Rogers Matthew Wayne, Wilder Frances Vaughn
The Arthritis Research Institute of America, Clearwater, Florida 33755, USA.
J Hand Ther. 2009 Jan-Mar;22(1):10-7; discussion 19-20; quiz 18. doi: 10.1016/j.jht.2008.09.002. Epub 2008 Nov 14.
Randomized Clinical Trial.
Hand exercises have been recommended as treatment for hand osteoarthritis (OA) but research evidence is sparse.
To investigate effects of daily 16-week home-based hand exercise among persons with hand OA.
Forty-six older adults completed a crossover trial with washout between exercise and sham treatments. The AUSCAN physical function sub-scale served as the primary outcome measure. Other outcomes included pain and stiffness sub-scales, dexterity, and grip & pinch strengths.
Changes in AUSCAN sub-scales did not differ between exercise and sham treatments. No changes in dexterity were seen. Grip and pinch measures modestly improved after exercise but not sham.
It is possible that our exercise protocol may have been too ambitious for this age group. Future research will further the understanding of the role of hand exercise in hand OA symptomatology.
2b.
随机临床试验。
手部锻炼已被推荐用于治疗手部骨关节炎（OA），但研究证据稀少。
调查手部骨关节炎患者进行为期16周的每日家庭手部锻炼的效果。
46名老年人完成了一项交叉试验，在锻炼和假治疗之间设置了洗脱期。AUSCAN身体功能子量表作为主要结局指标。其他结局包括疼痛和僵硬子量表、灵活性以及握力和捏力。
锻炼组和假治疗组在AUSCAN子量表上的变化没有差异。灵活性没有变化。锻炼后握力和捏力有适度改善，假治疗组则没有。
我们的锻炼方案对这个年龄组来说可能过于激进。未来的研究将进一步加深对手部锻炼在手部骨关节炎症状学中作用的理解。
2b。
