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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >The optimal orthosis and motion protocol for extensor tendon injury in zones IV-VIII: A systematic review
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The optimal orthosis and motion protocol for extensor tendon injury in zones IV-VIII: A systematic review

机译：区间IV-VIII延伸肌腱损伤的最佳矫形和运动方案：系统审查

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Abstract Study Design Systematic review Introduction There exist numerous combinations of orthoses and motion protocols for the treatment of proximal extensor tendon injuries. Purpose The purpose of this study was to determine the optimal combination of motion protocol and orthotic treatment for the rehabilitation of proximal extensor tendon injuries (zones IV-VIII). Methods A systematic review of English language randomized clinical trials and cohort studies investigating extensor tendon rehabilitation from 1960 to 2016 was conducted in MEDLINE, Embase, Cochrane, CINAHL, PEDro, and OTseeker. Outcomes of total active motion, grip strength, return to work, patient attrition, and patient-reported outcomes were compared. Results Eleven studies of predominantly average quality (1, low; 8, average; and 2, high) were included in the final review. Results were difficult to compare due to differences in reporting. Early total active motion and final grip strength were greater with dynamic extension orthoses (191°-214°; 35-38 kg/89% contralateral side) and relative motion orthoses (205°-236°; 85%-95% contralateral side) compared to static orthoses (79°-202°; 23-34 kg/59% contralateral side). Four studies excluded patients who did not follow up, and loss to follow-up was 12%-33% in the other studies. Patient-reported outcomes were not comparable, as they were only included in 3 studies, and each used a different assessment tool. Conclusion Average quality evidence supports the use of early active motion (EAM) as the superior motion protocol, but optimal orthosis to deliver EAM could not be determined. Prospective research should focus on patient-reported outcomes and the design of orthoses that facilitate the use of the EAM. Level of Evidence 2a
机译：摘要研究设计系统综述介绍存在差异和运动方案的许多组合，用于治疗近端伸肌伤害。目的本研究的目的是确定运动方案和矫形治疗的最佳组合，以便对近端延伸肌腱损伤的恢复（区域IV-VIII）。方法对1960年至2016年1960年至2016年的延伸腱康复的对英语随机临床试验和队列研究的系统审查是在Medline，Embase，Cochrane，Cinahl，Pedro和Otseeker中进行的。比较了总活性运动的结果，握持力量，返回工作，患者磨损和患者报告的结果。结果最终审查中包含了大量水平质量（1，低，8，平均）的研究。由于报告的差异，结果难以比较。随着动态延伸偏移（191°-214°; 35-38 kg / 89％的相对运动（205°-236°; 85％-95％的对侧），早期总活性运动和最终抓握强度更大与静态结果相比（79°-202°; 23-34kg / 59％的对侧）。四项研究除了没有跟进的患者，在其他研究中丧生损失为12％-33％。患者报告的结果没有可比性，因为它们仅包括在3项研究中，并且每个都使用不同的评估工具。结论平均质量证据支持利用早期活动运动（EAM）作为优质运动协议，但无法确定最佳矫形矫形器。前瞻性研究应专注于患者报告的结果以及促进EAM的矫形器的设计。证据级别2a

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