Occupational Therapy Department, Princess Alexandra Hospital, School of Health and Rehabilitation Sciences, The University of Queensland, Woolloongabba, Queensland, Australia.
J Hand Ther. 2010 Jul-Sep;23(3):241-7; quiz 248. doi: 10.1016/j.jht.2010.02.003. Epub 2010 Apr 24.
Case Study Series.
Restriction of forearm rotation may be required for effective management and rehabilitation of the upper limb after trauma.
To compare the effectiveness of four splints in restricting forearm rotation.
Muenster, Sugartong, antipronation distal radioulnar joint (DRUJ), and standard wrist splints were fabricated for five healthy participants. Active range of motion (AROM) in forearm pronation and supination was measured with a goniometer for each splint, at the initial point of sensory feedback and during exertion of maximal force.
Repeated-measures analysis of variance indicated significant differences between splints for all four AROM measures. Post hoc paired t-tests showed that the Sugartong splint was significantly more restrictive in pronation than the Muenster splint. The antipronation DRUJ splint provided significantly greater restriction in pronation than the standard wrist splint. No splints immobilized the forearm completely.
The Sugartong splint is recommended for maximal restriction in pronation, but individual patient characteristics require consideration in splint choice.
IV.
病例研究系列。
创伤后为有效管理和康复上肢，可能需要限制前臂旋转。
比较 4 种夹板限制前臂旋转的效果。
为 5 名健康参与者制作了 Münster、Sugartong、抗旋远端桡尺关节（DRUJ）和标准腕夹板。使用量角器测量每种夹板在感觉反馈初始点和最大用力时前臂旋前和旋后的主动活动范围（AROM）。
重复测量方差分析表明，所有 4 项 AROM 测量指标在夹板之间存在显著差异。事后配对 t 检验显示，Sugartong 夹板在前旋时比 Münster 夹板限制更大。抗旋 DRUJ 夹板在前旋时比标准腕夹板提供更大的限制。没有夹板能完全固定前臂。
Sugartong 夹板在前旋时推荐最大限制，但夹板选择需要考虑个体患者特征。
IV 级。
