ATI Physical Therapy, OrthopediCare Clinic, 1200 Manor Drive, Chalfont, PA 18914, USA.
J Hand Ther. 2013 Jul-Sep;26(3):204-14; quiz 215. doi: 10.1016/j.jht.2013.03.004. Epub 2013 Apr 28.
Descriptive cross-sectional design.
Wrist and hand sensori-motor impairment have been observed after distal radius fracture (DRF) treatment. This impairment and its relationship to function lack research.
The primary aim of this exploratory study was to determine the magnitude of wrist and hand sensori-motor impairment following surgical and non-surgical treatment among older patients following DRF. Secondary aims were to determine the relationship between wrist and hand sensori-motor impairment with function and pain as well as the relationships among wrist and hand sensori-motor impairment and function and age following DRF.
Ten Test (TT), active joint position sense (JPS), electromyography (EMG), computerized hand-grip dynamometer (CHD), and the Patient-Rated Wrist Evaluation (PRWE) were used to assess twenty-four female participants 8 weeks following DRF treatment and their 24 matched-control healthy counterparts on wrist and hand sensibility, proprioception, muscle recruitment, grip force, muscle fatigue, and functional status.
Participants following DRF demonstrated significantly (p < .05) greater sensory (i.e., JPS, TT), and motor (i.e., EMG, CHD) deficits than their control counterparts. A significantly higher functional deficit (i.e., PRWE) also existed among participants following DRF than the control group. Participants following surgical and non-surgical DRF treatment were found to be statistically different only on total grip force. Group differences on JPS and total grip force revealed the strongest effect size with the highest correlations to PRWE. EMG and muscle fatigue ratio group differences revealed a weaker effect size with a fair degree of correlation to PRWE. Pain significantly correlated with sensori-motor function. Age did not correlate with any measured variable.
Significant wrist and hand sensori-motor impairment and functional deficits among older females 8 weeks following DRF surgical and non-surgical interventions were revealed. JPS and total grip force were the most clinically meaningful tests for assessing the sensori-motor status as well as explaining functional disability and pain levels for these patients.
2c.
描述性的横断面设计。
腕关节和手部的感觉运动功能障碍在桡骨远端骨折（DRF）治疗后是常见的。但是这些损伤及其与功能的关系缺乏相关研究。
本探索性研究的主要目的是确定老年 DRF 患者接受手术和非手术治疗后，腕关节和手部感觉运动功能障碍的严重程度。次要目的是确定腕关节和手部感觉运动功能障碍与功能和疼痛之间的关系，以及 DRF 后腕关节和手部感觉运动功能障碍与功能和年龄之间的关系。
采用十项测试（TT）、主动关节位置觉（JPS）、肌电图（EMG）、计算机化握力测力计（CHD）和患者手腕评估量表（PRWE），评估 24 名女性患者在 DRF 治疗后 8 周的腕关节和手部感觉、本体感觉、肌肉募集、握力、肌肉疲劳和功能状态，同时还评估了 24 名匹配的健康对照组。
DRF 患者的感觉（即 JPS、TT）和运动（即 EMG、CHD）功能明显（p<0.05）差于对照组。DRF 患者的功能缺陷（即 PRWE）也明显高于对照组。接受手术和非手术 DRF 治疗的患者仅在总握力方面存在统计学差异。JPS 和总握力的组间差异显示出最强的效应量，与 PRWE 的相关性最高。EMG 和肌肉疲劳比的组间差异显示出较弱的效应量，与 PRWE 的相关性适度。疼痛与感觉运动功能显著相关。年龄与任何测量变量均无相关性。
DRF 手术和非手术干预后 8 周，老年女性患者出现明显的腕关节和手部感觉运动功能障碍和功能缺陷。JPS 和总握力是评估这些患者感觉运动状态以及解释功能障碍和疼痛水平最有临床意义的测试。
2c。
