肘关节骨折后僵硬患者接受本体感觉神经肌肉促进拉伸与被动拉伸的患者满意度和生活质量比较

Azeem Javeria, Ahmed Jawad, Hamid Muhammad Faizan, Javed Ahsan, Javed Sumbal
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摘要

背景:骨折后长时间固定或术后肘关节僵硬是相对常见的,并明显干扰正常的上肢功能。本研究旨在评估和比较肘部骨折后僵硬患者接受本体感觉神经肌肉促进(PNF)拉伸与接受被动拉伸的患者满意度和生活质量。方法:这项(6个月)分析比较横断面研究是在不同的医疗机构进行的。样本由377例患者组成,采用非概率方便抽样。纳入标准包括特定类型的肘部骨折,至少三周的固定时间和有限的活动范围(ROM)。排除标准包括各种医疗和心理状况。采用标准化问卷(SF-36健康调查问卷)和患者满意度问卷(PSQ-18)测量患者的生活质量和满意度。数据分析使用SPSS版本22。结果:PNF拉伸组短表36健康调查问卷得分(平均82.34±6.63)明显高于被动拉伸组(平均63.98±14.42),p值为0.000。同样,PNF拉伸组患者满意度问卷得分(平均77.61±4.43)明显高于被动拉伸组(平均70.93±8.49),p值为0.000。这些发现表明,在两组之间观察到统计学上的显著差异。结论:与被动牵张组相比,接受PNF牵张组患者满意度更高,生活质量更好,两组差异有统计学意义。
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Comparison of Patient Satisfaction and Quality of Life Among Post-elbow Fracture Stiffness Patients Undergoing Proprioceptive Neuromuscular Facilitation Stretching vs. Passive Stretching
Background: Post-fracture prolonged immobilization or post-operative elbow stiffness is relatively common and markedly interferes with normal upper extremity function. This study aims to evaluate and compare the levels of patient satisfaction and quality of life in individuals with post-elbow fracture stiffness who undergo Proprioceptive Neuromuscular Facilitation (PNF) stretching versus those who receive passive stretching. Methodology: This (six months) analytical comparative cross-sectional study was conducted at various healthcare institutions. The sample consisted of 377 patients using non-probability convenient sampling. Inclusion criteria included specific types of elbow fractures, a minimum immobilization period of three weeks, and limited range of motion (ROM). Exclusion criteria covered various medical and psychological conditions. Standardized questionnaires Short Form 36 Health Survey Questionnaire (SF-36) and Patient Satisfaction Questionnaire (PSQ-18) were used for measuring Quality of life and patient satisfaction. Data analysis was done using SPSS version 22. Results: Short Form 36 Health Survey Questionnaire scores were significantly higher in the PNF Stretching group (mean 82.34 ± 6.63) compared to the Passive Stretching group (mean 63.98 ± 14.42), with a p - value of 0.000. Similarly, Patient satisfaction questionnaire scores were significantly higher in the PNF Stretching group (mean 77.61 ± 4.43) compared to the Passive Stretching group (mean 70.93 ± 8.49), with a p - value of 0.000. These findings indicate that there is a statistically significant difference observed between the two groups. Conclusion: There is a statistically significant difference observed between both groups as the patients undergoing PNF stretching have higher satisfaction and better quality of life, in comparison to the passive stretching group.
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