Article

This is the first systematic review looking at the effectiveness of
sensory re-education programmes on functional sensibility which focuses purely on clinical trials of adult patients with median and ulnar nerve injuries. METHODS: A literature search of AMED, CINAHL, Embase and OVID Medline (from inception to
July 2011) was undertaken. Studies were selected if they met the following
inclusion criteria: controlled trials (with or without randomization) of sensory
re-education, including early and late phase, in adults with median and/or ulnar
nerve repair. Two independent assessors rated study quality and risk of bias
using the 24 point MacDermid Evaluation Tool. RESULTS: A total of seven articles
met the inclusion criteria representing five separate studies Study quality
ranged from 13 to 33 out of 48 points on the Evaluation Tool. Due to
heterogeneity of the interventions and outcomes assessed it was not possible to
pool the results from all studies. There is limited evidence to support the use
of early and late SR programmes. CONCLUSION: Further trials are needed to
evaluate the effect of early and late sensory re-education which are adequately
powered, include validated and relevant outcomes and which are reported according
to CONSORT (Consolidated Standards of Reporting Trials) guidelines. Level of evidence : 2b
CI - Copyright (c) 2012 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS