Criteria (c1 − c10) sorted by relevance.

BackgroundToday’s rehabilitation decision-making still relies on conventional methods and different specific targeted rehabilitation protocols. Our study focuses on the decision support system for early rehabilitation after rotator cuff (RC) tears repair, where a multicriteria decision-making framework (MCDM) is applied for the prediction of successful functional recovery and selection of a rehabilitation protocol.ObjectiveTo identify factors that affect recovery outcomes and to develop a decision support system methodology for predicting functional recovery outcomes at early rehabilitation after RC repair.MethodsTwelve rehabilitation experts were involved in the design, calibration, and evaluation of a rehabilitation protocol based on the proposed decision support system constructed using the MCDM framework. For the development of a decision support system, 20 patients after RC surgery undergoing outpatient rehabilitation were enrolled in a prospective cohort clinical trial.ResultsThe MCDM framework (SWARA method) sensitively assesses different criteria and determines the corresponding criteria weights that were similar to criteria weights assessed subjectively by rehabilitation experts. The assignment of patients into the classes, according to the heuristic evaluation method based on expert opinion and the standard qualitative evaluation methods showed the validity of MCDM methods remain the best new alternative in predicting recovery during rehabilitationConclusionsThe results of this paper show that sustainable rehabilitation is an area that is quite suitable for the use of MCDM. The most of rehabilitation protocols are based on traditional methods and approaches, but the sensitive results showed the validity of MCDM methods and remains the best new alternative in prediction recovery protocols during rehabilitation.研究背景：当前康复决策仍依赖传统方法与各类定制化靶向康复方案。本研究聚焦于肩袖（rotator cuff, RC）撕裂修复术后早期康复的决策支持系统，采用多准则决策框架（multicriteria decision-making framework, MCDM）实现功能康复预后预测与康复方案遴选。 研究目的：旨在明确影响康复结局的相关因素，并构建用于肩袖修复术后早期康复功能预后预测的决策支持系统方法。 研究方法：本研究纳入12名康复专家，参与基于所提MCDM框架构建的决策支持系统的康复方案设计、校准与评估工作；为开发该决策支持系统，招募20例接受门诊康复的肩袖术后患者开展前瞻性队列临床试验。 研究结果：本研究采用的MCDM框架（SWARA法）可灵敏评估各类准则，并确定相应的准则权重，该权重与康复专家主观评估的准则权重具有较高一致性。基于专家意见的启发式评估法与标准定性评估法对患者的分类结果显示，MCDM方法的有效性得到验证，其仍是康复过程中预后预测的最优新型替代方案。 研究结论：本研究结果表明，持续性康复领域十分适宜应用MCDM方法。当前多数康复方案仍基于传统方法与路径，但本研究的灵敏性结果验证了MCDM方法的有效性，证实其仍是康复过程中预后预测方案的最优新型替代选择。