Cempla Joanna, Pieniazek Marek, Pelczar-Pieniazek Maria
Małopolska Region Hand Rehabilitation Centre, Ludwik Rydygier Regional Specialised Hospital, Kraków.
Ortop Traumatol Rehabil. 2007 Sep-Oct;9(5):499-510.
Ulnar nerve injuries are the most common cause of damage to the nerves of the hand. Diverse mechanisms of injury may be involved, the most frequent being injuries to various areas within the forearm, usually lacerations. In such cases, surgery followed by physiotherapy is a treatment of choice. The aim of the study was to estimate the efficacy of physical therapy following surgical treatment of ulnar nerve injuries.
The study group initially comprised 33 patients. Twelve patients with additional damage to the median nerve were excluded and further analyses concerned a group of 21 patients with ulnar nerve injuries who underwent physiotherapy at the Małopolska Regional Hand Rehabilitation Centre in Cracow. Treatment outcomes were evaluated on the basis of measurements of hand function including the range of motion, function tests as well as sensation and dynamometric tests.
Range of motion data were used to assess movement impairment according to Swanson's method. The measurements were taken on two occasions before and after the physiotherapy. Analysis of the results revealed significant efficacy of the physiotherapy regimen.
尺神经损伤是手部神经损伤最常见的原因。损伤机制可能多种多样，最常见的是前臂不同部位的损伤，通常为撕裂伤。在这种情况下，手术治疗后进行物理治疗是首选的治疗方法。本研究的目的是评估尺神经损伤手术治疗后物理治疗的疗效。
研究组最初包括33例患者。排除12例合并正中神经损伤的患者，进一步分析的是一组21例在克拉科夫的小波兰地区手部康复中心接受物理治疗的尺神经损伤患者。根据手部功能测量结果评估治疗效果，包括活动范围、功能测试以及感觉和握力测试。
根据斯旺森方法，使用活动范围数据评估运动障碍。在物理治疗前后各进行了两次测量。结果分析显示物理治疗方案具有显著疗效。
