Dr. Fozia Sibtain, Assistant Professor, Riphah College of Rehabilitation Sciences, Riphah International University, Islamabad, Pakistan.
Dr. Asghar Khan, Associate Professor, Riphah College of Rehabilitation Sciences, Riphah International University, Islamabad, Pakistan.
Pak J Med Sci. 2013 Apr;29(2):647-50.
Post-traumatic stiff hand is common a condition which causes pain and disability, the paraffin wax bath and joint mobilizations have the key role in its rehabilitation. We conducted the present study to determine the efficacy of paraffin wax bath with mobilization techniques compared with joint mobilization alone.
This single blind randomized control trial was conducted on 71 patients in department of physical therapy and rehabilitation, Riphah International University Islamabad, and patients with post-traumatic stiff hand after distal upper extremity fractures, were included. The patients were randomized into two groups: the joint mobilization techniques with paraffin wax bath were included in group A, and joint mobilization techniques without paraffin wax bath in group B. The study variables were pain score on visual analogue scale (VAS) 0/10, thumb function score (TFS) and passive range of motion (PROM) of wrist flexion, extension, radial and ulnar deviation, and were compared at baseline and at completion on plan-of-care after six weeks.
Seventy one patients with post-traumatic stiff hand were enrolled and placed randomly into two groups. The baseline characteristics were similar in both groups. Six week after intervention, patients in group A had more improvement in pain score (p=0.001), TFS (p=0.003), and PROM of wrist flexion (p=0.002), extension (p=0.003), radial deviation (p=0.013), and ulnar deviation (p=.004), as compared to group B. However, in group B the improvement was less in pain score (p=0.104), TFS (p=0.520), and PROM of wrist flexion (p=0.193), extension (p=0.1081), radial deviation (p=0.051), and ulnar deviation (p=.168), as compared to group A.
Paraffin wax bath with joint mobilization techniques are more effective than mobilization techniques without paraffin wax bath in the rehabilitation of post traumatic stiff hand.
创伤后僵硬手是一种常见的导致疼痛和残疾的病症，石蜡浴和关节松动术在其康复中起着关键作用。我们进行本研究旨在确定石蜡浴联合关节松动术与单纯关节松动术相比的疗效。
这项单盲随机对照试验在伊斯兰堡里菲国际大学物理治疗和康复系进行，纳入了远端上肢骨折后创伤后僵硬手的 71 名患者。患者被随机分为两组：一组采用石蜡浴联合关节松动术（A 组），另一组采用单纯关节松动术（B 组）。研究变量为视觉模拟评分（VAS）0/10 的疼痛评分、拇指功能评分（TFS）和腕关节屈伸、桡偏和尺偏的被动活动度（PROM），并在基线和 6 周后的计划护理结束时进行比较。
共有 71 名创伤后僵硬手患者入组并随机分为两组。两组的基线特征相似。干预 6 周后，A 组患者的疼痛评分（p=0.001）、TFS（p=0.003）和腕关节屈伸（p=0.002）、伸展（p=0.003）、桡偏（p=0.013）和尺偏（p=0.004）的改善更为显著，而 B 组的改善则较少。然而，B 组在疼痛评分（p=0.104）、TFS（p=0.520）和腕关节屈伸（p=0.193）、伸展（p=0.108）、桡偏（p=0.051）和尺偏（p=0.168）的改善程度上则较 A 组低。
石蜡浴联合关节松动术在创伤后僵硬手的康复中比单纯关节松动术更为有效。
