Piccione Francesco, Maccarone Maria Chiara, Cortese Anna Maria, Rocca Guido, Sansubrino Umberto, Piran Giovanni, Masiero Stefano
Department of Neuroscience, Rehabilitation Unit, University of Padova, Padova.
Physical Medicine and Rehabilitation School, University of Padova, Padua.
Eur J Transl Myol. 2021 Sep 17;31(3):9933. doi: 10.4081/ejtm.2021.9933.
A comprehensive rehabilitation program is required after Pelvic Fracture (PF). In a PF rehabilitation setting an effective treatment and a proper management of complications is supplied by an appropriate and reliable clinical assessment. In this literature-based update, we search on MEDLINE, EMBASE, and the Cochrane Database of Systematic reviews to find articles, scientific society guidelines and practioners experiences defining the rehabilitative management of clinically PF outcomes. Based on literature evidences and expert opinions, a set of key topics was collated to generate advices and recommendations to put into daily practice. Even if there are no high-quality evidence for rehabilitative interventions after PF in terms of duration and modality of therapy, rehabilitation setting, care pathways, and long-term functional outcomes, it is strongly recommended an early multidisciplinary intervention to improve recovery from PF.
骨盆骨折(PF)后需要一个全面的康复计划。在PF康复环境中,适当且可靠的临床评估可提供有效的治疗及对并发症的妥善管理。在本次基于文献的更新中,我们检索了MEDLINE、EMBASE和Cochrane系统评价数据库,以查找定义PF临床结局康复管理的文章、科学协会指南及从业者经验。基于文献证据和专家意见,整理了一系列关键主题,以生成建议并推荐应用于日常实践。即使在PF后的康复干预方面,在治疗持续时间和方式、康复环境、护理途径及长期功能结局方面尚无高质量证据,但强烈建议进行早期多学科干预,以促进PF后的恢复。