Schultz-Johnson Karen
Rocky Mountain Hand Therapy, Edwards, Colorado 81632, USA.
J Hand Ther. 2002 Apr-Jun;15(2):163-78. doi: 10.1053/hanthe.2002.v15.015016.
Static progressive splinting is the use of inelastic components to apply torque to a joint in order to statically position it as close to end range as possible. It maximizes total end-range time, thus increasing passive range of motion. As tissue lengthens in response to this carefully applied stress, the clinician or wearer adjusts the joint position to progress tissue at the new maximum tolerable length. Static progressive splinting combines precision in joint position and torque application with patient-controlled stress to create an approach powerful enough to succeed when no other treatment approach does. This article discusses static progressive splinting indications, contraindications, and advantages as well as guidelines for a splinting regimen. It offers many examples of static progressive splinting and makes clear that this approach can be used with any mobilizing splint design. The unique mechanics of this splinting approach are described, and the various methods of achieving static progressive splinting are compared. Offering high levels of patient satisfaction and compliance, static progressive splinting has come to the forefront of clinical practice.
静态渐进性夹板固定是指使用无弹性部件对关节施加扭矩，以便将其静态定位在尽可能接近终末范围的位置。它能使总终末范围时间最大化，从而增加被动活动范围。随着组织因这种精心施加的应力而延长，临床医生或佩戴者会调整关节位置，以使组织在新的最大可耐受长度下进一步伸展。静态渐进性夹板固定将关节位置和扭矩施加的精确性与患者可控的应力相结合，创造出一种在其他治疗方法均无效时仍有足够效力取得成功的方法。本文讨论了静态渐进性夹板固定的适应证、禁忌证和优点，以及夹板固定方案的指导原则。文中提供了许多静态渐进性夹板固定的实例，并明确指出这种方法可用于任何活动夹板设计。本文描述了这种夹板固定方法的独特力学原理，并比较了实现静态渐进性夹板固定的各种方法。由于能带来高水平的患者满意度和依从性，静态渐进性夹板固定已成为临床实践的前沿方法。
