Rehabilitation Strategies for Patients with Femoral Neck Fractures in Sarcopenia: A Narrative Review.

Rehabilitation Strategies for Patients with Femoral Neck Fractures in Sarcopenia: A Narrative Review.
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DOI:
10.3390/jcm9103115
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发表时间:
2020-09-26
影响因子:
3.9
通讯作者:
Vecchio M
Vecchio M
中科院分区:
医学2区
文献类型:
--
作者:
Avola M;Mangano GRA;Testa G;Mangano S;Vescio A;Pavone V;Vecchio M

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肌肉减少症定义为以骨骼肌质量和强度的进行性和全身性损失为特征的综合征。它已被确定为与股骨颈骨折(FNF)相关的最常见合并症之一。本综述旨在评价物理治疗对FNF患者功能和康复的影响。所选文章为过去10年内发表的随机对照试验(RCT)。7篇全文符合本综述的条件:3篇研究了常规康复和营养补充的影响,3篇评价了康复方案与新方法相比的效果,1篇研究探讨了促红细胞生成素(EPO)对FNF肌肉减少患者的干预及其对术后康复的潜在影响。体力活动和饮食补充是预防和康复老年患者髋关节手术后肌肉减少症的基本工具。最有效的物理疗法似乎是渐进抵抗力的锻炼。作业疗法对肌肉减少症患者的认知功能康复具有重要意义。促红细胞生成素和双磷酸盐类药物可能代表药物治疗资源。
Sarcopenia is defined as a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength. It has been identified as one of the most common comorbidities associated with femoral neck fracture (FNF). The aim of this review was to evaluate the impact of physical therapy on FNF patients’ function and rehabilitation. The selected articles were randomized controlled trials (RCTs), published in the last 10 years. Seven full texts were eligible for this review: three examined the impact of conventional rehabilitation and nutritional supplementation, three evaluated the effects of rehabilitation protocols compared to new methods and a study explored the intervention with erythropoietin (EPO) in sarcopenic patients with FNF and its potential effects on postoperative rehabilitation. Physical activity and dietary supplementation are the basic tools of prevention and rehabilitation of sarcopenia in elderly patients after hip surgery. The most effective physical therapy seems to be exercise of progressive resistance. Occupational therapy should be included in sarcopenic patients for its importance in cognitive rehabilitation. Erythropoietin and bisphosphonates could represent medical therapy resources.
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