骨科康复学的内涵和发展趋势

The concepts and new trends of orthopaedic rehabilitation

骨科康复学是一门研究在骨科伤病患者身上进行综合性康复治疗的学科,它以手术、功能训练、假肢和矫形器辅助作为三大基本干预手段。骨科康复学的出现既推动了骨科学界增强功能康复、防残治残的意识,也推动了康复医学界增强临床康复、早期康复的意识。在“骨关节十年”的活动计划中,骨科康复学正面临发展的机遇和挑战。开发新的功能评估的工具、深化骨科疾患的临床生物力学的研究、研发新的康复治疗技术方法和辅助用品用具、加强老年骨科康复的研究、把骨科康复的功能锻炼和护理引入社区和家庭,都是骨科康复学发展的趋向。

Orthopedic rehabilitation (OR) is defined as a subspecialty which involves the use of functional training, prosthetic and orthotic care with or without orthopaedic surgery for orthopaedic patients, with the purpose of maximizing the recovery of their physical and psychosocial functions. The rise of OR makes the orthopaedic surgeons increase the awareness of rehabilitation for disability and makes the rehabilitation physicians increase the awareness of clinical rehabilitation. It is predicted that OR will make remarkable progress during the Bone and Joint Decade (2000～ 2010), focusing on development of new assessment instruments, research on clinical biomechanical mechanism in the etiology of a number of joint disorders, development of new technology, methods of functional training and new aids, and bringing OR functional training and care to community and home base setting.