掌骨骨折的术后治疗——经典物理疗法与家庭运动方案的比较。
Postoperative treatment of metacarpal fractures-Classical physical therapy compared with a home exercise program.
机构信息
Klinik für Unfall-, Hand-, Plastische und Wiederherstellungschirurgie, Universitätsklinik Ulm, Ulm, Germany.
Ulmkolleg, Lehr- und Weiterbildungsinstitute für Physiotherapie, Massage und Podologie, GmbH & Co. KG, Ulm, Germany.
出版信息
J Hand Ther. 2018 Jan-Mar;31(1):20-28. doi: 10.1016/j.jht.2017.02.005. Epub 2017 Apr 21.
STUDY DESIGN
Prospective cohort randomized controlled trial.
PURPOSE OF THE STUDY
Is either a home exercise (HE) program or traditional physical therapy (PT) more effective in the postoperative management of metacarpal fractures?
METHODS
Sixty patients suffering from nonthumb metacarpal fractures who received mobilization-stable open reduction and internal fixation were included. All patients were prospectively randomized into either the PT group or the HE group. Follow-up examinations at 2, 6 and 12 weeks postoperatively.
RESULTS
After 2 weeks, the range of motion (ROM) in both groups was still severely reduced. Twelve weeks after surgery the ROM improved to 245° (PT) and 256° (HE). Grip strength after 6 weeks was 68% (PT) and 71% (HE) when compared to the non-injured hand, improving to 91% (PT) and 93% (HE) after 12 weeks.
CONCLUSION
Study results show that both HE program and traditional PT are effective in the postoperative management of metacarpal fractures.
LEVEL OF EVIDENCE
II.
研究设计
前瞻性队列随机对照试验。
研究目的
家庭运动（HE）计划与传统物理疗法（PT）在掌骨骨折的术后管理中，哪一种更有效？
方法
纳入了 60 名患有非拇指掌骨骨折且接受了活动稳定型切开复位内固定术的患者。所有患者均前瞻性随机分为 PT 组或 HE 组。术后 2、6 和 12 周进行随访检查。
结果
2 周后，两组的关节活动度（ROM）仍严重受限。术后 12 周，ROM 分别改善至 245°（PT）和 256°（HE）。与未受伤的手相比，6 周时的握力分别为 68%（PT）和 71%（HE），12 周时分别改善至 91%（PT）和 93%（HE）。
结论
研究结果表明，HE 计划和传统 PT 均能有效治疗掌骨骨折。
证据等级
II 级。
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