| Objective: To observe the effect of active exercise in water combined with vortex bath on swelling and recovery of hand function after trauma, and to explore its clinical value in the treatment of swelling and hand function after trauma. Methods: All 40 cases of hand trauma were randomly divided into experimental group and control group using a random number table (20 cases in each). The patients in both two groups were subjected to exercise therapy and occupational therapy routinely. The experimental group received additional water active exercise and vortex bath treatments for 4 weeks. The degree of swelling was assessed before and 1 week, 2 weeks and 4 weeks after treatment. VAS score, Carroll hand function assessment, also known as upper extremity function test (UEFT), and the total finger active motion (TAM) were compared after 4 weeks of treatments. Results: After treatment for 4 weeks, the difference in the affected and healthy hand size, and VAS scores were significantly reduced as compared with those before treatment in both two groups (P<0.05), and those in the experimental group were significantly lower than in the control group (P<0.05). The UEFT and TAM scores were significantly increased after treatments in both two groups as compared with those before treatments, and those in the experimental group were significantly higher than those in the control group. Conclusion: Active exercise in water combined with vortex bath can significantly alleviate the hand swelling and hand pain, increase finger joint movement, and obviously improve the hand function in patients with hand trauma. |
