Richard R L, Miller S F, Finley R K, Jones L M
Miami Valley Hospital, Regional Burn Unit, Dayton, Ohio 45409.
J Burn Care Rehabil. 1987 Nov-Dec;8(6):576-8.
A prospective study was undertaken to compare the use of passive exercise with that of static wrapping to increase finger flexion range of motion in burn patients. Six patients (four males and two females) with combined full- and partial-thickness dorsal hand burns were randomized to receive either treatment. Results showed that metacarpophalangeal (MCP) joint flexion improved an average of 7.46 degrees with passive exercise and 2.65 degrees with static wrapping. Proximal interphalangeal (PIP) joint flexion improved an average of 9.68 degrees with static wrapping and 4.28 degrees with passive exercise. The percentages of improvement in the MCP joint with passive exercise and static wrapping were 8.53% and 2.92%, respectively. In the PIP joint, the respective percentages were 3.69% and 8.09%. All differences were statistically significant at a P value of less than .001. It was concluded that in the rehabilitation of hands and/or fingers with recently healed burns, manual passive exercise is significantly better than static wrapping for increasing MCP joint flexion, while static wrapping is more effective for increasing PIP joint flexion.
开展了一项前瞻性研究，比较被动运动与静态包扎对烧伤患者手指屈曲活动度增加的作用。6例（4例男性，2例女性）手背全层和部分厚度烧伤患者被随机分组接受其中一种治疗。结果显示，掌指（MCP）关节屈曲被动运动平均改善7.46度，静态包扎平均改善2.65度。近端指间（PIP）关节屈曲静态包扎平均改善9.68度，被动运动平均改善4.28度。MCP关节被动运动和静态包扎的改善百分比分别为8.53%和2.92%。在PIP关节，相应百分比分别为3.69%和8.09%。所有差异在P值小于0.001时具有统计学意义。得出的结论是，在近期愈合烧伤的手部和/或手指康复中，手动被动运动在增加MCP关节屈曲方面明显优于静态包扎，而静态包扎在增加PIP关节屈曲方面更有效。
