| 黎景波,梁玲毓,丘开亿,何爱群,宋秋爽,王超,林岳卿.渐进式牵伸矫形器对创伤性肘关节僵硬患者功能康复的疗效分析[J].中国康复,2018,33(6):519-522 |
| 渐进式牵伸矫形器对创伤性肘关节僵硬患者功能康复的疗效分析 |
| Effects of static progressive splint on functional rehabilitation in post-traumatic elbow stiffness |
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| DOI： |
| 中文关键词: 渐进式牵伸矫形器 肘关节僵硬 日常生活能力 手及上肢功能问卷 生活质量 |
| 英文关键词: static progressive splint elbow stiffness activity of daily living Disability of Arm Shoulder and Hand questionnaire quality of life |
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| 中文摘要: |
| 目的:探讨渐进式牵伸矫形器对创伤性肘关节僵硬患者躯体功能、日常生活能力及生活质量的影响。方法:将73例创伤性肘关节僵硬患者随机分为矫形器组（36例）和对照组（37例）。对照组接受常规康复治疗，矫形器组患者接受常规治疗后穿戴渐进式牵伸矫形器。治疗前后分别评估肘关节的主动活动范围、疼痛、握力、捏力、日常生活能力（MBI、FIM、家务能力）、手及上肢功能问卷（DASH）和生活质量（QOL-BRIEF）。结果:治疗8周后，2组的肘关节主动活动范围、疼痛、握力、捏力、FIM、家务能力、DASH和QOL较治疗前均有显著改善（均P<0.05），MBI项治疗前后差异无统计学意义。2组间比较，矫形器组的肘关节主动活动度范围、疼痛、DASH ADL、QOL（生理和人际关系项）功能改善较对照组显著（P<0.05），MBI、FIM、家务能力、握力和捏力组间差异无统计学意义。结论:渐进式牵伸矫形器和（或）常规康复训练可改善肘关节的功能障碍，提高ADL能力及QOL，但渐进式牵伸矫形器在增加肘关节主动活动范围、缓解疼痛、改善DASH-ADL功能和提高患者QOL（生理和人际关系）方面效果更显著，值得临床推广应用。 |
| 英文摘要: |
| Objective: To investigate the effects of static progressive splint on physical function, activity of daily living (ADL), and quality of life (QOL) for patients with post-traumatic elbow stiffness. Methods: Seventy-three in patients with post-traumatic elbow stiffness were randomly allocated to a splint group (36 cases) and a control group (37 cases). The control group received conventional rehabilitation treatment only and the subjects of the splint group were given the static progressive splint after conventional rehabilitation treatment. The following outcome measurements were assessed before and after treatment using elbow active range of motion (AROM), pain intensity, grip and pinch power, ADL (MBI, FIM, household ability), Disability of Arm Shoulder and Hand questionnaire (DASH), quality of life (QOL-BRIEF). Results: After 8 weeks of interventions, both two groups showed significant improvements in AROM, pain intensity, grip and pinch power, FIM, household ability, DASH and QOL (P<0.05), but there was no significant difference in MBI. The AROM, pain intensity, DASH-ADL and QOL (physiological and interpersonal relationships section) were significantly improved in the splint group as compared with the control group (P<0.05). However, there was no significant difference in MBI, FIM, household ability, grip and pinch power between the two groups. Conclusion: Static progressive splint and/or conventional rehabilitation can both improve elbow function, ADL ability and QOL. However, static progressive splint had better outcomes in increasing elbow AROM, relieving pain and improving DASH-ADL and QOL (physiological and interpersonal relationships section). |
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