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手术护理中的整骨手法治疗:1990年至2017年期间整骨医学期刊研究出版物的简要回顾。

Osteopathic Manipulative Treatment in Surgical Care: Short Review of Research Publications in Osteopathic Journals During the Period 1990 to 2017.

作者信息

Sposato Niklas S, Bjerså Kristofer

机构信息

1 Scandinavian School of Osteopathy, Gothenburg, Sweden.

2 The Institute of Orthopaedic Medicine, Gothenburg, Sweden.

出版信息

J Evid Based Integr Med. 2018 Jan-Dec;23:2515690X18767671. doi: 10.1177/2515690X18767671.

Abstract

BACKGROUND

A growing trend in surgical care is the investigation and incorporation of multimodal interventions into standardized programs. Additionally, manual therapies such as osteopathic manipulative treatment (OMT) are being used with patients in surgical care. Yet the scientific dialogue and the use of OMT in surgical care are currently insubstantial.

OBJECTIVE

The aim of this study was to present an overview of published research articles within the subject field of OMT in surgical care.

METHOD

Summative review of peer-reviewed research articles published in osteopathic journals during the period 1990 to 2017. In total, 10 articles were identified.

RESULT

Previous research has been conducted within the areas of abdominal, thoracic, gynecological, and/or orthopedic surgery with measured outcomes such as pain, analgesia consumption, length of hospital stay, and range of motion. Heterogeneity was identified in usage of osteopathic techniques, treatment duration, and occurrence, as well as in the treating osteopath's experience.

CONCLUSION

Despite the small number of research articles within this field, both positive measured effects as well as the absence of such effects were identified. Overall, there was a heterogeneity concerning surgical contexts, diagnoses, signs and symptoms, as well as surgical phases in current interprofessional osteopathic publications. In this era of multimodal surgical care, we argue that there is an urgent need to evaluate OMT in this context of care and with a proper research approach.

摘要

背景

外科护理领域的一个发展趋势是研究并将多模式干预纳入标准化方案。此外,整骨手法治疗(OMT)等手法治疗也应用于外科护理患者。然而,目前关于OMT在外科护理中的科学探讨及应用并不充分。

目的

本研究旨在概述外科护理中OMT主题领域已发表的研究文章。

方法

对1990年至2017年期间发表在整骨医学期刊上的同行评审研究文章进行总结性综述。共识别出10篇文章。

结果

先前的研究涉及腹部、胸部、妇科和/或骨科手术领域,测量的结果包括疼痛、镇痛药物用量、住院时间和活动范围。在整骨技术的使用、治疗持续时间和发生率以及整骨治疗师的经验方面存在异质性。

结论

尽管该领域的研究文章数量较少,但既发现了积极的测量效果,也发现了无此类效果的情况。总体而言,当前跨专业整骨医学出版物在手术背景、诊断、体征和症状以及手术阶段方面存在异质性。在这个多模式外科护理时代,我们认为迫切需要在这种护理背景下并采用适当的研究方法来评估OMT。

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