物理治疗干预对臂丛神经产伤儿童的有效性：一项系统评价。
Effectiveness of Physical Therapy Interventions in Children with Brachial Plexus Birth Injury: A Systematic Review.
作者信息
de Matos Mariana Aguiar, Souto Deisiane Oliveira, Soares Bruno Alvarenga, de Oliveira Vinícius Cunha, Leite Hércules Ribeiro, Camargos Ana Cristina Resende
机构信息
Physical Therapy Department, Faculdade Sete Lagoas (FACSETE), Sete Lagoas, Minas Gerais, Brasil.
Physical Therapy Department, Faculdade de Santa Luzia (UNIESP S.A), Santa Luzia, Minas Gerais, Brasil.
出版信息
Dev Neurorehabil. 2023 Jan;26(1):52-62. doi: 10.1080/17518423.2022.2099995. Epub 2022 Jul 17.
AIM
To systematically review the effectiveness of physical therapy interventions in infants, children and adolescents with brachial plexus birth injury (BPBI).
METHODS
Systematic review of randomized controlled trials including patients under 18 years old with BPBI was conducted on Medline, Cochrane, Embase, Amed and Pedro databases. Methodological quality was assessed by the PEDro score and quality of evidence by the GRADE system. The primary outcomes measured were range of motion, muscle strength and bone mineral density.
RESULTS
Seven studies were included, two in infant and 5 in children, of 932 title and abstracts screened. The interventions, characteristics of the participants and outcomes were diverse. The largest effect was found when other intervention was combined with conventional physical therapy in the primary outcomes, with low quality of evidence.
CONCLUSION
Physical therapy interventions alone or in combination with other treatment modalities are effective in improving short-term disabilities in children with BPBI.
目的
系统评价物理治疗干预对患有臂丛神经产伤（BPBI）的婴儿、儿童和青少年的有效性。
方法
在Medline、Cochrane、Embase、Amed和Pedro数据库中对包括18岁以下BPBI患者的随机对照试验进行系统评价。采用PEDro评分评估方法学质量，采用GRADE系统评估证据质量。测量的主要结局为关节活动范围、肌肉力量和骨密度。
结果
在筛查的932篇标题和摘要中，纳入了7项研究，其中2项针对婴儿，5项针对儿童。干预措施、参与者特征和结局各不相同。在主要结局方面，当其他干预措施与传统物理治疗相结合时效果最为显著，但证据质量较低。
结论
单独或与其他治疗方式联合使用的物理治疗干预措施，对于改善BPBI患儿的短期残疾状况是有效的。
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