将国际功能、残疾和健康分类（ICF）组件与第一掌腕关节骨关节炎矫形干预的结局指标相联系：一项系统评价。
Linking ICF components to outcome measures for orthotic intervention for CMC OA: A systematic review.
作者信息
Valdes K, Naughton Nancy, Algar Lori
机构信息
Department of Occupational Therapy, Gannon University, Ruskin, FL, USA; Hand Works Therapy, Venice, FL, USA.
Hand Surgery Associates, Olyphant, PA, USA.
出版信息
J Hand Ther. 2016 Oct-Dec;29(4):396-404. doi: 10.1016/j.jht.2016.06.001. Epub 2016 Sep 20.
STUDY DESIGN
Systematic review.
INTRODUCTION/PURPOSE: The purpose of this study was to systematically review outcome measures used for assessment of orthotic intervention in the conservative management of thumb carpometacarpal osteoarthritis to determine if they characterize International Classification of Functioning, Disability, and Health (ICF) components. The determinants of patient satisfaction regarding the orthotic intervention were also extracted from the studies.
METHODS
A comprehensive literature search was conducted. Outcome measures in the included studies were linked to the ICF. Determinants of patient satisfaction regarding the orthotic intervention were also extracted.
RESULTS
Nine studies met inclusion criteria. Eight (47.1%) outcomes were linked to body structures and functions, 8 (47.1%) to activity limitations and participation restrictions, and 1 (5.9%) outcome fell into the nondefinable quality of life category. Four studies assessed patient satisfaction.
DISCUSSION/CONCLUSIONS: This systematic review on orthotic intervention for thumb carpometacarpal osteoarthritis found opportunities related to assessment and outcome measures when present studies are linked to the ICF.
LEVEL OF EVIDENCE
2a.
研究设计
系统评价。
引言/目的：本研究的目的是系统评价在拇指腕掌关节骨关节炎保守治疗中用于评估矫形器干预的结局指标，以确定它们是否体现了国际功能、残疾和健康分类（ICF）的组成部分。还从研究中提取了患者对矫形器干预满意度的决定因素。
方法
进行了全面的文献检索。纳入研究中的结局指标与ICF相关联。还提取了患者对矫形器干预满意度的决定因素。
结果
9项研究符合纳入标准。8项（47.1%）结局指标与身体结构和功能相关，8项（47.1%）与活动受限和参与限制相关，1项（5.9%）结局指标属于无法明确界定的生活质量类别。4项研究评估了患者满意度。
讨论/结论：这项关于拇指腕掌关节骨关节炎矫形器干预的系统评价发现，当现有研究与ICF相关联时，在评估和结局指标方面存在机遇。
证据等级
2a。
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