首页|骨质疏松症康复治疗指南(2024版)

骨质疏松症康复治疗指南(2024版)

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骨质疏松症已成为最严重的健康问题之一,给患者、家庭和社会造成巨大的经济负担.康复治疗在改善骨质疏松症患者疼痛、降低骨折风险、提高日常活动能力、促进骨质疏松骨折愈合等方面发挥着重要作用,越来越受到国内外指南的重视和推荐.本指南由中华医学会物理医学与康复学分会主任委员何成奇教授牵头发起,以国内外指南制订方法与原则为指导,在2019年《原发性骨质疏松症康复干预中国专家共识》的基础上进行更新.通过临床问题筛选与解构、两轮德尔菲问卷咨询等方法,以《国际功能、残疾和健康分类》(ICF)为理论架构,基于当前可获得的最佳证据,采用推荐意见分级的评估、制订及评价(GRADE)方法对证据质量及推荐意见进行分级,同时采用GRADE从证据到决策的框架辅助由证据向推荐意见转化,按照国际临床实践指南报告标准进行报告,充分考虑患者意愿及价值观,并结合中国临床实践需求,最终形成骨质疏松症的康复评定、物理因子治疗、作业治疗、康复辅具、认知行为、心理治疗、传统中医治疗及健康教育7个方面共计22条推荐意见,以期系统性规范骨质疏松症康复治疗.
Guideline for the rehabilitation treatment of osteoporosis(2024 edition)
Osteoporosis(OP)is one of the most serious health problems,causing a huge economic burden to patients,families and society.OP rehabilitation treatment plays an important role in pain-relieving,reducing the risk of fracture,improving the ability of daily activities,and promoting the healing of osteoporosis fractures,and has been increasingly valued and recommended by domestic and foreign guidelines.This guideline was updated based on the Chinese expert consensus on rehabilitation intervention for primary osteoporosis 2019 editions,and was initiated by Chinese Society of Physical Medicine and Rehabilitation professor HE Chengqi,Chairman of the Chinese Medical Association Physical Medicine and Rehabilitation Branch.This guideline development was guided by domestic and international guideline development methods and principles,and selected through clinical issue screening and deconstruction,and two rounds of Delphi questionnaire consultation.The International Classification of Functioning,Disability and Health(ICF)was used as the theoretical framework,and the grading of recommendations assessment,development and evaluation(GRADE)was used based on the best available evidence.The ICF is a theoretical framework based on the best available evidence,and uses the GRADE method to grade the quality of evidence and recommendations,and reports them according to the Reporting Items for Practice Guidelines in Healthcare(RIGHT),taking into account patients'preferences and values and the needs of Chinese clinical practice,resulting in 22 recommendations in 7 aspects of rehabilitation assessment,physical agents therapy,occupational therapy,rehabilitation brace,cognitive behavior and psychological therapy,traditional Chinese medicine therapy and health education to systematically standardize the rehabilitation of osteoporosis.

OsteoporosisRehabilitation assessmentRehabilitation treatmentClinical practice guidelineEvidence-based medicine

中华医学会物理医学与康复学分会、何成奇

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骨质疏松症 康复评定 康复治疗 临床实践指南 循证医学

国家自然科学基金项目国家自然科学基金项目四川省自然科学基金项目中国博士后科学基金面上项目四川大学华西医院1·3·5工程项目

822725998230285824NSFSC15372023M742480ZYGD23014

2024

中国循证医学杂志
四川大学

中国循证医学杂志

CSTPCD北大核心
影响因子:1.761
ISSN:1672-2531
年,卷(期):2024.24(6)