一种带有热塑性稳定装置的定制氯丁橡胶拇指腕掌关节矫形器：一种促进第一腕掌关节骨关节炎患者功能和改善病情的矫形器。
A custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization: an orthosis that promotes function and improvement in patients with the first carpometacarpal joint osteoarthritis.
作者信息
Bani Monireh Ahmadi, Arazpour Mokhtar, Hutchins Stephen William, Layeghi Fereydoun, Bahramizadeh Mahmood, Mardani Mohammad Ali
机构信息
1Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Science, Tehran, Iran.
出版信息
Prosthet Orthot Int. 2014 Feb;38(1):79-82. doi: 10.1177/0309364613488621. Epub 2013 May 17.
BACKGROUND AND AIM
Patients with mild to moderate first carpometacarpal joint osteoarthritis report pain, a reduction in pinch and grip strength and hand function. The purpose of this study was to analyze the effect of a custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization on pain, function, grip strength, and key pinch in these patients.
TECHNIQUE
A total of 11 volunteer patients participated in this study. All the above-mentioned parameters were evaluated at baseline and also 30, 60, and 90 days after using the splint.
DISCUSSION
A decrease in pain was observed after 30 days, and this continued to improve during treatment with the splint. After 90 days of using the splint, grip strength was improved. Function and pinch strength also increased significantly and was maintained during the study period compared to baseline.
CLINICAL RELEVANCE
A custom-made neoprene thumb carpometacarpal orthosis with thermoplastic stabilization may be a suitable conservative approach for the treatment of first carpometacarpal joint osteoarthritis.
背景与目的
轻至中度第一掌腕关节骨关节炎患者会出现疼痛、捏力和握力下降以及手部功能减退。本研究的目的是分析一种带有热塑性稳定装置的定制氯丁橡胶拇指掌腕矫形器对这些患者的疼痛、功能、握力和关键捏力的影响。
技术
共有11名志愿者患者参与了本研究。在基线时以及使用夹板后30、60和90天对所有上述参数进行了评估。
讨论
30天后观察到疼痛减轻，在使用夹板治疗期间疼痛持续改善。使用夹板90天后，握力得到改善。与基线相比，功能和捏力也显著增加，并在研究期间保持稳定。
临床意义
一种带有热塑性稳定装置的定制氯丁橡胶拇指掌腕矫形器可能是治疗第一掌腕关节骨关节炎的一种合适的保守方法。
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