桡骨远端骨折后的手部功能、疼痛体验及残疾情况。
Hand function, experienced pain, and disability after distal radius fracture.
作者信息
Ydreborg Karin, Engstrand Christina, Steinvall Ingrid, Larsson Eva-Lena
机构信息
Karin Ydreborg, ROT, is Occupational Therapist, Department of Hand Surgery, Plastic Surgery, and Burns, County Council of Östergötland, University Hospital, Rehabilitation Unit, Linköping, Sweden;
Christina Engstrand, ROT, BSc, is Occupational Therapist, Department of Hand Surgery, Plastic Surgery, and Burns, County Council of Östergötland, Linköping, Sweden, and PhD Student, Division of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Sweden.
出版信息
Am J Occup Ther. 2015 Jan-Feb;69(1):6901290030. doi: 10.5014/ajot.2015.013102.
OBJECTIVE
We sought to explore differences in range of motion (ROM), grip strength, and self-reported pain and disability over time after plate-fixation surgery for distal radius fracture.
METHOD
We used a prospective repeated-measures research design with four measure points for a study sample of 101 patients. The Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire; the Global Assessment Scale; and the Canadian Occupational Performance Measure were used to assess ROM, grip strength, and pain level.
RESULTS
ROM and grip strength improved over time. Pain improved until 6 mo after surgery but greatly deteriorated from 6 to 24 mo. Concurrently, overall discomfort (global index) from the wrist extensively improved from 12 to 24 mo. DASH score decreased 20.1 points from 6 wk to 6 mo and remained stable until 24 mo.
CONCLUSION
Even when ROM and grip strength were almost fully regained at 12 mo, pain at rest and during activity was still an issue at 24 mo.
目的
我们试图探讨桡骨远端骨折钢板固定术后随时间推移活动范围（ROM）、握力以及自我报告的疼痛和功能障碍的差异。
方法
我们采用前瞻性重复测量研究设计，对101例患者的研究样本进行四个测量点的测量。使用手臂、肩部和手部功能障碍（DASH）问卷、整体评估量表和加拿大职业表现测量来评估活动范围、握力和疼痛程度。
结果
活动范围和握力随时间改善。疼痛在术后6个月前改善，但在6至24个月时大幅恶化。同时，手腕的整体不适（整体指数）在12至24个月时大幅改善。DASH评分从6周时的20.1分降至6个月，并在24个月前保持稳定。
结论
即使在12个月时活动范围和握力几乎完全恢复，但在24个月时静息和活动时的疼痛仍是一个问题。
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