From the Occupational Therapy Department, "Lin" Medical Center, Clalit Health Services, Haifa (IM-S, YR); Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa (NS); Orthopedic Department, Carmel Medical Center "Lady Davis," Haifa (HK, BB); Occupational Therapy Services (AC) and Clinical Research Unit (UM), Clalit Health Services, Haifa and Western Galilee District; and Department of Family Medicine, Faculty of Medicine, Technion-Israel Institute of Technology, Haifa (UM), Israel.
Am J Phys Med Rehabil. 2018 Dec;97(12):904-910. doi: 10.1097/PHM.0000000000000998.
The aim of this study was to examine the outcomes of wearing made-to-measure compression gloves after distal radius fracture.
In a randomized controlled trial, adults who were about 6 wks post distal radius fracture were recruited and divided into a comparison control group (n = 15), who received standard rehabilitation twice a week for half an hour, and an intervention group (n = 17), who additionally used compression gloves. All treatments were conducted at a single rehabilitation clinic. Outcomes assessed were wrist and finger range of motion, grip strength, swelling, pain, and activities of daily living (using the Patient Rating Wrist Evaluation). The intervention group underwent additional objective dynamic assessments of range of motion with and without the gloves.
The intervention group demonstrated reduced swelling, pain, and analgesic use; increased wrist range of motion; better scores for specific hand functions; and greater participation in activities of daily living compared with the comparison group.
This randomized controlled trial shows that using compression gloves during the rehabilitation phase after distal radius fracture improves daily functioning and reduces adverse symptoms. These improvements, which are important in their own right, are also expected to aid in preventing the development of chronic conditions and disability.
Un-blinded prospective comparative study.
本研究旨在探讨佩戴定制压缩手套对桡骨远端骨折后的治疗效果。
在一项随机对照试验中，招募了桡骨远端骨折后约 6 周的成年人，并将其分为对照组（n = 15）和干预组（n = 17）。对照组接受每周两次、每次半小时的标准康复治疗，干预组则在标准康复治疗的基础上使用压缩手套。所有治疗均在单一康复诊所进行。评估的结果包括腕关节和手指的活动范围、握力、肿胀、疼痛和日常生活活动能力（使用患者手腕评估量表）。干预组还接受了有无手套情况下的腕关节活动范围的额外客观动态评估。
与对照组相比，干预组的肿胀、疼痛和止痛药使用减少，腕关节活动范围增加，手部特定功能的评分提高，日常生活活动能力的参与度更高。
这项随机对照试验表明，在桡骨远端骨折康复阶段使用压缩手套可改善日常功能并减轻不良症状。这些改善本身很重要，还有助于预防慢性疾病和残疾的发生。
证据等级 II：非盲前瞻性比较研究。
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