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退行性颈椎脊髓病的康复治疗:对英国患者信息的系统评价与范围综述

Rehabilitation for degenerative cervical myelopathy: systematic review and scoping review of UK patient information.

作者信息

Smith Toby O, Newton Christopher, Farrell Ayshea, Boby Jithy, Dove Jonathan, Dove Fiona, Turner Kelly, Davies Benjamin M

机构信息

Warwick Medical School, University of Warwick, Coventry, UK.

Institute for Applied & Translational Technologies in Surgery, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK.

出版信息

Spinal Cord. 2025 Jul 23. doi: 10.1038/s41393-025-01110-z.


DOI:10.1038/s41393-025-01110-z
PMID:40696144
Abstract

STUDY DESIGN: Systematic Literature Review & Patient-Information Scoping Review OBJECTIVES: To assess the evidence on prehabilitation and post-operative rehabilitation interventions for people undergoing surgery for degenerative cervical myelopathy (DCM) and to determine what publicly accessible information is provided to patients from the NHS surrounding DCM surgery. METHODS: A systematic literature review was searched from inception to 19 May 2025. Studies reporting pain, function, disability or quality of life for prehabilitation or post-operative rehabilitation interventions for people undergoing DCM surgery were eligible. Downs and Black appraisal tool was used to assess study quality. Data were analysed in a narrative analysis. Secondary, a review of UK NHS Patient Information Documents (PID) was searched using a Google platform assessment. PID reporting prehabilitation or post-operative information for people awaiting DCM surgery were included. The type of information being provided were extracted and descriptive statistics were used to report frequency of information provision. RESULTS: From 5218 screened studies, six studies (n = 685) met the eligibility criteria. The evidence was low to moderate in quality. Rehabilitation offered demonstrated improved clinical outcomes but there was limited evidence compared to non-rehabilitation or superiority between different rehabilitation strategies. The PID review identified 38 documents. This indicates education and guidance is commonly offered on returning to work (68%), driving (76%) and normal activities of daily living (63%). CONCLUSION: There remains uncertainty on what should be and is offered to patients with DCM in respect to prehabilitation or post-operative rehabilitation. Robust clinical trial evidence on rehabilitation approaches for this population is needed. REGISTRATION: PROSPERO (CRD42024604184).

摘要

研究设计:系统文献综述与患者信息范围界定综述 目的:评估关于退行性颈椎病(DCM)手术患者术前康复和术后康复干预的证据,并确定英国国家医疗服务体系(NHS)向DCM手术患者提供了哪些可公开获取的信息。 方法:从研究起始至2025年5月19日进行系统文献综述。纳入报告DCM手术患者术前康复或术后康复干预的疼痛、功能、残疾或生活质量的研究。使用唐斯和布莱克评估工具评估研究质量。采用叙述性分析方法对数据进行分析。其次,使用谷歌平台评估对英国NHS患者信息文件(PID)进行检索。纳入报告等待DCM手术患者术前或术后信息的PID。提取所提供信息的类型,并使用描述性统计报告信息提供的频率。 结果:在5218项筛选研究中,六项研究(n = 685)符合纳入标准。证据质量低至中等。所提供的康复措施显示出临床结局有所改善,但与非康复措施相比证据有限,且不同康复策略之间的优越性证据不足。PID综述确定了38份文件。这表明通常会提供关于重返工作(68%)、驾驶(76%)和日常生活正常活动(63%)的教育和指导。 结论:关于DCM患者术前或术后康复应提供什么以及实际提供了什么,仍存在不确定性。需要针对该人群康复方法的有力临床试验证据。 注册信息:PROSPERO(CRD42024604184)

相似文献

[1]
Rehabilitation for degenerative cervical myelopathy: systematic review and scoping review of UK patient information.

Spinal Cord. 2025-7-23

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本文引用的文献

[1]
AO Spine Clinical Practice Recommendations for Diagnosis and Management of Degenerative Cervical Myelopathy: Evidence Based Decision Making - A Review of Cutting Edge Recent Literature Related to Degenerative Cervical Myelopathy.

Global Spine J. 2025-4-21

[2]
SPINE20 Recommendations 2024 -Spinal Disability: Social Inclusion as a Key to Prevention and Management.

Global Spine J. 2025-1

[3]
A minimum data set-Core outcome set, core data elements, and core measurement set-For degenerative cervical myelopathy research (AO Spine RECODE DCM): A consensus study.

PLoS Med. 2024-8

[4]
Preoperative rehabilitation optimization for spinal surgery: a narrative review of assessment, interventions, and feasibility.

Spine Deform. 2024-9

[5]
A systematic review and meta-analysis of clinical efficacy of early and late rehabilitation interventions for ischemic stroke.

BMC Neurol. 2024-3-8

[6]
The role of comprehensive rehabilitation in the care of degenerative cervical myelopathy.

Spinal Cord. 2024-5

[7]
Effects of repetitive transcranial magnetic stimulation over the contralesional dorsal premotor cortex on upper limb function in severe ischaemic stroke: study protocol for a randomised controlled trial.

BMJ Open. 2023-12-9

[8]
Post-Operative Physical Therapy Following Cervical Spine Surgery: Analysis of Patient-Reported Outcomes.

Cureus. 2023-6-17

[9]
The Impact of Multidisciplinary Approaches to Social Functioning on Surgical Outcomes After Surgery for Cervical Myelopathy.

Spine (Phila Pa 1976). 2023-10-1

[10]
The effect of physical activity on health outcomes in people with moderate-to-severe traumatic brain injury: a rapid systematic review with meta-analysis.

BMC Public Health. 2023-1-9

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