Sh Ahmed Omar, Cinotto Gabriela, Boczar Daniel, Huayllani Maria T, Trigg Stephen D, Forte Antonio J, McVeigh Kimberly
Cancer Clinical Studies Unit, Mayo Clinic Florida, Jacksonville, USA.
Plastic Surgery, Mayo Clinic Florida - Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Jacksonville, USA.
Cureus. 2020 Jun 20;12(6):e8718. doi: 10.7759/cureus.8718.
Background Distal radius fractures (DRF) is one of the most common fractures in clinical practice. Our objective was to study the role of early hand therapy and its impact on pain and return to daily activities. Methods The charts of patients with DRFs seen between January 2016 and November 2017 in the Hand Center of Mayo Clinic Florida were reviewed retrospectively. Forty-nine patients with DRFs who met inclusion criteria were included in the analysis. The variables collected included: age, gender, side of the fracture, surgery vs non-surgery, time to start hand therapy, number of visits, shortened disabilities of the arm, shoulder, and hand (QuickDASH) initial and discharge scores, and visual analog scale (VAS) initial and discharge. Results The patients' mean age was 67.90 years, (standard deviation (SD) 14.54), 38 (77.6%) were female, 28 (57.1%) had a right DRF, 21 (42.9%) had a left DRF, 38 (77.6%) had no surgery, 11 (22.4%) had surgery. The mean time from fracture to therapy is 32.41, (SD 24.13) days, and the mean total number of visits is 6.20 (SD 3.49). We noticed a statistically significant difference between the initial QuickDASH (59.27, SD 16.93) compared to the discharge QuickDASH (24.08, SD 12.77) (P-value <.001); and initial VAS (3.57, SD 1.71) with a discharge VAS (1.33, SD 0.97) (P-value <.001). Conclusion This retrospective study found a statistically significant reduction in the QuickDASH and VAS scores after six hand therapy visits. The results suggest that early rehabilitation interventions lead to improvements in pain and return to daily activity following DRF.
背景 桡骨远端骨折（DRF）是临床实践中最常见的骨折之一。我们的目的是研究早期手部治疗的作用及其对疼痛和恢复日常活动的影响。方法 对2016年1月至2017年11月在佛罗里达州梅奥诊所手部中心就诊的DRF患者病历进行回顾性分析。纳入49例符合纳入标准的DRF患者进行分析。收集的变量包括：年龄、性别、骨折部位、手术与非手术治疗、开始手部治疗的时间、就诊次数、手臂、肩部和手部功能障碍简化评分（QuickDASH）初始和出院时的评分，以及视觉模拟量表（VAS）初始和出院时的评分。结果 患者的平均年龄为67.90岁（标准差[SD]14.54），38例（77.6%）为女性，28例（57.1%）为右侧DRF，21例（42.9%）为左侧DRF，38例（77.6%）未接受手术，11例（22.4%）接受了手术。从骨折到治疗的平均时间为32.41天（SD 24.13），平均就诊总次数为6.20次（SD 3.49）。我们注意到，与出院时的QuickDASH评分（24.08，SD 12.77）相比，初始QuickDASH评分（59.27，SD 16.93）有统计学显著差异（P值<.001）；初始VAS评分（3.57，SD 1.71）与出院时的VAS评分（1.33，SD 0.97）也有统计学显著差异（P值<.001）。结论 这项回顾性研究发现，经过六次手部治疗后，QuickDASH和VAS评分有统计学显著降低。结果表明，早期康复干预可改善DRF后的疼痛并促进恢复日常活动。
