Orthotics and taping in the management of vertebral fractures in people with osteoporosis: a systematic review.
Orthotics and taping in the management of vertebral fractures in people with osteoporosis: a systematic review.
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DOI：
10.1136/bmjopen-2015-010657
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发表时间：
2016-05-04
期刊：
影响因子：
2.9
通讯作者：
Bethel A
中科院分区：
文献类型：
--
作者：
Goodwin VA;Hall AJ;Rogers E;Bethel A
建立目前的证据基础，为使用矫形器和磁带的人与骨质疏松性脊椎骨折（OVF）。定量和定性研究的系统综述。Medline、Medline-In Process、EMBASE、AMED、CINAHL、PEDro、TRIP、EThOS、ProQuest论文和论文以及科克伦（CDSR、DARE、CMR、HTA、EED）加科克伦中心、英国临床研究网络组合、对照临床试验注册以及澳大利亚和新西兰临床试验注册。所有研究设计都被考虑，如果他们用英语报告，并评估使用外部支持的影响，如脊柱支具，矫形器或体位带，与成人OVF。考虑了所有结果。纳入了9项研究，包括2项平行组随机对照试验、4项随机交叉试验、2项前后（单组）研究和1项平行组观察性研究。未发现定性研究。评估了各种评估缺陷、活动和参与的结果，但结果好坏参半。研究的质量有限。目前使用矫正设备或录音的OVF患者的证据是不一致的，质量有限，因此临床医生在实践中开处方之前应仔细考虑。CRD 42015020893。
To establish the current evidence base for the use of orthotics and taping for people with osteoporotic vertebral fracture (OVF). Systematic review of quantitative and qualitative studies. Medline, Medline-In Process, EMBASE, AMED, CINAHL, PEDro, TRIP, EThOS, ProQuest Dissertations and Theses and Cochrane (CDSR, DARE, CMR, HTA, EED) plus Cochrane Central, UK Clinical Research Network portfolio, Controlled Clinical Trials register and the Australian and New Zealand Clinical Trials register. All study designs were considered if they reported in English and evaluated the impact of using an external support, such as a spinal brace, orthosis or postural tape, with adults with OVF. All outcomes were considered. Nine studies were included comprising two parallel-group randomised controlled trials, four randomised cross-over trials, two before-after (single arm) studies and a parallel group observational study. No qualitative studies were identified. A wide range of outcomes assessing impairments, activities and participation were assessed but the findings were mixed. The quality of studies was limited. The current evidence for using orthotic devices or taping for people with OVF is inconsistent and of limited quality and therefore careful consideration should be taken by clinicians before prescribing them in practice. CRD42015020893.