Department of Occupational Science and Occupational Therapy, University of Toronto, Toronto, Ontario, Canada.
J Hand Ther. 2011 Apr-Jun;24(2):155-62; quiz 163. doi: 10.1016/j.jht.2010.08.001. Epub 2010 Nov 5.
Orthotic intervention should be individualized and patient or client centered. The best outcomes occur when orthotic interventions are designed with patient involvement and holistic consideration of the individual's unique personal attributes, context, and environment. The authors discuss Shelley's story, which illustrates an approach to orthotic intervention that is based on Engel's biopsychosocial model and the International Classification of Functioning, Disability and Health. Fifteen guiding principles for the biopsychosocial orthotic approach are presented. Orthoses that are thoughtfully designed with patient input, carefully constructed and monitored, and modified as needed, can make a difference in a person's life by relieving pain, providing joint stabilization, protecting vulnerable tissues and enabling valued activity and participation. This, in turn, promotes physical and emotional well-being.
矫形干预应该是个体化的，以患者或客户为中心。当矫形干预措施在设计时充分考虑患者的参与以及个人独特的个人属性、背景和环境的整体情况时，效果最佳。作者讨论了 Shelley 的故事，该故事说明了一种基于 Engel 的生物心理社会模型和国际功能、残疾和健康分类的矫形干预方法。提出了 15 条生物心理社会矫形方法的指导原则。通过仔细设计并考虑患者的需求、精心制作和监测矫形器，并在需要时进行修改，可以通过缓解疼痛、提供关节稳定性、保护脆弱组织以及实现有价值的活动和参与来改善患者的生活，从而对患者的生活产生积极影响。这反过来又促进了身体和心理健康。
