Jun Wang , Gard Erlandsson , Yong-Jun Rui , Cecilia Li-Tsang
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Spearman correlation matrix was used to determine the relationship of the DASH score with PROM and AROM separately.</p></div><div><h3>Results</h3><p>The PROM increased from 23.47 ± 16.26 degrees to 59.01 ± 14.75 degrees after treatment, and the difference between the initial and final PROM is 35.54 ± 16.92 degrees (<em>t</em> = 22.63, <em>p</em> < .001, <em>df</em> = 115). The AROM also significantly increased from 10.29 ± 10.67 degrees to 25.03 ± 18.25 degrees, with a mean difference of 14.74 ± 15.40 degrees (<em>t</em> = 10.31, <em>p</em> < .001, <em>df</em> = 115). The DASH score improved from 40.71 ± 13.22 to 24.26 ± 11.33 (<em>t</em> = 7.00, <em>p</em> < .001, <em>df</em> = 30), which indicates a significant negative correlation with the AROM of MCP joints following treatment.</p></div><div><h3>Conclusion</h3><p>The static progressive MCP flexion splint promotes both physical and functional outcomes. 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引用次数: 7
摘要
目的评价静态渐进式掌指关节屈曲夹板治疗手外伤患者掌指关节僵硬的疗效。方法本前瞻性研究共招募31例MCP关节僵硬患者(116例)。一种静态渐进式MCP屈曲夹板被设计用于管理创伤手的MCP关节僵硬，这是手术后常见的问题。比较初始和最终被动活动范围(PROM)和主动活动范围(AROM)的值。此外，还比较了手术前后手臂、肩膀和手的残疾(DASH)评分。采用Spearman相关矩阵分别确定DASH评分与PROM和AROM的关系。结果治疗后胎膜早破由23.47±16.26度增加到59.01±14.75度，初始胎膜早破与最终胎膜早破之差为35.54±16.92度(t = 22.63, p <.001, df = 115)。AROM也从10.29±10.67度显著增加到25.03±18.25度，平均差值为14.74±15.40度(t = 10.31, p <.001, df = 115)。DASH评分由40.71±13.22分提高至24.26±11.33分(t = 7.00, p <.001, df = 30)，与治疗后MCP关节的AROM呈显著负相关。结论静态渐进式MCP屈曲夹板可促进身体和功能预后。MCP关节AROM的增加改善了手外伤患者的功能预后。
Efficacy of Static Progressive Splinting in the Management of Metacarpophalangeal Joint Stiffness: A Pilot Clinical Trial
Objective
To evaluate the efficacy of a static progressive metacarpophalangeal (MCP) joint flexion splint in managing MCP joint stiffness in patients suffering from traumatized hands.
Methods
A total of 31 patients with stiff MCP joints (n = 116) were recruited for this prospective study. A static progressive MCP flexion splint was designed to manage the MCP joint stiffness of traumatized hands, which is a common problem after surgery. The values of the initial and final passive range of motion (PROM) and active range of motion (AROM) were compared. In addition, the Disabilities of the Arm, Shoulder, and Hand (DASH) scores before and after surgery were also compared. Spearman correlation matrix was used to determine the relationship of the DASH score with PROM and AROM separately.
Results
The PROM increased from 23.47 ± 16.26 degrees to 59.01 ± 14.75 degrees after treatment, and the difference between the initial and final PROM is 35.54 ± 16.92 degrees (t = 22.63, p < .001, df = 115). The AROM also significantly increased from 10.29 ± 10.67 degrees to 25.03 ± 18.25 degrees, with a mean difference of 14.74 ± 15.40 degrees (t = 10.31, p < .001, df = 115). The DASH score improved from 40.71 ± 13.22 to 24.26 ± 11.33 (t = 7.00, p < .001, df = 30), which indicates a significant negative correlation with the AROM of MCP joints following treatment.
Conclusion
The static progressive MCP flexion splint promotes both physical and functional outcomes. The increased AROM of the MCP joints improves the functional outcomes in patients with traumatized hands.
期刊介绍：
The Hong Kong Journal of Occupational Therapy is the official peer-reviewed open access publication of the Hong Kong Occupational Therapy Association. The Journal aims to promote the development of theory and practice in occupational therapy (OT), and facilitate documentation and communication among educators, researchers and practitioners. It also works to advance availability, use, support and excellence of OT and maintain professional standards to promote better understanding of OT.
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