Hypermobile Ehlers-Danlos syndrome and rehabilitation: taking stock of evidence based medicine: a systematic review of the literature.
Hypermobile Ehlers-Danlos syndrome and rehabilitation: taking stock of evidence based medicine: a systematic review of the literature.
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DOI：
10.1589/jpts.30.847
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发表时间：
2018-06
影响因子：
--
通讯作者：
Ciardi G
中科院分区：
文献类型：
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作者：
Corrado B;Ciardi G
[目的]按照循证医学的方法，对多动性Ehlers-Danlos综合征的康复治疗进行系统评价。[方法]系统检索PubMed、PEDro、科克伦、EDS Base Index、TRIP、CINHAL等数据库，不设时间限制。采用皮科方法制定临床查询。运动过度型Ehlers-Danlos综合征和物理治疗是本研究的主要关键词。[结果]初步检索出1,869篇文献。删除重复后，通过标题和摘要筛选了1，709篇论文，然后根据纳入标准排除了1，698篇论文。11篇论文已进入审查的最后阶段，并在其全文版本中进行了评估。只有一项队列研究符合审查的最后一步选择标准。一项关于综合理疗和认知行为治疗疗效的队列研究通过Newcastle-Ottawa质量评估评分进行评价，结果证据不足。[结论]目前尚缺乏关于Hellers-Danlos综合征康复的循证医学文献。为了评估物理治疗方法的有效性，需要高水平证据的临床研究。
[Purpose] The aim of the study was to conduct a systematic review about rehabilitation treatment of hypermobile Ehlers-Danlos syndrome, according to Evidence Based Medicine. [Methods] A systematic search has been conducted in following database: PubMed, PEDro, Cochrane, EDS Base Index, TRIP and CINHAL; no time restrictions were adopted. PICO method was employed to formulate the clinical query. Hypermobile Ehlers-Danlos syndrome and physiotherapy were the main keywords of the research. [Results] 1,869 articles emerged from the primary search. After duplicates removal, 1,709 papers have been screened by title and abstracts and then 1,698 were excluded following the inclusion criteria. 11 papers have been admitted to the last stage of the review and have been evaluated in their full-text version. Only one cohort study met the review’s final step selection criteria. One cohort study on the efficacy of an integrated physiotherapeutic and cognitive behavioural treatment was evaluated by means of Newcastle-Ottawa Quality Assessment score and resulted of poor evidence. [Conclusion] At the present time, there is no Evidence Based Medicine literature on hypermobile Helers-Danlos syndrome rehabilitation. Clinical studies with high level of evidence are necessary in order to assess the efficacy of physiotherapeutic approaches.