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肘部检查:将诊断、预后和结果相联系,作为优化治疗干预措施的框架。

Examination of the elbow: linking diagnosis, prognosis, and outcomes as a framework for maximizing therapy interventions.

作者信息

MacDermid Joy C, Michlovitz Susan L

机构信息

Hand and Upper Limb Centre Clinical Research Laboratory, St. Joseph's Health Centre, London, Ontario, Canada.

出版信息

J Hand Ther. 2006 Apr-Jun;19(2):82-97. doi: 10.1197/j.jht.2006.02.018.

DOI:10.1197/j.jht.2006.02.018
PMID:16713858
Abstract

A conceptual framework for examination of the elbow by the therapist is presented. The role of history taking including patient life-style factors, comorbidities and goals; pain assessment; utility of provocative maneuvers and range of motion analysis are presented. Assessment of strength using hand-held dynamometry is described. Pain and disability measures relevant to patients with elbow pathology are discussed and one patient self report instruments is appended (the Patient-rated Elbow Evaluation). The psychometrics properties of tests for the elbow, when available, are reviewed. A template for recording an elbow examination is provided.

摘要

本文介绍了治疗师检查肘部的概念框架。阐述了病史采集的作用,包括患者生活方式因素、合并症和目标;疼痛评估;激发性手法的效用和活动范围分析。描述了使用手持测力计进行力量评估。讨论了与肘部病变患者相关的疼痛和残疾测量方法,并附录了一份患者自我报告工具(患者自评肘部评估)。如有可用,还回顾了肘部检查测试的心理测量学特性。提供了一份记录肘部检查的模板。

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