桡骨远端骨折后，治疗师指导的门诊治疗与家庭康复计划指导的对比：一项系统评价
Therapist supervised clinic-based therapy versus instruction in a home program following distal radius fracture: a systematic review.
作者信息
Valdes Kristin, Naughton Nancy, Michlovitz Susan
机构信息
Rocky Mountain University of Health Professions, Provo, UT, USA; Hand Works Therapy, 744 the Rialto, Venice, FL, USA.
Professional Orthopedics Associates, Scranton, PA, USA.
出版信息
J Hand Ther. 2014 Jul-Sep;27(3):165-73; quiz 174. doi: 10.1016/j.jht.2013.12.010. Epub 2014 Jan 3.
PURPOSE
The primary purpose of this systematic review is to determine the effectiveness of a home program or a structured therapy program for patients following distal radius fracture.
METHODS
A search was performed using terms wrist fracture, supervised therapy, occupational therapy, physical therapy, splint, orthosis, distal radius fracture, exercise, and home program. Studies that met the inclusion criteria were evaluated for research quality using The Structured Effectiveness for Quality Evaluation of Study (SEQES).
RESULTS
Five of the seven trials found no difference between outcomes for their subjects that had uncomplicated distal radius fractures. The population that has complications following distal radius fractures was not represented in the studies reviewed.
CONCLUSION
The available evidence from randomized controlled trials is insufficient to support a home program or therapist supervised clinic-based program as a superior method of treatment for adults following a distal radius fracture without complications or the presence of comorbidities.
目的
本系统评价的主要目的是确定家庭方案或结构化治疗方案对桡骨远端骨折患者的有效性。
方法
使用腕部骨折、监督治疗、职业治疗、物理治疗、夹板、矫形器、桡骨远端骨折、运动和家庭方案等术语进行检索。使用研究质量结构化有效性评估（SEQES）对符合纳入标准的研究进行研究质量评估。
结果
七项试验中的五项发现，其患有单纯性桡骨远端骨折的受试者的结局之间没有差异。所审查的研究中未纳入桡骨远端骨折后出现并发症的人群。
结论
来自随机对照试验的现有证据不足以支持家庭方案或治疗师监督的基于诊所的方案作为无并发症或合并症的成年桡骨远端骨折患者的更优治疗方法。
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