Department of Trauma Surgery and Sport Orthopedics, Berufsgenossenschaftliche Unfallklinik Murnau, Prof.-Kuentscher-Straße 8, 82418 Murnau am Staffelsee, Germany.
Department of Orthopedics and Traumatology, Klinikum Nuremberg, Paracelsus Private Medical University Nuremberg, Breslauer Straße 201, 90471 Nuremberg, Germany.
Hand Surg Rehabil. 2020 Dec;39(6):575-579. doi: 10.1016/j.hansur.2020.09.004. Epub 2020 Sep 19.
The importance of postoperative care of hand injuries is undisputed, but sometimes more intensive therapy is needed. The objective of this study was to evaluate the benefits of a specialized hand rehabilitation program supervised by hand surgeons. The outcomes and short-term follow-up of 76 patients with upper extremity injuries were analyzed through patient self-reported parameters as well as objective functional scores. Improvement in all self-assessed parameters during rehabilitation was statistically significant for the DASH (p<0.001) as well as the EQ-5D (p<0.05). Further improvement in the short-term (14 weeks) was only seen for the DASH score (p<0.05). During rehabilitation, there was a statistically significant improvement in all objective measurements. Among patients with finger injuries, 71% were able to return to work. Our specialized hand rehabilitation program provides benefits for all patients. There are differences between types of upper extremity injuries in terms of the effects and necessary treatments.
手部损伤术后护理的重要性是毋庸置疑的,但有时需要更强化的治疗。本研究的目的是评估手部外科医生监督下的专业手部康复计划的益处。通过患者自我报告的参数以及客观功能评分,分析了 76 例上肢损伤患者的治疗结果和短期随访情况。康复过程中,DASH(p<0.001)和 EQ-5D(p<0.05)的所有自我评估参数均有统计学意义上的改善。进一步的短期(14 周)改善仅见于 DASH 评分(p<0.05)。康复过程中,所有客观测量均有统计学意义上的改善。在手指损伤患者中,71%的患者能够重返工作岗位。我们的手部康复计划为所有患者提供了益处。上肢损伤的类型不同,治疗效果和所需的治疗也不同。