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矫形器和贴扎术在骨质疏松症患者椎体骨折管理中的应用：一项系统评价

Orthotics and taping in the management of vertebral fractures in people with osteoporosis: a systematic review.

作者信息

Goodwin Victoria A, Hall Abigail J, Rogers Emily, Bethel Alison

机构信息

NIHR CLAHRC South West Peninsula, University of Exeter, Exeter, UK.

Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.

出版信息

BMJ Open. 2016 May 4;6(5):e010657. doi: 10.1136/bmjopen-2015-010657.

DOI:10.1136/bmjopen-2015-010657
PMID:27147384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4861088/
Abstract

OBJECTIVE

To establish the current evidence base for the use of orthotics and taping for people with osteoporotic vertebral fracture (OVF).

DESIGN

Systematic review of quantitative and qualitative studies.

DATA SOURCES

Medline, Medline-In Process, EMBASE, AMED, CINAHL, PEDro, TRIP, EThOS, ProQuest Dissertations and Theses and Cochrane (CDSR, DARE, CMR, HTA, EED) plus Cochrane Central, UK Clinical Research Network portfolio, Controlled Clinical Trials register and the Australian and New Zealand Clinical Trials register.

ELIGIBILITY CRITERIA FOR SELECTING STUDIES

All study designs were considered if they reported in English and evaluated the impact of using an external support, such as a spinal brace, orthosis or postural tape, with adults with OVF. All outcomes were considered.

RESULTS

Nine studies were included comprising two parallel-group randomised controlled trials, four randomised cross-over trials, two before-after (single arm) studies and a parallel group observational study. No qualitative studies were identified. A wide range of outcomes assessing impairments, activities and participation were assessed but the findings were mixed. The quality of studies was limited.

CONCLUSIONS

The current evidence for using orthotic devices or taping for people with OVF is inconsistent and of limited quality and therefore careful consideration should be taken by clinicians before prescribing them in practice.

SYSTEMATIC REVIEW REGISTRATION NUMBER

CRD42015020893.

摘要

目的

建立关于为骨质疏松性椎体骨折（OVF）患者使用矫形器和绷带的当前证据基础。

设计

对定量和定性研究的系统评价。

数据来源

医学期刊数据库（Medline）、医学期刊数据库（在研）、荷兰医学文摘数据库（EMBASE）、联合和补充医学数据库（AMED）、护理学与健康领域数据库（CINAHL）、循证医学数据库（PEDro）、循证卫生保健数据库（TRIP）、英国国家论文数据库（EThOS）、ProQuest学位论文数据库以及考克兰图书馆（考克兰系统评价数据库（CDSR）、考克兰对照试验注册数据库（DARE）、考克兰方法学注册数据库（CMR）、考克兰卫生技术评估数据库（HTA）、考克兰经济评价数据库（EED）），加上考克兰中央对照试验注册库、英国临床研究网络组合、受控临床试验注册库以及澳大利亚和新西兰临床试验注册库。

选择研究的合格标准

如果研究以英文报告并评估了使用外部支撑物（如脊柱支具、矫形器或姿势绷带）对成年OVF患者的影响，则考虑所有研究设计。考虑所有结局。

结果

纳入9项研究，包括2项平行组随机对照试验、4项随机交叉试验、2项前后（单臂）研究和1项平行组观察性研究。未识别到定性研究。评估了广泛的结局，包括损伤、活动和参与情况，但结果不一。研究质量有限。

结论

目前关于为OVF患者使用矫形器械或绷带的证据不一致且质量有限，因此临床医生在实际开出处方前应谨慎考虑。

系统评价注册号

CRD42015020893。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cca8/4861088/3e6a29350ed2/bmjopen2015010657f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cca8/4861088/f11020c85424/bmjopen2015010657f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cca8/4861088/3e6a29350ed2/bmjopen2015010657f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cca8/4861088/f11020c85424/bmjopen2015010657f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cca8/4861088/3e6a29350ed2/bmjopen2015010657f02.jpg

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