Perracini Monica R, Kristensen Morten Tange, Cunningham Caitriona, Sherrington Cathie
Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo, Brazil.
Physical Medicine and Rehabilitation Research - Copenhagen (PMR-C), Department of Physical Therapy, Department of Orthopedic Surgery, Amager-Hvidovre Hospital, University of Copenhagen, Denmark.
Injury. 2018 Aug;49(8):1413-1417. doi: 10.1016/j.injury.2018.06.026. Epub 2018 Jun 21.
Physiotherapy can play a vital role in the pathway of care of people after fragility fracture and includes interventions of early mobilisation and prescription of structured exercise programmes for maximising functional recovery and reducing the risk of falls and further fractures. Although the optimal nature of physiotherapist interventions after hip and vertebral fracture requires further investigation in large-scale trials, evidence supports the prescription of high-intensity and extended exercise interventions. This article will overview interventions in the acute and chronic phases after hip fractures, interventions after vertebral fracture and the role of physiotherapy in the prevention of further fractures.
物理治疗在脆性骨折患者的护理过程中可发挥至关重要的作用,包括早期活动干预以及制定结构化运动计划,以最大限度地促进功能恢复,降低跌倒和再次骨折的风险。尽管髋部和椎体骨折后物理治疗师干预措施的最佳性质仍需大规模试验进一步研究,但证据支持高强度和长期运动干预的处方。本文将概述髋部骨折后急性期和慢性期的干预措施、椎体骨折后的干预措施以及物理治疗在预防再次骨折中的作用。