Fallahzadeh Abarghuei Abolghasem, Karimi Mohammad Taghi
Department of Occupational Therapy, School of Rehabilitation Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
Rehabilitation Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
Med J Islam Repub Iran. 2022 Dec 14;36:153. doi: 10.47176/mjiri.36.153. eCollection 2022.
One of the most important approaches in the rehabilitation of spinal cord injury (SCI) patients is the use of different orthoses. To date, no review has been published that analyzed the effects of orthoses on health aspects of spinal cord injury clients using the International Classification of Functioning, Disability and Health (ICF). A systematic literature search was done in some databases, including Medline, PubMed, Cochrane centered register of the controlled trial (CCTR), Cochrane database of systematic reviews (CDSR), a database of abstracts of reviews of effects (DARE), Embase, Google Scholar, and ISI Web of Knowledge. SCI was used in conjunction with terms like orthotic device, mechanical orthoses, external power orthoses, assistive devices, and functional electrical. The time frame for this search was from 1970 to 2022. A total of 200 papers were found. Based on the titles and abstracts, 100 related papers were detected. After careful evaluation of the papers, 47 studies were selected for final analysis-53 papers were excluded due to duplication, non-English language, and lack of full-text. The results of 32 studies (70% of studies) support the efficiency of orthoses in walking and standing of SCI patients. In most of the included studies, the efficiency of orthoses was evaluated mostly based on body functions and structures, and their impact on other outcomes such as participation and quality of life (QoL) of SCI patients was unclear.
脊髓损伤(SCI)患者康复过程中最重要的方法之一是使用不同的矫形器。迄今为止,尚未发表过使用国际功能、残疾和健康分类(ICF)分析矫形器对脊髓损伤患者健康方面影响的综述。在一些数据库中进行了系统的文献检索,包括医学索引数据库(Medline)、医学期刊数据库(PubMed)、Cochrane对照试验中心注册库(CCTR)、Cochrane系统评价数据库(CDSR)、效果综述摘要数据库(DARE)、荷兰医学文摘数据库(Embase)、谷歌学术和科学网(ISI Web of Knowledge)。检索词为SCI,并与诸如矫形装置、机械矫形器、外部动力矫形器、辅助装置和功能性电刺激等术语结合使用。检索的时间范围是1970年至2022年。共找到200篇论文。根据标题和摘要,检测到100篇相关论文。在对这些论文进行仔细评估后,选择了47项研究进行最终分析,53篇论文因重复、非英文语言和缺乏全文而被排除。32项研究(占研究的70%)的结果支持矫形器对SCI患者行走和站立的有效性。在大多数纳入的研究中,矫形器的有效性大多是根据身体功能和结构进行评估的,其对SCI患者的其他结果(如参与度和生活质量(QoL))的影响尚不清楚。