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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Current practice patterns in conservative thumb CMC joint care: Survey results
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Current practice patterns in conservative thumb CMC joint care: Survey results

机译：保守拇指CMC关节护理的当前实践模式：调查结果

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摘要

Study design Cross-sectional descriptive survey Introduction Best practice for conservative clinical care pathways is not well outlined in the literature for patients with thumb carpometacarpal joint (CMCJ) pain. This self-report survey investigated the current practice patterns of assessments and conservative interventions for the painful thumb CMCJ among hand therapists. Methods An online survey was distributed to members of the American Society of Hand Therapists (ASHT). Questions were included about evaluation measures and intervention techniques used for this population. A descriptive analysis was completed of the results. Results A total of 23.5% of the ASHT membership responded to the survey. Results were categorized using the International Classification of Functioning and Disability domains as a framework. The survey results report varying use of evaluation measures, therapeutic interventions, including orthotic fabrication, joint protection and patient education all therapeutic interventional techniques, and modalities. Conclusion Therapists use a comprehensive array of evaluation measures and interventions for body functions and structures in the care of thumb CMC pain. In contrast, more consistent use is needed of psychometrically-sound functional outcome measures that show change in activities and participation. This survey highlights areas to employ current evidence, as well as, future research should address environmental factors and personal factors for this population Level of evidence Not applicable.
机译：研究设计横断面描述性调查简介文献中没有针对拇指腕掌关节（CMCJ）疼痛的患者概述保守临床护理途径的最佳实践。这项自我报告调查调查了手部治疗师对疼痛的拇指CMCJ进行评估和保守干预的当前实践模式。方法向美国手部治疗师学会（ASHT）成员分发了在线调查。有关该人群使用的评估措施和干预技术的问题也包括在内。对结果进行描述性分析。结果共有23.5％的ASHT成员对此问卷进行了回应。使用国际功能和残疾分类域作为框架对结果进行分类。调查结果报告了各种评估手段，治疗干预措施（包括矫形器制造），关节保护和患者教育的使用情况，以及所有治疗干预技术和方式的变化。结论治疗师对拇指CMC疼痛的治疗采用了一系列针对身体功能和结构的评估方法和干预措施。相反，需要更加一致地使用能显示活动和参与变化的心理测验的功能结果指标。该调查重点介绍了需要采用当前证据的领域，以及未来的研究应针对该人群研究环境因素和个人因素。证据水平不适用。

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