过去 10 年的手部治疗干预措施、结果和评估诊断：将研究与实践联系起来的映射综述。
Hand therapy interventions, outcomes, and diagnoses evaluated over the last 10 years: A mapping review linking research to practice.
机构信息
Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.
Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, USA.
出版信息
J Hand Ther. 2019 Jan-Mar;32(1):1-9. doi: 10.1016/j.jht.2017.05.018. Epub 2017 Jun 21.
STUDY DESIGN
Mapping review.
INTRODUCTION
Although published literature and evidence to support medical practice is becoming more abundant, it is not known how well available evidence supports the full spectrum of hand therapy practice.
PURPOSE OF THE STUDY
The aim of this mapping review was to identify strengths and/or gaps in the available literature as compared with the hand therapy scope of practice to guide future research.
METHODS
A systematic search and screening was conducted to identify evidence published from 2006 to 2015. Descriptive data from 191 studies were extracted, and the diagnoses, interventions, and outcomes used in the literature were compared with the hand therapy scope of practice.
RESULTS
Osteoarthritis, tendon surgeries, and carpal tunnel syndrome were most frequently studied. Exercise, education, and orthotic interventions were most common, each used in more than 100 studies; only 12 studies used activity-based interventions. Primary outcome measures included range of motion, pain/symptoms, strength, and functional status.
DISCUSSION
Abundant high-quality research exists for a portion of the hand therapy scope of practice; however, there is a paucity of evidence for numerous diagnoses and interventions.
CONCLUSIONS
More evidence is needed for complex diagnoses and activity-based interventions as well as behavioral and quality-of-care outcomes.
LEVEL OF EVIDENCE
Not applicable.
研究设计
映射回顾。
引言
尽管发表的文献和支持医学实践的证据越来越多，但尚不清楚现有证据在多大程度上支持整个手治疗实践。
研究目的
本映射回顾的目的是确定现有文献中的优势和/或差距与手治疗范围的实践，以指导未来的研究。
方法
进行了系统的搜索和筛选，以确定 2006 年至 2015 年期间发表的证据。从 191 项研究中提取描述性数据，并将文献中使用的诊断、干预和结果与手治疗范围进行比较。
结果
骨关节炎、肌腱手术和腕管综合征是最常研究的疾病。运动、教育和矫形干预措施最为常见，每种方法都在 100 多项研究中使用；只有 12 项研究使用基于活动的干预措施。主要结局指标包括活动范围、疼痛/症状、力量和功能状态。
讨论
手治疗实践的一部分有大量高质量的研究；然而，许多诊断和干预措施的证据很少。
结论
需要更多的证据来支持复杂的诊断和基于活动的干预措施以及行为和护理质量结果。
证据水平
不适用。
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