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中华老年骨科与康复电子杂志 ›› 2025, Vol. 11 ›› Issue (04) : 245 -250. doi: 10.3877/cma.j.issn.2096-0263.2025.04.008

综述

基于结构与功能评估的骨科康复CEST临床思路体系
马燕红()   
  1. 200233 上海交通大学医学院附属第六人民医院康复科
  • 收稿日期:2025-03-21 出版日期:2025-08-05
  • 通信作者: 马燕红
  • 基金资助:
    上海市卫生健康委先进适宜技术推广项目(2019SY013)

The CEST clinical thinking system for orthopedic rehabilitation based on structural and functional assessments

Yanhong Ma()   

  1. Department of Rehabilitation Medicine, The Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine, Shanghai 200233, China
  • Received:2025-03-21 Published:2025-08-05
  • Corresponding author: Yanhong Ma
引用本文:

马燕红. 基于结构与功能评估的骨科康复CEST临床思路体系[J/OL]. 中华老年骨科与康复电子杂志, 2025, 11(04): 245-250.

Yanhong Ma. The CEST clinical thinking system for orthopedic rehabilitation based on structural and functional assessments[J/OL]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2025, 11(04): 245-250.

骨科康复领域的理论和技术体系十分复杂,这不仅对康复专业人员的知识掌握提出了巨大挑战,也在一定程度上影响了临床实践的效率与效果。因此,构建系统化的临床思路,实现知识体系的整合与简化,具有重要的临床意义。本文介绍了上海市第六人民医院提出的骨科康复CEST临床思路体系。该体系以临床评估、康复阶段和康复技术为核心,采用系统化、模块化的设计理念,将三者有机融合,为实现骨科康复的个体化和规范化提供了重要的理论依据和实践路径。

The theoretical and technological framework in the field of orthopedic rehabilitation is highly complex, presenting significant challenges for rehabilitation professionals in acquiring the necessary knowledge, and to some extent, impacting the efficiency and effectiveness of clinical practice. Therefore, constructing a systematic clinical approach and achieving the integration and simplification of the knowledge framework is of substantial clinical importance. This paper introduces the CEST clinical approach for orthopedic rehabilitation, proposed by the Sixth People’s Hospital of Shanghai. Centered on clinical assessment, rehabilitation phases, and rehabilitation techniques, this approach adopts a systematic and modular design, organically integrating these three core components, thereby providing important theoretical foundation and practical pathways for achieving both individualized and standardized orthopedic rehabilitation.

