Lucado Ann M, Li Zhongyu, Russell Gregory B, Papadonikolakis Anastasios, Ruch David S
Meadows Physical Therapy and Hand Clinic, 1430 Five Forks Trickum Road, Lawrenceville, GA 30044, USA.
J Hand Ther. 2008 Oct-Dec;21(4):319-25. doi: 10.1197/j.jht.2008.01.002.
The purpose of this study was to describe changes in range of motion, grip strength, and function in subjects treated with static progressive splinting for stiffness after distal radius fracture. A retrospective review was conducted on 25 patients; outcomes reviewed included wrist/forearm motion, grip strength and Disability of the Arm, Shoulder, and Hand (DASH) scores. The Wilcoxon-Signed Rank test was used to assess differences between pre-/postsplinting outcome measurements. Spearman correlation coefficients were calculated for the DASH scores with each of the other measurements. Wrist extension and flexion improved 18.6 (p<0.0001) and 11.4 degrees (p<0.0001), respectively. Forearm pronation and supination improved 20.0 (p<0.0001) and 14.5 degrees (p<0.0001), respectively. Grip strength improved 24.5 pounds (p=0.0012). The median DASH score improved from 43 to 19 (p>0.0001). DASH scores demonstrated a significant negative correlation with wrist extension (r=-0.50, p=0.011) and forearm supination (r=-0.47, p=0.02). Increased wrist extension and supination correlated with better functional outcome as reflected by the DASH scores.
本研究的目的是描述采用静态渐进性夹板治疗桡骨远端骨折后僵硬患者的活动范围、握力和功能变化。对25例患者进行了回顾性研究；评估的结果包括腕部/前臂活动、握力以及手臂、肩部和手部功能障碍（DASH）评分。采用Wilcoxon符号秩检验来评估夹板治疗前后结果测量的差异。计算DASH评分与其他各项测量之间的Spearman相关系数。腕部伸展和屈曲分别改善了18.6度（p<0.0001）和11.4度（p<0.0001）。前臂旋前和旋后分别改善了20.0度（p<0.0001）和14.5度（p<0.0001）。握力提高了24.5磅（p=0.0012）。DASH评分中位数从43改善至19（p>0.0001）。DASH评分与腕部伸展（r=-0.50，p=0.011）和前臂旋后（r=-0.47，p=0.02）呈显著负相关。腕部伸展和旋后增加与DASH评分所反映的更好功能结果相关。
