荷兰手指或部分手部截肢者的肌肉骨骼抱怨：一项横断面研究。
Musculoskeletal complaints in individuals with finger or partial hand amputations in the Netherlands: a cross-sectional study.
机构信息
a University of Groningen, University Medical Center Groningen , Department of Rehabilitation Medicine , Groningen , the Netherlands.
b University of Groningen, University Medical Center Groningen , Center of Human Movement Sciences , Groningen , the Netherlands.
出版信息
Disabil Rehabil. 2018 May;40(10):1146-1153. doi: 10.1080/09638288.2017.1289418. Epub 2017 Feb 24.
PURPOSE
To compare the prevalence of musculoskeletal complaints (MSCs) in individuals with finger or partial hand amputations (FPHAs) with a control group and to explore the effect and predictors of MSCs in individuals with FPHAs.
METHOD
A questionnaire-based cross-sectional study was conducted. The primary outcome measures were: prevalence of MSCs, health status, pain-related disability, physical work demands, work productivity, and hand function.
RESULTS
The response rate was 61%. A comparable proportion of individuals with FPHAs (n = 99) and controls (n = 102) reported MSCs in the preceding 4 weeks (33% vs. 28%, respectively) or in the preceding year (37% vs. 33%, respectively). Individuals with FPHAs with MSCs experienced more pain than controls with MSCs. Regular occurrence of stump sensations and self-reported limited range of motion (ROM) of the wrist of the affected limb were predictors for MSCs in individuals with FPHAs.
CONCLUSIONS
The prevalence of MSCs was comparable in individuals with FPHAs and controls. However, clinicians should pay special attention to the risk of developing MSCs in patients with stump sensations and limited ROM of the wrist of the affected limb. Future research should focus on the role of wrist movements and compensatory movements in the development of MSCs in individuals with FPHAs. Implications for Rehabilitation The prevalence of musculoskeletal complaints (MSCs) in individuals with finger or partial hand amputations (FPHAs) and control subjects was similar. Regular occurrence of stump sensations and limited range of motion of the wrist of the affected limb were predictors of developing MSCs in individuals with FPHAs. Clinicians should pay special attention to individuals with FPHAs with the presence of these predictors of developing MSCs. For a better understanding of the development of and treatment options for MSCs, future research focusing on the role of wrist function in the development of MSCs in individuals with FPHAs is necessary.
目的
比较手指或部分手截肢（FPHAs）患者与对照组个体的肌肉骨骼投诉（MSCs）患病率，并探讨 FPHAs 患者 MSCs 的影响因素和预测因素。
方法
进行了一项基于问卷的横断面研究。主要结局指标为：MSCs 的患病率、健康状况、与疼痛相关的残疾、体力工作需求、工作生产力和手功能。
结果
应答率为 61%。FPHAs 患者（n=99）和对照组（n=102）在过去 4 周内报告 MSCs 的比例相当（分别为 33%和 28%），在过去 1 年中报告 MSCs 的比例也相当（分别为 37%和 33%）。有 MSCs 的 FPHAs 患者比有 MSCs 的对照组患者疼痛更严重。残肢感觉经常出现和自我报告的受累侧腕关节活动度受限是 FPHAs 患者发生 MSCs 的预测因素。
结论
FPHAs 患者和对照组患者的 MSCs 患病率相当。然而，临床医生应特别注意有残肢感觉和受累侧腕关节活动度受限的患者发生 MSCs 的风险。未来的研究应侧重于腕部运动和代偿运动在 FPHAs 患者 MSCs 发展中的作用。
对康复的意义
手指或部分手截肢（FPHAs）患者和对照组个体的肌肉骨骼投诉（MSCs）患病率相似。残肢感觉经常出现和受累侧腕关节活动度受限是 FPHAs 患者发生 MSCs 的预测因素。临床医生应特别注意有这些 MSCs 发生预测因素的 FPHAs 患者。为了更好地了解 MSCs 的发展和治疗选择，有必要进行未来的研究，重点关注 FPHAs 患者腕部功能在 MSCs 发展中的作用。
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