Howitt Scott, Wong Jerome, Zabukovec Sonja
Canadian Memorial Chiropractic College, 6100 Leslie St., Toronto, Ontario, Canada.
J Can Chiropr Assoc. 2006 Dec;50(4):249-54.
To detail the progress of a patient with unresolved symptoms of Trigger thumb who underwent a treatment plan featuring Active Release Technique (ART) and Graston Technique.
The most important feature is painful snapping or restriction of movement, most notably in actively extending or flexing the digit. The cause of this flexor tendinopathy is believed to be multi-factorial including anatomical variations of the pulley system and biomechanical etiologies such as exposure to shear forces and unaccustomed activity. Conventional treatment aims at decreasing inflammation through corticosteroid injection or surgically removing imposing tissue.
The conservative treatment approach utilized in this case involved Active Release Technique (ART) and Graston Technique (GT). An activity specific rehabilitation protocol was employed to re-establish thumb extensor strength and ice was used to control pain and any residual inflammation. Outcome measures included subjective pain ratings with range of motion and motion palpation of the first right phalangeal joint. Objective measures were made by assessing range of motion.
A patient with trigger thumb appeared to be relieved of his pain and disability after a treatment plan of GT and ART.
详细介绍一名扳机指症状未缓解的患者，其接受了以主动放松技术（ART）和格拉森技术为主的治疗方案后的进展情况。
最重要的特征是疼痛性弹响或活动受限，最明显的是在主动伸展或弯曲手指时。这种屈肌腱病的病因被认为是多因素的，包括滑车系统的解剖变异以及生物力学病因，如暴露于剪切力和不习惯的活动。传统治疗旨在通过皮质类固醇注射减轻炎症或手术切除增生组织。
本病例采用的保守治疗方法包括主动放松技术（ART）和格拉森技术（GT）。采用特定活动的康复方案来重建拇指伸肌力量，并使用冰敷来控制疼痛和任何残留炎症。结果测量包括主观疼痛评分、第一右指骨间关节的活动范围和活动触诊。通过评估活动范围进行客观测量。
一名扳机指患者在接受GT和ART治疗方案后，疼痛和功能障碍似乎得到了缓解。
