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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Therapy interventions for improving joint range of motion: A systematic review.
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Therapy interventions for improving joint range of motion: A systematic review.

机译：改善关节活动范围的疗法：系统评价。

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摘要

The authors conducted a systematic review of the published evidence on conservative interventions for loss of upper extremity joint range of motion following selected musculoskeletal conditions. Several databases (Medline, CINAHL, PEDRO, PubMed, and Cochrane) were searched for articles that met inclusion criteria. Two reviewers determined abstract selection; two reviews performed critical appraisal of 26 articles. Level of evidence and quality on a 24-item quantitative critical appraisal form were determined for all articles meeting selection criteria. The primary outcome considered was range-of-motion measurement. Overall, the quantity and quality of evidence were moderate to low. Sackett's levels 2b, 3, and 4 evidence has shown that joint mobilization, a supervised exercise program, and splinting can all increase joint range of motion. There were no studies found in the literature that examined techniques of physical agent or electrotherapeutic modalities. Future studies are needed to delineate selection of appropriate candidates for these techniques and effective dosage.
机译：作者对有关在选定的肌肉骨骼疾病后上肢关节活动范围丧失的保守干预的公开证据进行了系统的综述。在几个数据库（Medline，CINAHL，PEDRO，PubMed和Cochrane）中搜索了符合纳入标准的文章。两名审稿人确定了摘要选择;两项评论对26篇文章进行了严格评估。确定所有符合选择标准的文章的24项定量关键评估表上的证据水平和质量。考虑的主要结果是运动范围的测量。总体而言，证据的数量和质量中等至低。 Sackett的2b，3和4级证据表明，关节动员，有监督的锻炼计划和夹板均可增加关节的活动范围。在文献中没有发现研究物理药物或电疗方法的技术的研究。需要进一步的研究来确定这些技术和有效剂量的合适候选者的选择。

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