拇外翻的术前和术后物理和机械康复干预:系统综述。

IF 2.2 3区 医学 Q1 ORTHOPEDICS
Oya Gumuskaya, Benjamin Peterson, Hailey Donnelly, Banu Unver, Damien Lafferty, Peta Tehan
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引用次数: 0

摘要

背景:大约三分之一的成年人患有拇外翻(HV)。手术干预在减少畸形方面是成功的;然而,术后并发症是常见的。有越来越多的证据表明,在骨科手术的预适应和康复策略。然而,这些策略在HV手术中的有效性目前尚不清楚。本系统综述旨在综合和确定物理和机械康复和术后康复干预对改善HV手术后预后的有效性的证据质量。方法:按照PRISMA指南,检索自成立至2025年5月19日的MEDLINE、Cochrane、CINAHL、Scopus、EMBASE和AMED等电子数据库。纳入随机对照试验,以确定术前和术后物理和机械治疗对改善成人HV手术预后的有效性。来自个别研究的证据是叙述性综合的,由于干预措施、方法和结果测量的异质性,数据没有汇总。结果:共筛选题目及摘要8166篇,审阅全文论文66篇。5项研究符合入选标准,纳入本综述。没有随机对照试验检查术前物理或机械干预的有效性。术后早期负重、动态跖骨夹板和经皮超声似乎改善了患者的预后,而硬底鞋则提高了患者的满意度。结论:目前没有证据支持术前物理和机械干预对改善HV手术预后的有效性,支持术后干预的证据有限。未来的试验应考虑纳入有效的结果测量。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Preoperative and Postoperative Physical and Mechanical Rehabilitation Interventions in Hallux Valgus: A Systematic Review.

Preoperative and Postoperative Physical and Mechanical Rehabilitation Interventions in Hallux Valgus: A Systematic Review.

Preoperative and Postoperative Physical and Mechanical Rehabilitation Interventions in Hallux Valgus: A Systematic Review.

Background: Approximately one-third of the adult population is affected by hallux valgus (HV). Surgical interventions are successful in reducing deformity; however, postoperative complications are common. There is growing evidence for prehabilitation and rehabilitation strategies in orthopaedic surgeries. However, the effectiveness of such strategies in HV surgery is currently unknown. This systematic review aimed to synthesise and determine the quality of evidence for the effectiveness of physical and mechanical prehabilitation and postoperative rehabilitation interventions for improving outcomes following HV surgery.

Methods: Electronic databases: MEDLINE, Cochrane, CINAHL, Scopus, EMBASE and AMED were searched from inception until 19th May 2025, following the PRISMA guidelines. Randomised controlled trials were included to determine the effectiveness of preoperative and postoperative physical and mechanical therapies for improving outcomes in adults undergoing HV surgery. The evidence from individual studies was narratively synthesised, and data were not pooled because of the heterogeneity of interventions, methods and outcomes measures.

Results: A total of 8166 titles and abstracts were screened, and 66 full-text papers were reviewed. Five studies met the eligibility criteria and were included in this review. No randomised controlled trials examined the effectiveness of eligible preoperative physical or mechanical interventions. Postoperative early weight-bearing, dynamic metatarsal splinting and transcutaneous ultrasound appeared to improve patient outcomes, whereas rigid-soled footwear improved patient satisfaction.

Conclusion: There is currently no evidence to support the effectiveness of preoperative physical and mechanical interventions for improving outcomes in HV surgery, and limited evidence supports postoperative interventions. Future trials should consider incorporating validated outcome measures.

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来源期刊
CiteScore
4.50
自引率
10.30%
发文量
83
审稿时长
>12 weeks
期刊介绍: Journal of Foot and Ankle Research, the official journal of the Australian Podiatry Association and The College of Podiatry (UK), is an open access journal that encompasses all aspects of policy, organisation, delivery and clinical practice related to the assessment, diagnosis, prevention and management of foot and ankle disorders. Journal of Foot and Ankle Research covers a wide range of clinical subject areas, including diabetology, paediatrics, sports medicine, gerontology and geriatrics, foot surgery, physical therapy, dermatology, wound management, radiology, biomechanics and bioengineering, orthotics and prosthetics, as well the broad areas of epidemiology, policy, organisation and delivery of services related to foot and ankle care. The journal encourages submissions from all health professionals who manage lower limb conditions, including podiatrists, nurses, physical therapists and physiotherapists, orthopaedists, manual therapists, medical specialists and general medical practitioners, as well as health service researchers concerned with foot and ankle care. The Australian Podiatry Association and the College of Podiatry (UK) have reserve funds to cover the article-processing charge for manuscripts submitted by its members. Society members can email the appropriate contact at Australian Podiatry Association or The College of Podiatry to obtain the corresponding code to enter on submission.
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