Management of Upper Limb Amputation Rehabilitation
| Autor: | Andrea, Crunkhorn, Erin, Andrews, Christopher, Fantini, M Jason, Highsmith, Megan, Loftsgaarden, Billie, Randolph, James, Sall, Joseph, Webster |
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| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | American Journal of Physical Medicine & Rehabilitation. 102:245-253 |
| ISSN: | 1537-7385 0894-9115 |
| Popis: | Upper limb amputation (ULA) can result in significant functional impairment necessitating a comprehensive rehabilitation approach throughout the continuum of care. In 2022, the Departments of Veteran Affairs (VA) and Defense (DOD) completed an updated clinical practice guideline (CPG) for the management of ULA rehabilitation. This practice guideline was developed by a workgroup of subject-matter experts from a variety of disciplines. Twelve key questions were developed by the workgroup using the PICOTS (population, intervention, comparator, outcomes, timing of outcomes measurement, and setting) format to establish the scope of the literature review. Eighteen recommendations were developed through extensive review of the available literature and use of the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) criteria. The strength of each recommendation was determined based upon the quality of the research evidence and the additional domains of the GRADE criteria. Of the 18 recommendations, 4 were found to have sufficient evidence to suggest for use of a particular rehabilitation management strategy. Thus, the 2022 VA/DOD CPG provides updated, evidence-based information on the care and rehabilitation of persons with ULA. However, a significant lack of high-quality evidence in ULA rehabilitation limited evidence-based clinical guidance to assist healthcare providers in managing this population. |
| Databáze: | OpenAIRE |
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