策略,但 ReSOS 中的支持性证据有限。目前尚不清楚哪些康复和评估策略是最佳的,建议就最佳实践达成共识。
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来源期刊
Hand Therapy
Hand Therapy REHABILITATION-
CiteScore
1.60
自引率
10.00%
发文量
13
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