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首页> 外文期刊>The clinical journal of pain >Naprapathic manual therapy or conventional orthopedic care for outpatients on orthopedic waiting lists?: A pragmatic randomized controlled trial.
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Naprapathic manual therapy or conventional orthopedic care for outpatients on orthopedic waiting lists?: A pragmatic randomized controlled trial.

机译：鼻骨科手动疗法或常规骨科护理为门诊病人提供骨科候诊名单吗？：一项实用的随机对照试验。

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OBJECTIVES: Traditionally, orthopedic outpatient waiting lists are long, and many referrals are for conditions that do not respond to interventions available at an orthopedic outpatient department. The overall objective of this trial was to investigate whether it is possible to reduce orthopedic waiting lists through integrative medicine. Specific aims were to compare the effects of naprapathic manual therapy to conventional orthopedic care for outpatients with nonurgent musculoskeletal disorders unlikely to benefit from surgery regarding pain, physical function, and perceived recovery. METHODS: Seventy-eight patients referred to an orthopedic outpatient department in Sweden were included in this pragmatic randomized controlled trial. The 2 interventions compared were naprapathic manual therapy (index group) and conventional orthopedic care (control group). Pain, physical function, and perceived recovery were measured by questionnaires at baseline and after 12, 24, and 52 weeks. The number of patients being discharged from the waiting lists and the level of agreement concerning management decisions between the naprapath and the orthopedists were also estimated. RESULTS: After 52 weeks, statistically significant differences between the groups were found regarding impairment in pain, increased physical function, and regarding perceived recovery, favoring the index group. Sixty-two percent of the patients in the index group agreed to be discharged from the waiting list. The level of agreement concerning the management decisions was 80%. DISCUSSION: The trial suggests that naprapathic manual therapy may be an alternative to consider for orthopedic outpatients with disorders unlikely to benefit from surgery.
机译：目标：传统上，骨科门诊等候名单很长，许多转诊是针对对骨科门诊部门可用的干预措施无反应的疾病。该试验的总体目的是研究是否有可能通过中西医结合治疗减少骨科候诊名单。具体目的是比较对于不愿从手术中受益的疼痛，身体功能和知觉恢复的非急迫性肌肉骨骼疾病的门诊患者，将鼻自然疗法与常规骨科护理的效果进行比较。方法：该实用的随机对照试验包括瑞典转诊至骨科门诊部的七十八名患者。比较的2种干预措施是鼻自然疗法（索引组）和常规骨科护理（对照组）。在基线，第12、24和52周后通过问卷调查疼痛，身体功能和知觉恢复。还估计了从候补名单上出院的患者人数以及鼻甲整形外科医师与整形外科医师之间就管理决定达成的协议水平。结果：52周后，两组之间在疼痛障碍，身体机能增强以及在知觉的恢复方面在统计学上有显着差异，这有利于指数组。索引组中有62％的患者同意从候诊名单中出院。有关管理决策的同意率为80％。讨论：该试验表明，对于不太可能得益于手术的疾病的整形外科门诊患者，可以考虑使用鼻自然疗法。

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