Boustedt Cecilia, Nordenskiöld Ulla, Lundgren Nilsson Asa
Primary Health Care, Gibraltargatan 1C, 411 32, Gothenburg, Sweden.
Clin Rheumatol. 2009 Jul;28(7):793-9. doi: 10.1007/s10067-009-1150-y. Epub 2009 Mar 18.
Forty-two women with thumb base osteoarthritis referred to a joint protection programme (JP) were distributed into groups: one with only JP (Control group) and one with addition of splints day/night, hot pack/home exercise (SE group). Assessments of pain, stiffness, grip force, disabilities of daily activities were performed before treatment, 1 week and 1 year after treatment. The SE group had a significant decrease in pain, stiffness and an improvement in daily activities directly after the intervention and at 1-year follow-up compared to the Control group. In the SE group pain at night, pain on motion, and stiffness decreased. Grip force increased and daily activities improved. The Control group decreased in pain on motion and showed improvement in daily activities just after the intervention but not at 1-year follow up. This comparative study shows that when splinting and exercise regimen are added to a JP programme it gives a greater improvement of pain, stiffness, grip force and daily activities than the JP programme alone.
42名拇指基底骨关节炎患者被纳入关节保护计划（JP），并分为两组：一组仅接受关节保护计划（对照组），另一组在白天/夜间增加夹板、热敷/家庭锻炼（SE组）。在治疗前、治疗后1周和1年对疼痛、僵硬、握力、日常活动能力进行评估。与对照组相比，SE组在干预后及1年随访时疼痛、僵硬明显减轻，日常活动能力得到改善。在SE组中，夜间疼痛、活动时疼痛和僵硬程度均有所减轻。握力增加，日常活动能力改善。对照组在干预后活动时疼痛有所减轻，日常活动能力也有所改善，但在1年随访时没有变化。这项比较研究表明，在关节保护计划中加入夹板和锻炼方案，比单独的关节保护计划能更有效地改善疼痛、僵硬、握力和日常活动能力。