图1 骨科康复CEST临床思路框架
1
Cieza A, Causey K, Kamenov K, et al. Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019 [J]. Lancet, 2020, 396(10267): 2006-2017.
2
邵山,魏慧,张媛,等. 2009年至2018年国家自然科学基金康复医学领域资助项目产出效益分析[J].中华物理医学与康复杂志, 2022, 44(4): 356-360.
3
周谋望,李涛.积极开展加速康复外科工作,促进我国骨科围手术期康复的发展[J].中国康复医学杂志, 2020, 35(7): 769-770.
4
Dijkers MP, Murphy SL, Krellman J. Evidence-based practice for rehabilitation professionals: concepts and controversies [J]. Arch Phys Med Rehabil, 2012, 93(8 Suppl): S164-S176.
5
Cozzi S, Martinuzzi A, Della Mea V. Ontological modeling of the International Classification of Functioning, Disabilities and Health (ICF): Activities&Participation and Environmental Factors components [J]. BMC Med Inform Decis Mak, 2021, 21(1): 367.
6
Hoogenboom BJ, Voight ML. ROLLING REVISITED: USING ROLLING TO ASSESS AND TREAT NEUROMUSCULAR CONTROL AND COORDINATION OF THE CORE AND EXTREMITIES OF ATHLETES [J]. Int J Sports Phys Ther, 2015, 10(6): 787-802.
7
Corbin CB, Noble L. Flexibility: A major component of physical fitness [J]. The Journal of Physical Education and Recreation, 1980, 51: 23-24, 57-60.
8
Adeel M, Lin BS, Chaudhary MA, et al. Effects of strengthening exercises on human kinetic chains based on a systematic review [J]. J Funct Morphol Kinesiol, 2024, 9(1): 22.
9
Hoffman J, Gabel P. Expanding panjabi's stability model to Express movement: a theoretical model [J]. Med Hypotheses, 2013, 80(6): 692-697.
10
Ajimsha MS, Shenoy PD, Gampawar N. Role of fascial connectivity in musculoskeletal dysfunctions: A narrative review [J]. J Bodyw Mov Ther, 2020, 24(4): 423-431.
11
Henderson RD, McCombe PA. Assessment of motor units in neuromuscular disease [J]. Neurotherapeutics, 2017, 14(1): 69-77.
12
Neumann DA. Kinesiology of the musculoskeletal system: Foundations for rehabilitation (3rd ed.) [M]. Mosby, 2024.
13
Silverthorn DU. Human physiology: An integrated approach (8th ed.) [M]. Pearson, 2020.
14
Piedade SR, Leite Arruda BP, de Vasconcelos RA, et al. Rehabilitation following surgical Reconstruction for anterior cruciate ligament insufficiency: What has changed since the 1960s?—State of the art [J]. J ISAKOS, 2023, 8(3): 153-162.
15
Besios T, Nikolaos A, Vassilios G, et al. Effects of the Neurodevelopmental Treatment (NDT-Bobath) in the Mobility of Adults with Neurological Disorders [J]. Open J Thera Rehabil, 2019.
16
于长隆.骨科康复学[M].北京:人民卫生出版社, 2010.
17
Jalolovich TM. Differential diagnostics and optimization of treatment of tonic syndrome of the neck muscles and radiutal pain syndrome [J]. EUROPEAN JOURNAL OF MODERN MEDICINE AND PRACTICE, 2024, 4(6): 129-136.
18
黄晓琳,王宁华.康复医学[M].第7版.北京:人民卫生出版社, 2024.
19
Page P, Frank CC, Lardner R. Assessment and treatment of muscle imbalance: The Janda approach [M]. Human Kinetics, 2009.
20
Behm, G D, Blazevich, et al, The science and physiology of flexibility and stretching:implications and applications in sport performance and health [M]. London: Routledge, 2024.
21
Patterson SD, Hughes L, Warmington S, et al. Blood flow restriction exercise: considerations of methodology, application, and safety [J]. Front Physiol, 2019, 10: 533.
22
Joshua AM, Karthikbabu S. Therapeutic Approaches. In: Joshua, A. M. (eds) Physiotherapy for Adult Neurological Conditions [M]. Springer, Singapore, 2022.
23
Boyle Mike. Functional Training for Sports(2nd ed.) [M]. Human Kinetics Profe, 2016.
24
Paquette MR, Peel SA, Smith RE, et al. The impact of different Cross-Training modalities on performance and Injury-Related variables in high school cross country runners [J]. J Strength Cond Res, 2018, 32(6): 1745-1753.
25
National Academy of Sports Medicine. NASM Essentials of Corrective Exercise Training (2nd ed.) [M]. Jones & Bartlett Learning, 2021.
26
Generoso TO, La Banca V, Gonzalez FF, et al. Three-dimensional kinematics in patients with anterior shoulder instability - A systematic review with meta-analysis [J]. J Biomech, 2025, 181: 112543.
27
Mazin Y, Lemos C, Paiva C, et al. The role of extracorporeal shock wave therapy in the treatment of muscle injuries: a systematic review [J]. Cureus, 2023, 15(8): e44196.
28
Page P, Frank C, Lardner R. Assessment and treatment of muscle imbalance: The Janda approach [M]. Human Kinetics Publishers, 2009.
29
Feeney KM. The effectiveness of extracorporeal shockwave therapy for midportion Achilles tendinopathy: a systematic review [J]. Cureus, 2022, 14(7): e26960.
30
Sheen JR, Mabrouk A, Garla VV. Fracture healing overview [M]. StatPearls Publishing, 2025.
31
Laver-Fawcett A J. Principles of Assessment and Outcome Measurement for Occupational Therapists and Physiotherapists: Theory, Skills and Application [M]. Hoboken, NJ: John Wiley & Sons, 2007.
32
Peleg M. Computer-interpretable clinical guidelines: a methodological review [J]. J Biomed Inform, 2013, 46(4): 744-763.
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