Lucado Ann M, Li Zhongyu
Meadows Physical Therapy, Lawrenceville, GA 30044, USA.
Physiother Theory Pract. 2009 May;25(4):297-309. doi: 10.1080/09593980902782389.
This is the first prospective consecutive case series study that has examined the effectiveness of static progressive splinting in the management of persistent wrist stiffness following distal radius fracture. Eight patients, seven females and one male with a median age of 49 years (range, 43-56 years), participated in the study. Median time from surgical intervention to splint initiation was 77 days (range, 58-148 days). The median duration of splint use was 88 days (range, 21-180). Four subjects were followed for 6 months, and four were followed for 1 year. The median total passive sagittal range of motion of the wrist improved from 65 degrees to a median of 106 degrees at 12 weeks, to 115 degrees at 6 months and to 125 degrees at 1 year after splint initiation. The median disability scores for the arm, shoulder, and hand based on the DASH improved from 42 points to 19 points at 12 weeks, to 14 points at 6 months and at 1 year after splint initiation. The outcome measures of this prospective study indicate that static progressive stretch splints may be useful in treating persistent wrist stiffness following distal radius fracture especially when used early in the rehabilitation process.
这是第一项前瞻性连续病例系列研究，旨在探讨静态渐进性夹板在治疗桡骨远端骨折后持续手腕僵硬方面的有效性。八名患者参与了该研究，其中七名女性，一名男性，中位年龄为49岁（范围43 - 56岁）。从手术干预到开始使用夹板的中位时间为77天（范围58 - 148天）。夹板使用的中位持续时间为88天（范围21 - 180天）。四名受试者随访6个月，四名受试者随访1年。在开始使用夹板后，手腕的中位总被动矢状面活动范围在12周时从65度改善到中位106度，6个月时为115度，1年时为125度。基于DASH的手臂、肩部和手部的中位残疾评分在开始使用夹板后12周时从42分改善到19分，6个月时为14分，1年时为14分。这项前瞻性研究的结果表明，静态渐进性伸展夹板可能有助于治疗桡骨远端骨折后持续的手腕僵硬，尤其是在康复过程早期使用时。
