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The use of outcome measures in equine rehabilitation

机译：在马康复中使用结果措施

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Background: The ideal goal of equine rehabilitation following injury or surgery is to return the horse to a level of function that either meets or exceeds the previous performance level, and monitoring progress is important within rehabilitation. Outcome measures (OM) are used extensively in human practice and research, especially patient reported outcomes (PRO). PROs generally consist of a series of questions and observation of functional tasks, use of which may be challenging in equine practice.aim: The aim of this study was to evaluate the use of OMs by physiotherapists in equine musculoskeletal rehabilitation.Methods: A questionnaire was used to investigate how those involved with the treatment and training of horses measure progress and outcomes during rehabilitation.Results: 71 physiotherapists responded, comprising 51 chartered physiotherapists and 20 physiotherapists without prior human training, with an average of 9.25 years in equine practice; 82.2% reported OM use. When asked to define an OM, 72.5% of charteredphysiotherapists and 40% of physiotherapists without prior human training, matched a pre-set definition correctly. The benefits of OM use were reported consistently as a method of objectively monitoring progress and used to adapt treatment plans. The barriers to OM use were lack of OM validation and reliability and time constraints. However, OMs were mainly subjective, such as visual assessment of lameness, palpation and muscle symmetry.Conclusion: In conclusion, confusion exists regarding what an OM is, and OM use-is reported but often refers to subjective assessment method. A validated equine musculoskeletal rehabilitation score is required to support clinical practice.
机译：背景：伤害或手术后马康复的理想目标是将马归还到符合或超过以前的性能水平的函数水平，监测进度在康复中很重要。结果措施（OM）广泛用于人类实践和研究，特别是患者报告的结果（Pro）。专业人员通常由一系列问题和职能任务观察组成，使用这可能在马上实践中具有挑战性。本研究的目的是通过在马克思骨骼康复中的物理治疗师来评估鄂木斯的使用。方法：问卷用于调查如何在康复期间衡量马匹的治疗和培训的人的进展和结果。结果：71个物理治疗师应对，包括51个特许物理治疗师和20名没有事先人类培训的物理治疗师，平均有9.25岁的培训; 82.2％报告OM使用。当被要求定义一个OM时，72.5％的特许医疗师和40％的物理治疗师没有先前的人类训练，正确地定义了预先定义。 OM使用的好处是作为客观监测进展的方法，并用于适应治疗计划的方法。 OM使用的障碍缺乏OM验证和可靠性和时间约束。然而，OMS主要是主观的，例如跛足，触觉和肌肉对称的视觉评估。结论：总之，关于OM是什么，并且报告OM使用，但通常是指主观评估方法。需要验证的标准肌肉骨骼康复评分来支持临床实践。

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