Climbing while healing: An orthotic intervention for rock climbers with a low- grade A2 pulley injury, a case series

IF 2.1 4区医学 Q2 ORTHOPEDICS Journal of Hand Therapy Pub Date : 2024-07-01 DOI:10.1016/j.jht.2023.08.005

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Abstract

Background

Pulley injuries are common among rock climbers, which is a growing population. Hand therapists need a therapeutic intervention which promotes healing and enables participation.

Purpose

The purpose of this case series is to detail the functional outcomes of a 12-week protocol using a pulley ring orthosis (PRO) among rock climbers with a grade I, II, or III pulley injury.

Study Design

A prospective repeated measures case series followed the healing timeline of four participants who rock climbed while wearing the invervention device, the PRO, with weekly measurements to monitor healing

Methods

Participants with a grade I, II, or III A2 pulley injury were custom fitted for a PRO, which they wore while rock climbing a minimum of 3 times per week for 12 weeks. Weekly check-ins were scheduled for subjective and objective measurements.

Results

All participants demonstrated indicators of full healing, which, in this study, is defined as progressive improvement in strength, function, and pain, without interruption of their typical rock climbing schedules.

Conclusions

Providers should consider the use of a PRO as a protective orthosis for rock climbing patients with a low-grade A2 pulley injury who want to continue rock climbing while they are healing.

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愈合过程中的攀登：一项针对低级别A2滑轮损伤的攀岩者的矫正干预，一系列病例。

背景：滑轮损伤在不断增长的攀岩者中很常见。手治疗师需要一种治疗干预，以促进愈合和参与。目的：本系列病例的目的是详细说明在滑轮损伤为I、II或III级的攀岩者中使用滑轮环矫形器（PRO）进行为期12周的方案的功能结果。研究设计：一个前瞻性的重复测量病例系列遵循了四名参与者的愈合时间表，他们在佩戴防护设备PRO时进行了攀岩，并每周进行测量以监测愈合情况。方法：一级、二级或三级A2滑轮损伤的参与者被定制为PRO，他们在攀岩时每周至少佩戴3次，持续12周。安排每周进行检查，以进行主观和客观测量。结果：所有参与者都表现出了完全康复的指标，在本研究中，这被定义为力量、功能和疼痛的逐渐改善，而不会中断他们典型的攀岩时间表。结论：提供者应考虑使用PRO作为轻度A2滑轮损伤的攀岩患者的保护性矫形器，这些患者希望在康复期间继续攀岩。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Hand Therapy 医学-外科

CiteScore

3.50

自引率

10.00%

发文量

审稿时长

19.2 weeks

期刊介绍： The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.