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针对骨质疏松性骨折风险增加的成年患者的医疗保健中的物理治疗能力:一项范围综述方案

Physiotherapy Capabilities in the Health Care of Adult Patients at Increased Risk of Osteoporotic Fractures: A Scoping Review Protocol.

作者信息

Blackman Fiona, Walsh Nicola, Paskins Zoe

机构信息

Integrated Musculoskeletal Service Solihull Community, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Centre for Health and Clinical Research, University of the West of England, Bristol, UK.

出版信息

Musculoskeletal Care. 2025 Jun;23(2):e70125. doi: 10.1002/msc.70125.

Abstract

OBJECTIVES

This scoping review will explore and map the extent and type of literature related to physiotherapy capabilities in the health care of adult patients at increased risk of osteoporotic fractures and identify gaps in the literature.

BACKGROUND

With an ageing population, osteoporosis and fractures and their associated costs are increasing. Unfortunately, many people with, or at increased risk of, osteoporotic fractures remain undiagnosed and untreated. The scope of physiotherapy has expanded over recent years with enhanced, advanced and consultant roles. This presents opportunities for physiotherapists to help reduce the osteoporosis care gap. Clarifying capabilities is important to ensure successful implementation of new roles and development of holistically competent practitioners.

ELIGIBILITY CRITERIA

Literature will be included if it relates to capabilities of qualified physiotherapists involved in the health care of adult patients (aged 18 and over) at increased risk of osteoporotic fractures in any clinical setting. All published and non-published literature to include research studies, editorials, and grey literature will be considered.

METHODS

A scoping review will be carried out in accordance with JBI guidelines. Peer-reviewed databases including MEDLINE, EMBASE, EMCARE, CINAHL, SCOPUS, Cochrane, PEDro and ProQuest will be searched for literature between 2003 and 2025, alongside a comprehensive search for grey literature (including reports and government publications) from additional sources to ensure a broad representation of available evidence. Source selection will use the PRISMA-ScR flow chart against agreed eligibility criteria. Data extraction will be mapped out in tabular and/or diagrammatic format with a supporting narrative synthesis.

TRIAL REGISTRATION

https://doi.org/10.17605/OSF.IO/47UYE.

摘要

目的

本综述将探讨并梳理与成年骨质疏松性骨折风险增加患者医疗保健中物理治疗能力相关的文献范围和类型,并找出文献中的空白。

背景

随着人口老龄化,骨质疏松症、骨折及其相关成本不断增加。不幸的是,许多患有骨质疏松性骨折或骨折风险增加的人仍未得到诊断和治疗。近年来,物理治疗的范围随着角色的强化、进阶和顾问化而扩大。这为物理治疗师缩小骨质疏松症护理差距提供了机会。明确能力对于确保新角色的成功实施和全面胜任的从业者的培养至关重要。

纳入标准

如果文献涉及在任何临床环境中为成年骨质疏松性骨折风险增加的患者(18岁及以上)提供医疗保健的合格物理治疗师的能力,则将其纳入。所有已发表和未发表的文献,包括研究、社论和灰色文献都将被考虑。

方法

将按照JBI指南进行综述。将检索同行评审数据库,包括MEDLINE、EMBASE、EMCARE、CINAHL、SCOPUS、Cochrane、PEDro和ProQuest,以查找2003年至2025年期间的文献,同时从其他来源全面搜索灰色文献(包括报告和政府出版物),以确保广泛涵盖现有证据。将使用PRISMA-ScR流程图根据商定的纳入标准进行文献来源选择。数据提取将以表格和/或图表形式呈现,并辅以叙述性综合分析。

试验注册

https://doi.org/10.17605/OSF.IO/47UYE

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8159/12097966/92f3f9266a1e/MSC-23-e70125-g001.jpg

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