School of Allied Health Professions, Faculty of Medicine and Health Sciences, University of East Anglia, Norwich, UK.
J Hand Ther. 2012 Jul-Sep;25(3):297-306; quiz 307. doi: 10.1016/j.jht.2012.04.001.
This is the first systematic review looking at the effectiveness of sensory re-education programmes on functional sensibility which focuses purely on clinical trials of adult patients with median and ulnar nerve injuries.
A literature search of AMED, CINAHL, Embase and OVID Medline (from inception to July 2011) was undertaken. Studies were selected if they met the following inclusion criteria: controlled trials (with or without randomization) of sensory re-education, including early and late phase, in adults with median and/or ulnar nerve repair. Two independent assessors rated study quality and risk of bias using the 24 point MacDermid Evaluation Tool.
A total of seven articles met the inclusion criteria representing five separate studies Study quality ranged from 13 to 33 out of 48 points on the Evaluation Tool. Due to heterogeneity of the interventions and outcomes assessed it was not possible to pool the results from all studies. There is limited evidence to support the use of early and late SR programmes.
Further trials are needed to evaluate the effect of early and late sensory re-education which are adequately powered, include validated and relevant outcomes and which are reported according to CONSORT (Consolidated Standards of Reporting Trials) guidelines.
2b.
这是第一篇针对正中神经和尺神经损伤成人患者的感觉再教育计划对功能感觉有效性的系统评价，纯粹关注临床试验。
对 AMED、CINAHL、Embase 和 OVID Medline（从建库至 2011 年 7 月）进行文献检索。如果研究符合以下纳入标准，则将其选中：正中神经和/或尺神经修复后的成人感觉再教育的对照试验（有或没有随机分组），包括早期和晚期阶段。两名独立评估员使用 MacDermid 评估工具的 24 分制对研究质量和偏倚风险进行评估。
共有 7 篇文章符合纳入标准，代表 5 项独立研究。研究质量在评估工具上的得分为 13 至 33 分，满分 48 分。由于干预措施和评估的结果存在异质性，因此无法对所有研究的结果进行汇总。有有限的证据支持早期和晚期 SR 计划的使用。
需要进一步的试验来评估早期和晚期感觉再教育的效果，这些试验应具有足够的效力，包括经过验证的相关结果，并根据 CONSORT（临床试验报告的统一标准）指南进行报告。
2b。
