Newington Lisa, Francis Kristin, Ntani Georgia, Warwick David, Adams Jo, Walker-Bone Karen
1 Arthritis Research UK - MRC Centre for Musculoskeletal Health and Work, MRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
2 Hand Therapy, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
J Hand Surg Eur Vol. 2018 Oct;43(8):875-878. doi: 10.1177/1753193418786375. Epub 2018 Jul 13.
There is a limited evidence base from which to derive recommendations for safe and effective return to different types of occupation after carpal tunnel release surgery. The current practice of members of the British Society for Surgery of the Hand and the British Association of Hand Therapists was investigated with a questionnaire. In total, 173 surgeons and 137 therapists responded from an estimated sample of 1959. Median recommended return-to-work times were 7 days for desk-based duties, 15 days for repetitive light manual duties and 30 days for heavy manual duties. However, the responses were wide-ranging: 0-30 days for desk-based; 1-56 days for repetitive light manual; and 1-90 days for heavy manual. Variation in the recommended timescales for return to work and other functional activities after carpal tunnel release suggests that patients are receiving different and possibly even conflicting advice.
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关于腕管松解术后安全有效地恢复不同类型职业的推荐，可依据的证据基础有限。通过问卷调查对英国手部外科学会和英国手部治疗师协会成员的当前实践进行了调查。在估计的1959名样本中，共有173名外科医生和137名治疗师做出了回应。推荐的重返工作岗位的中位时间为：伏案工作7天，重复性轻度体力工作15天，重体力工作30天。然而，回答范围很广：伏案工作为0 - 30天；重复性轻度体力工作为1 - 56天；重体力工作为1 - 90天。腕管松解术后推荐的重返工作岗位及其他功能活动的时间尺度存在差异，这表明患者收到的建议各不相同，甚至可能相互矛盾。
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