连续石膏固定治疗类风湿关节炎和幼年特发性关节炎患者近端指间关节屈曲挛缩的效果：一项回顾性研究。
Effects of serial casting in the treatment of flexion contractures of proximal interphalangeal joints in patients with rheumatoid arthritis and juvenile idiopathic arthritis: A retrospective study.
作者信息
Uğurlu Ümit, Özdoğan Huri
机构信息
Department of Occupational Therapy, Faculty of Health Sciences, Bezmialem Vakif University, Adnan Menderes Bulvarı Fatih 34093, İstanbul, Turkey.
Department of Rheumatology, Cerrahpaşa Medical Faculty, İstanbul University, İstanbul, Turkey.
出版信息
J Hand Ther. 2016 Jan-Mar;29(1):41-50; quiz 50. doi: 10.1016/j.jht.2015.11.005. Epub 2015 Nov 24.
AIM
To analyze the effects of serial casting (SC) in the treatment of proximal interphalangeal (PIP) joint flexion contractures in patients with rheumatoid arthritis and juvenile idiopathic arthritis.
STUDY DESIGN
Retrospective case-series.
METHODS
The data of 18 patients treated with SC were obtained from their patient records. The angular changes in the finger joints were analyzed and compared statistically using t-tests.
RESULTS
A total of 49 fingers were serially casted with plaster of Paris over a 14-year period. The SC resulted in significant (26.8°; p < 0.001) reduction in the PIP joint extension loss. Small, but statistically significant, losses in flexion were associated with these gains. (p < 0.001). Angular changes were also observed in the other finger joints. The magnitude of the initial extension loss was the only factor to explain the amount of motion gained (p < 0.001; R2 = 0.38).
CONCLUSION
SC is an effective method to correct flexion contractures in PIP joints in selected patients with arthritis. The gain is partially related to the magnitude of initial extension loss.
目的
分析连续石膏固定（SC）治疗类风湿关节炎和幼年特发性关节炎患者近端指间（PIP）关节屈曲挛缩的效果。
研究设计
回顾性病例系列研究。
方法
从18例接受SC治疗患者的病历中获取数据。采用t检验对手指关节角度变化进行分析并进行统计学比较。
结果
在14年期间，共对49根手指使用巴黎石膏进行连续石膏固定。SC使PIP关节伸展丧失显著减少（26.8°；p<0.001）。这些改善伴随着较小但具有统计学意义的屈曲丧失（p<0.001）。其他手指关节也观察到角度变化。初始伸展丧失的程度是解释运动改善量的唯一因素（p<0.001；R2=0.38）。
结论
SC是纠正部分选定关节炎患者PIP关节屈曲挛缩的有效方法。改善部分与初始伸展丧失的程度有关。
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