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对于治疗手功能障碍包括屈肌腱修复(FTR)的作业治疗师来说,将研究证据、临床经验和理论概念通过评估和干预纳入临床和专业的推理中是必要的.指导治疗的中心应该是基于作业理论,这确保了作业或有意义的活动作为核心重点.但是,在矫形领域中干预主要由医学和生物力学方法或以力量和运动范围为基础的治疗指导,提供以作业为中心的治疗干预具有独特的挑战性.本文针对2区FTR(最典型的屈肌腱损伤类型)研究对象进行了指导性案例研究.通过对研究证据的分析,指导读者进行临床和专业推理;讨论基于作业、组织愈合和生物力学的理论;并应用于对研究对象的评估和干预.整个案例都证明了治疗师以服务对象和作业为中心的出发点,重点是理解服务对象以及他们对伤害如何影响其生活的感受.根据可靠的研究证据,引导读者确定屈肌腱修复的特定治疗方案.该治疗方案与作业、生物力学、康复和组织愈合理论相结合,以提供有效的干预措施,满足研究对象的目标要求.最终,本案例研究阐明了以研究对象为中心,循证为基础,并以作业治疗理论为根基的治疗方法.“,”For occupational therapists treating individuals with hand dysfunction, including flexor tendon re-pairs (FTR), it is necessary to incorporate research evidence, clinical experience, and theoretical concepts to clini-cally and professionally reason through evaluation and intervention. Central to guiding treatment should be occu-pation-based theory, as this ensures that occupation, or meaningful activities, is a core emphasis. However, provid-ing occupation-centered therapeutic interventions is uniquely more challenging in orthopedic settings where medi-cal and biomechanical approaches, or treatment grounded on remediation of strength and range of motion, primar-ily guide intervention. This topic paper uses a guided case study for a client with a zone 2 FTR, the most typical type of flexor tendon injury. Readers are guided through the clinical and professional reasoning with review of re-search evidence; discussion of occupation-based, tissue healing, and biomechanical theories; and application to client evaluation and intervention. Therapist intent of being client-and occupation-centered is evidenced through-out the case, with a focus on understanding the client and their perception of how the injury impacts their life. The reader is guided through identification of a specific treatment protocol for flexor tendon repair which is based on sound research evidence. This protocol is integrated with occupational, biomechanical, rehabilitative and tissue healing theories in order to provide effective intervention which meets the client\'s goals. Ultimately, the case study illustrates how therapy should be client-centered, evidenced-based, and grounded in theory with occupation at its foundation.