Owens Johnny G, Rauzi Michelle R, Kittelson Andrew, Graber Jeremy, Bade Michael J, Johnson Julia, Nabhan Dustin
Owens Recovery Science, San Antonio, TX, USA.
University of Colorado Anschutz Medical Campus, Department of Physical Medicine and Rehabilitation, Aurora, CO, USA.
Curr Rev Musculoskelet Med. 2020 Apr;13(2):200-211. doi: 10.1007/s12178-020-09610-6.
As rehabilitation patient volume across the age spectrum increases and reimbursement rates decrease, clinicians are forced to produce favorable outcomes with limited resources and time. The purpose of this review is to highlight new technologies being utilized to improve standardization and outcomes for patients rehabilitating orthopedic injuries ranging from sports medicine to trauma to joint arthroplasty.
A proliferation of new technologies in rehabilitation has recently occurred with the hope of improved outcomes, better patient compliance and safety, and return to athletic performance. These include technologies applied directly to the patient such as exoskeletons and instrumented insoles to extrinsic applications such as biofeedback and personalized reference charts. Well-structured randomized trials are ongoing centered around the efficacy and safety of these new technologies to help guide clinical necessity and appropriate application. We present a range of new technologies that may assist a diverse population of orthopedic conditions. Many of these interventions are already supported by level 1 evidence and appear safe and feasible for most clinical settings.
随着各年龄段康复患者数量的增加以及报销率的降低，临床医生被迫在资源和时间有限的情况下取得良好的治疗效果。本综述的目的是强调正在使用的新技术，以提高从运动医学到创伤再到关节置换术等骨科损伤康复患者的标准化程度和治疗效果。
最近，康复领域涌现出大量新技术，以期改善治疗效果、提高患者依从性和安全性，并恢复运动表现。这些技术包括直接应用于患者的技术，如外骨骼和智能鞋垫，以及外部应用技术，如生物反馈和个性化参考图表。围绕这些新技术的有效性和安全性正在进行结构良好的随机试验，以帮助指导临床必要性和适当应用。我们介绍了一系列可能有助于不同骨科疾病患者的新技术。其中许多干预措施已经得到一级证据的支持，并且在大多数临床环境中似乎都是安全可行的。
