远程康复作为物理治疗的机遇:

Collebrusco Luca, Tesauri Daniele
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引用次数: 0

摘要

远程康复(TR)代表了物理治疗师为其服务用户提供可接受的高质量医疗保健的新机会。文献中出现的新证据表明,即使在COVID-19紧急情况之外,也有机会将TR纳入物理治疗专业实践,以确保护理的连续性直至患者家中并增加康复机会。TR的应用领域之一是非特异性腰痛(NLBP)的治疗。NLBP在全球人群中具有很高的患病率,约占腰痛病例的90%。如果没有适当的管理,它与慢性化的风险以及与治疗相关的极高费用有关。目的:考虑到意大利立法和文献中现有的最佳科学证据,制定一项关于使用TR治疗腰痛患者管理的诊断-治疗护理路径(DTCP)的建议。材料与方法:对文献进行书目研究,使用电子数据库MEDLINE、PEDro、Embase、Trip数据库,利用Google Scholar获取部分文章全文。讨论:提出的治疗腰痛患者的DTCP考虑了文献中所描述的TR的优点和局限性,可以作为在门诊区域康复服务的NLBP患者中应用TR的国家参考模型。但是,这项建议需要适应具体的社会立法区域情况。TR与传统临床的整合
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Telerehabilitation As An Opportunity In Physiotherapy:
Telerehabilitation (TR) represents a new opportunity for physiotherapists to provide acceptable and high quality healthcare to their service users. The emerging evidence in the literature suggests the opportunity to integrate TR into the physiotherapy professional practice, even beyond the COVID-19 emergency, to ensure continuity of care up to the patient’s home and increase access to rehabilitation. One of the areas of application of TR is the management of non-specific low back pain (NLBP). NLBP has a high prevalence rate in the global population and it represents approximately 90% of low back pain cases. It is associated with the risk of chronicization, if not adequately managed, and extremely high costs associated with the treatment. Objective: to develop a proposal for a diagnostic-therapeutic care path (DTCP) on the use of TR in the management of patients with low back pain, taking into consideration the Italian legislation and the best scientific evidence available in the literature. Materials and methods: the bibliographical research in the literature was carried out on the electronic databases MEDLINE, PEDro, Embase, Trip database and Google Scholar was used to access the full-text of some articles. Discussion: the proposed DTCP for the management of the patient with low back pain takes into account the strengths and limitations of TR described in the literature and may represent a national reference model for the application of TR in patients with NLBP who access the outpatient territorial rehabilitation service. However, this proposal needs to be adapted to the specific socio-legislative regional context. The integration of TR to traditional clinic
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