基于平衡功能的综合康复训练对老年人髋部骨折术后恢复和功能的影响:系统回顾与元分析》。

IF 1.6 4区 医学 Q4 GERIATRICS & GERONTOLOGY Geriatric Orthopaedic Surgery & Rehabilitation Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.1177/21514593241261506
Hai Chang, Chunliang Luan, Chen Li
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引用次数: 0

摘要

引言在中国,老年人口的比例逐渐增加,老年患者的医疗需求也随之增加。髋部骨折是老年人常见的骨折。老年人术后容易出现严重的并发症,导致髋关节功能无法恢复正常,严重影响患者的生活质量,进一步增加患者的死亡率。因此,髋部骨折是老年医疗领域中一个重要的公共卫生问题:本研究系统评估了以平衡功能为重点的综合康复训练对髋部骨折老人术后恢复和功能预后的影响:结果:结果显示,基于平衡功能的综合康复训练与传统干预相比,在 BBS 评分上存在明显差异。同样,AM-PAC 评分也倾向于以平衡为重点的训练。TUTG荟萃分析表明,该方法可用于综合康复训练。FIM 评分显示,以平衡为重点的训练可改善患者的身体状况。Harris 评分荟萃分析也支持这种方法。漏斗图分析揭示了潜在的发表偏倚,这可能是由于研究的异质性和有限的发表:总之,以平衡功能为中心的综合康复训练在增强老年髋部骨折患者术后髋关节功能方面具有临床疗效。这种方法改善了患者的平衡、协调和姿势控制能力,有利于下肢功能的恢复和整体预后。它有望成为一种有价值的治疗方法。
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Effect of Comprehensive Rehabilitation Training Based on Balance Function on Postoperative Recovery and Function of Hip Fracture in the Elderly: A Systematic Review and Meta-Analysis.

Introduction: In China, the proportion of the elderly population is gradually increasing, followed by the increasing medical demands of elderly patients. Hip fracture is a common fracture in the elderly. The elderly are prone to serious postoperative complications, resulting in failure to restore normal hip function, which seriously affects patients' quality of life and further increases their mortality rate. Thus, hip fracture represents a remarkable public health issue within the realm of geriatric medical care.

Significance: This study systematically evaluated the impact of comprehensive rehabilitation training, with a focus on balance function, on elderly individuals with hip fractures' postoperative recovery and functional outcomes.

Result: Results showed a significant difference in BBS scores favoring comprehensive rehabilitation training based on balance function over conventional intervention. Similarly, AM-PAC scores favored the balance-focused training. TUTG meta-analysis indicated its adoption in comprehensive rehabilitation training. FIM scores showed improvement with balance-focused training. Harris score meta-analysis also favored this approach. A funnel plot analysis revealed potential publication bias, likely due to study heterogeneity and limited publications.

Conclusions: In conclusion, comprehensive rehabilitation training centered around balance function displayed clinical efficacy in enhancing postoperative hip joint function in elderly hip fracture patients. This approach improved balance, coordination, and posture control, facilitating lower limb function recovery and overall prognosis. It holds promise as a valuable treatment approach.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
80
审稿时长
9 weeks
期刊介绍: Geriatric Orthopaedic Surgery & Rehabilitation (GOS) is an open access, peer-reviewed journal that provides clinical information concerning musculoskeletal conditions affecting the aging population. GOS focuses on care of geriatric orthopaedic patients and their subsequent rehabilitation. This journal is a member of the Committee on Publication Ethics (COPE).
期刊最新文献
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