摘要
目的:观察静态进展性屈指套在传统康复治疗的基础上改善僵硬手指关节屈曲功能的程度。方法:非随机纳入样本进入实验组和对照组各19只手指,对照组进行常规治疗并进行自我被动牵伸训练,实验组在常规治疗的基础上增加静态进展性屈指套的治疗,持续4周。结果:与对照组比较,实验组掌指关节被动活动和主动活动改善幅度的差异均有统计学意义(P<0.05);2组在近端指间关节、远端指间关节的主被动活动改善幅度差异均无统计学意义(P>0.05)。掌指关节被动活动改善幅度与主动活动改善幅度有高相关性(γ=0.848,P<0.05)。结论:静态进展性屈指套可作为改善伸直僵硬手的掌指关节主被动关节活动度的辅助治疗方案。
Objective：To observe whether the effect of progressive flexion mitt on improving finger flexion function has significantly differences for stiff fingers after traumatic injury on the basis of conventional therapy. Methods：Non-randomly recruited 19 subjects with stiff fingers into each group,experimental group and control group. The control group received conventional treatment and self stretch,and the experimental group received the treatment of static progressive flexion mitt besides the conventional treatment for four weeks. Passive and active range of motion of metacarpal-phalange joints,proximal inter-phalange joints and distal inter-phalange joints were assessed before and after the intervention. Results：The improvements on passive range of motion of metacarpal-phalange joints in experimental group were better than those in control group（P〈0.05）,the improvments on active range of motion of metacarpalphalange joints were also significantly different between two groups（P〈0.05）. Experimental group and control group showed no significant differences on passive and active range of motion improvement on proximal inter-phalange joints and distal inter-phalange joints（P〈0.05）. The improvements on passive range of motion on metacarpal-phalange joints had the highest correlation with the improvement of active range of motion of metacarpal-phalange joints（γ=0.848,P〈0.05）. Conclusion：The static progressive flexion mitt can be used as an assistive therapy to improve passive and active range of motion on metacarpal-phalange joints for stiff hand.
出处
《康复学报》
2016年第3期12-15,20,共5页
Rehabilitation Medicine
基金
上海市残疾人康复科研项目(K2014033)
关键词
手外伤
关节僵硬
掌指关节
支具
进展性屈指套
hand injury
finger joint stiffness
metacarpal-phalange joints
splint
progressive flexion mitt
