Perspectives on prognosis of soft tissue musculoskeletal disorders

被引:20
作者
Hudak, PL
Cole, DC
Frank, JW
机构
[1] Inst Work & Hlth, Toronto, ON M4W 1E6, Canada
[2] Toronto Hosp, Hand Program, Toronto, ON M5T 2S8, Canada
[3] McMaster Univ, Dept Clin Epidemiol & Biostat, Hamilton, ON, Canada
[4] Univ Toronto, Dept Prevent Med, Toronto, ON, Canada
[5] Univ Toronto, Dept Biostat Family Med, Toronto, ON, Canada
[6] Community Med & Populat Hlth Program, Toronto, ON, Canada
关键词
occupational diseases; pain; rehabilitation; prognosis; review;
D O I
10.1097/00004356-199803000-00003
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
This paper reflects on the state of evidence related to the prognosis of soft tissue musculoskeletal disorders. Prediction of the likely clinical course, duration and outcomes for individuals with such disorders is an important task of rehabilitation clinicians. Criteria used to evaluate the validity of evidence on prognosis are reviewed. Application of these criteria to the literature on three soft tissue disorders reveals methodological weaknesses in the majority of existing studies. Yet strengthening the rigour of future research according to clinical epidemiological criteria may not capture the important factors which prolong disability in individuals with soft tissue injuries. Specific considerations related to case definitions, prognostic factors, study design, conceptual frameworks and study setting are recommended. (C) 1998 Chapman & Hall Ltd.
引用
收藏
页码:29 / 40
页数:12
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