Mancuso Theresa, Poole Janet L
Occupational Therapy Graduate Program, University of New Mexico, Albuquerque, New Mexico 87131-0001, USA.
J Hand Ther. 2009 Jan-Mar;22(1):71-7; quiz 78. doi: 10.1016/j.jht.2008.06.009. Epub 2008 Aug 30.
The purpose of this study was to investigate whether the use of paraffin and active hand exercises would improve activity and participation in persons with scleroderma. In this series of three single case studies, participants used paraffin and performed active hand exercises daily for eight weeks. To assess hand function, measures of body function/structure and activity/participation were taken at baseline, at one month and at two months after intervention. All participants experienced clinically significant improvements in both body function/structure measurements of hand function and in their ability to participate in activities. Significant improvements were found more frequently on body function/structure measures than activity/participation measures. This preliminary study lends support in favor of using paraffin and hand exercises as a treatment to improve hand function related to participation in daily activities in persons with scleroderma. Further research with a larger sample and increased variable control is needed.
本研究的目的是调查使用石蜡和主动手部锻炼是否会改善硬皮病患者的活动能力和参与度。在这一系列三个单病例研究中，参与者使用石蜡并每天进行主动手部锻炼，持续八周。为评估手部功能，在干预前基线、干预后一个月和两个月时进行身体功能/结构及活动/参与度的测量。所有参与者在手部功能的身体功能/结构测量以及参与活动的能力方面均经历了临床上显著的改善。在身体功能/结构测量方面比在活动/参与度测量方面更频繁地发现显著改善。这项初步研究支持将石蜡和手部锻炼作为一种治疗方法，以改善与硬皮病患者参与日常活动相关的手部功能。需要进行更大样本量和增加变量控制的进一步研究。
