摘要
目的探讨基于镜像理论指导下的运动处方对断指再植术后患者再植断指恢复的影响。方法选取郑州市骨科医院2021年7月至2023年7月收治的89例断指再植术术后患者,使用信封随机抽取住院号方式分为两组。对照组44例患者给予常规康复训练运动处方,研究组45例患者给予基于镜像理论指导下的运动处方,两组患者均干预12周。比较两组患者干预前后手指活动度[手指关节总主动活动度(total angle of motion,TAM)]、手功能[Michigan手功能评估量表(Michigan hand outcomes questionnaire,MHQ)]、断指再植功能(中华医学会手外科学会断指再植功能评定试用标准)、断指感觉功能[静态两点辨别觉(static two-point discrimination,S2PD)]及生活质量[Barthel评分(Barthel index,BI)]。结果两组患者干预前MHQ、TAM、S2PD评分及BI评分差异无统计学意义(P>0.05),干预后两组患者均有不同程度改善。研究组患者工作能力评分(72.41±5.26)分、整体手功能评分(79.63±3.81)分、日常活动评分(81.19±4.72)分、对手功能的满意度评分(73.69±5.38)分、外观评分(63.48±6.32)分,均高于对照组患者工作能力评分(61.28±6.38)分、整体手功能评分(74.35±4.68)分、日常活动评分(76.47±5.69)分、对手功能的满意度评分(67.35±5.64)分、外观评分(56.37±6.57)分,研究组疼痛评分(48.34±7.88)分低于对照组(54.48±7.61)分(P<0.05)。研究组患者干预后TAM评分(151.64±10.96)分、BI评分(77.58±5.48)分,高于对照组患者TAM评分(139.19±10.37)分、BI评分(73.49±5.36)分;研究组S2PD(9.56±2.14)mm低于对照组(12.69±2.43)mm(P<0.05)。两组患者干预前断指功能评分差异无统计学意义(P>0.05),干预后两组患者均有提升,研究组患者断指功能评分(82.68±6.51)分、干预后断指再植功能优秀率24.44%,高于对照组患者断指功能评分(75.39±6.34)分、干预后断指再植功能优秀率6.82%(P<0.05)。结论基于镜像理论指导下的运�
Objective To explore the effect of exercise prescription based on mirror image theory on the recovery of replanted severed fingers.Methods Eighty-nine patients with replantation of severed fingers visited Zhengzhou Orthopedic Hospital from July 2021 to July 2023 were recruited.They were randomly assigned into the control group(n=44,exercise prescription of routine rehabilitation training)and study group(n=45,exercise prescription based on the mirror image theory)using a random envelope placed with the patient's hospitalization number.Patients in both groups were intervened for 12 weeks.The range of motion of the severed finger(total angle of motion[TAM]),hand function(Michigan hand outcomes questionnaire[MHQ]),function of replanted severed finger(Evaluation Standard of the Function of Replanted Severed Fingers by the Hand Surgery Society of Chinese Medical Association),sensory function of replanted severed finger(static two-point discrimination[S2PD])and quality of life(Barthel index[BI])were assessed.Results There were no significant differences in the scores of MHQ,TAM,S2PD and BI between groups before the intervention(P>0.05),which were significantly improved at varying degrees after the intervention.The working ability([72.41±5.26]points VS[61.28±6.38]points),overall hand function([79.63±3.81]points VS[74.35±4.68]points),daily activities([81.19±4.72]points VS[76.47±5.69]points),satisfaction with hand function([73.69±5.38]points VS[67.35±5.64]points)and appearance scores([63.48±6.32]points VS[56.37±6.57]points)were significantly higher in the study group than those of control group(P<0.05).Pain score was significantly lower in the study group than that of control group([48.34±7.88]points VS[54.48±7.61]points,P<0.05).The scores of TAM([151.64±10.96]points VS[139.19±10.37]points)and BI([77.58±5.48]points VS[73.49±5.36]points)after the intervention were significantly higher in the study group than in the control group(P<0.05).S2PD in the study group was significantly shorter than that of control g
作者
王亚亭
侯芳园
刘慧
WANG Ya-ting;HOU Fang-yuan;LIU Hui
出处
《中国疗养医学》
2024年第9期50-54,共5页
Chinese Journal of Convalescent Medicine
关键词
断指再植术
镜像理论
手功能
运动处方
Replantation of severed fingers
Mirror image theory
Hand function
Exercise prescription
