Orthopaedic Surgery PGY1, McGill University, 1650 Cedar Avenue, Montreal, Quebec H3G 1A4, Canada.
Division of Orthopaedic Surgery, Roth|McFarlane Hand and Upper Limb Center, Western University, D0-217, St Joseph's Health Care, 268 Grosvenor Street, London, Ontario N6A 4V2, Canada.
Hand Clin. 2021 May;37(2):309-314. doi: 10.1016/j.hcl.2021.02.012.
The role of hand therapy in management of distal radius fractures remains unclear. Some evidence demonstrates that initiating early range of motion and urging patients to return to routine activities of daily living as soon as possible may produce favorable outcomes that are as effective as formal supervised therapy. Extended supervised therapy does not appear to impact outcomes and a single instruction session with a home-based program produces similar results. Although we feel that formal structured therapy may have a role in select high-risk patients, the literature remains unclear on which patients would benefit most from formal supervised therapy.
手部治疗在桡骨远端骨折管理中的作用仍不清楚。一些证据表明，尽早开始活动范围并促使患者尽快恢复日常生活活动，可能会产生与正式监督治疗同样有效的结果。延长监督治疗似乎不会影响结果，单次家庭为基础的方案指导与正式监督治疗产生的效果相似。虽然我们认为正规的结构化治疗可能对某些高危患者有作用，但文献对于哪些患者最受益于正规监督治疗仍不清楚。
