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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Effects of sensory reeducation programs on functional hand sensibility after median and ulnar repair: A systematic review
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Effects of sensory reeducation programs on functional hand sensibility after median and ulnar repair: A systematic review

机译：感觉训练程序对正中和尺骨修复后功能性手敏感性的影响：系统评价

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Introduction: This is the first systematic review looking at the effectiveness of sensory re-education programmes on functional sensibility which focuses purely on clinical trials of adult patients with median and ulnar nerve injuries. Methods: A literature search of AMED, CINAHL, Embase and OVID Medline (from inception to July 2011) was undertaken. Studies were selected if they met the following inclusion criteria: controlled trials (with or without randomization) of sensory re-education, including early and late phase, in adults with median and/or ulnar nerve repair. Two independent assessors rated study quality and risk of bias using the 24 point MacDermid Evaluation Tool. Results: A total of seven articles met the inclusion criteria representing five separate studies Study quality ranged from 13 to 33 out of 48 points on the Evaluation Tool. Due to heterogeneity of the interventions and outcomes assessed it was not possible to pool the results from all studies. There is limited evidence to support the use of early and late SR programmes. Conclusion: Further trials are needed to evaluate the effect of early and late sensory re-education which are adequately powered, include validated and relevant outcomes and which are reported according to CONSORT (Consolidated Standards of Reporting Trials) guidelines. Level of Evidence: 2b.
机译：简介：这是首次针对功能敏感性的感觉再教育计划的有效性进行的系统评价，其纯粹侧重于中位数和尺神经损伤的成年患者的临床试验。方法：对AMED，CINAHL，Embase和OVID Medline（从成立到2011年7月）进行文献检索。选择符合以下入选标准的研究：在中位和/或尺神经修复的成年人中进行感官再教育（包括早期和晚期）的对照试验（有或没有随机分组）。两名独立评估师使用24点MacDermid评估工具对研究质量和偏倚风险进行了评估。结果：总共有7篇文章符合代表5项单独研究的纳入标准。在评估工具上，研究质量在48分中占13至33。由于干预措施和评估结果的异质性，不可能汇总所有研究的结果。很少有证据支持早期和晚期SR计划的使用。结论：需要进行进一步的试验以评估早期和晚期感觉再教育的效果，这些能力应得到充分支持，包括经过验证的相关结果，并应根据CONSORT（报告试验综合标准）指南进行报告。证据等级：2b。

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