Hand rehabilitation programmes for second to fifth metacarpal fractures: A systematic literature review.

IF 1 Q4 REHABILITATION South African Journal of Physiotherapy Pub Date : 2021-05-31 eCollection Date: 2021-01-01 DOI:10.4102/sajp.v77i1.1536

Monique M Keller, Roline Barnes, Corlia Brandt, Lauren M Hepworth

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引用次数: 1

Abstract

Background: Metacarpal fractures, one of the most prevalent upper limb fractures, account for 10% of all bony injuries.

Objective: Our systematic review aimed to review, appraise and collate available evidence on hand rehabilitation programmes for the management of second to fifth metacarpal fractures in an adult human population after conservative and surgical management. Since 2008, no review on a similar topic has been performed, thus informing clinical practice for physiotherapists and occupational therapists.

Methods: Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) principles guided the reporting. Experimental, quasi-experimental, cohort and case-control studies between January 2008 and September 2018 were included. Searches were conducted on Medline, Academic Search Ultimate, CINAHL, CAB Abstracts, Health Source - Consumer Edition, Health Source: Nursing/Academic Edition, SPORTDiscus, Africa-Wide Information and MasterFILE Premier, Web-of-Science and Scopus. Screening, selection, appraisal and data extraction were independently performed by two reviewers. No meta-analysis was performed.

Results: A total of 1015 sources were identified, 525 duplicates removed and 514 excluded. Three articles were included in the final data extraction: one randomised controlled trial (RCT) and two observational studies.

Conclusion: Limited evidence is available that a well-designed, well-implemented home-based exercise programme results in statistically significant improved hand function (p ˂ 0.0001) and digital total active motion (TAM) (p = 0.013) compared with traditional physiotherapy (PT) post-surgically.

Clinical implications: Our study contributes to the knowledge base of hand rehabilitation after an individual sustained a second to fifth metacarpal fracture. The authors identified a gap where future studies should further investigate the effect of hand rehabilitation after conservative and surgical management.

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手部康复方案的第二至第五掌骨骨折:系统的文献回顾。

背景:掌骨骨折是上肢最常见的骨折之一，占所有骨损伤的10%。目的:我们的系统综述旨在回顾、评估和整理在保守和手术治疗后成人第二至第五掌骨骨折的手部康复方案的现有证据。自2008年以来，没有对类似主题进行审查，因此为物理治疗师和职业治疗师的临床实践提供了信息。方法:系统评价和荟萃分析的首选报告项目(PRISMA)原则指导报告。纳入2008年1月至2018年9月的实验、准实验、队列和病例对照研究。在Medline、Academic Search Ultimate、CINAHL、CAB Abstracts、Health Source - Consumer Edition、Health Source: Nursing/Academic Edition、SPORTDiscus、Africa-Wide Information and MasterFILE Premier、Web-of-Science和Scopus上进行了搜索。筛选、选择、评估和数据提取由两位审稿人独立完成。未进行meta分析。结果:共识别1015个来源，删除525个重复，排除514个重复。最终的数据提取包括三篇文章:一篇随机对照试验(RCT)和两篇观察性研究。结论:有限的证据表明，与传统的术后物理治疗(PT)相比，设计良好、实施良好的家庭运动计划可以显著改善手部功能(p小于0.0001)和数字总主动运动(TAM) (p = 0.013)。临床意义:我们的研究为个体第二次至第五次掌骨骨折后的手部康复提供了知识基础。作者发现了一个空白，未来的研究应该进一步调查保守治疗和手术治疗后手部康复的效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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