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基于平衡功能的综合康复训练对老年髋部骨折术后恢复及功能的影响：一项系统评价与Meta分析

Effect of Comprehensive Rehabilitation Training Based on Balance Function on Postoperative Recovery and Function of Hip Fracture in the Elderly: A Systematic Review and Meta-Analysis.

作者信息

Chang Hai, Luan Chunliang, Li Chen

机构信息

Department of Rehabilitation Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China.

出版信息

Geriatr Orthop Surg Rehabil. 2024 Jul 29;15:21514593241261506. doi: 10.1177/21514593241261506. eCollection 2024.

DOI:10.1177/21514593241261506
PMID:39086843
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11289819/
Abstract

INTRODUCTION

In China, the proportion of the elderly population is gradually increasing, followed by the increasing medical demands of elderly patients. Hip fracture is a common fracture in the elderly. The elderly are prone to serious postoperative complications, resulting in failure to restore normal hip function, which seriously affects patients' quality of life and further increases their mortality rate. Thus, hip fracture represents a remarkable public health issue within the realm of geriatric medical care.

SIGNIFICANCE

This study systematically evaluated the impact of comprehensive rehabilitation training, with a focus on balance function, on elderly individuals with hip fractures' postoperative recovery and functional outcomes.

RESULT

Results showed a significant difference in BBS scores favoring comprehensive rehabilitation training based on balance function over conventional intervention. Similarly, AM-PAC scores favored the balance-focused training. TUTG meta-analysis indicated its adoption in comprehensive rehabilitation training. FIM scores showed improvement with balance-focused training. Harris score meta-analysis also favored this approach. A funnel plot analysis revealed potential publication bias, likely due to study heterogeneity and limited publications.

CONCLUSIONS

In conclusion, comprehensive rehabilitation training centered around balance function displayed clinical efficacy in enhancing postoperative hip joint function in elderly hip fracture patients. This approach improved balance, coordination, and posture control, facilitating lower limb function recovery and overall prognosis. It holds promise as a valuable treatment approach.

摘要

引言

在中国，老年人口比例逐渐上升，随之而来的是老年患者医疗需求的增加。髋部骨折是老年人常见的骨折类型。老年人术后容易出现严重并发症，导致无法恢复正常髋关节功能，这严重影响患者的生活质量，并进一步增加其死亡率。因此，髋部骨折是老年医疗领域一个显著的公共卫生问题。

意义

本研究系统评估了以平衡功能为重点的综合康复训练对老年髋部骨折患者术后恢复和功能结局的影响。

结果

结果显示，基于平衡功能的综合康复训练在BBS评分上与传统干预相比有显著差异。同样，AM-PAC评分也有利于以平衡为重点的训练。TUTG荟萃分析表明其可用于综合康复训练。FIM评分显示以平衡为重点的训练有改善。Harris评分荟萃分析也支持这种方法。漏斗图分析显示存在潜在的发表偏倚，可能是由于研究异质性和发表数量有限。

结论

总之，以平衡功能为中心的综合康复训练在提高老年髋部骨折患者术后髋关节功能方面显示出临床疗效。这种方法改善了平衡、协调和姿势控制，促进了下肢功能恢复和整体预后。它有望成为一种有价值的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/cfb39fd0a0ae/10.1177_21514593241261506-fig13.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/cfb39fd0a0ae/10.1177_21514593241261506-fig13.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/60f8e53987ce/10.1177_21514593241261506-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/0a3432d59599/10.1177_21514593241261506-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/007d7902159d/10.1177_21514593241261506-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/470e8e6cd942/10.1177_21514593241261506-fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/69c4ffdbd41b/10.1177_21514593241261506-fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/ddbfed8a636f/10.1177_21514593241261506-fig6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/c3ab34b02eaa/10.1177_21514593241261506-fig7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/97a47d34f3ab/10.1177_21514593241261506-fig8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/a7bfee7bf929/10.1177_21514593241261506-fig9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/934168227f74/10.1177_21514593241261506-fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/872c480d6c97/10.1177_21514593241261506-fig11.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/4fea5406a815/10.1177_21514593241261506-fig12.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/89a8/11289819/cfb39fd0a0ae/10.1177_21514593241261506-fig13.jpg

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