Blomstrand J, Kjellby Wendt G, Karlsson J, Wangdell J, Fagevik Olsén M
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden.
J Plast Surg Hand Surg. 2023 Feb-Dec;57(1-6):247-252. doi: 10.1080/2000656X.2022.2060992. Epub 2022 May 5.
Distal radius fracture (DRF) is a common injury, affecting both function and activity performance. Postoperative rehabilitation is an essential part of the treatment of a surgically treated DRF. The study aims were to assess pain, hand function, activity performance and apprehensiveness and their association, during the first three months after a surgically treated DRF. Eighty-eight patients with a DRF were assessed for pain, hand function, activity performance and apprehensiveness three days and two, six and 12 weeks after surgery. The results indicated that pain, range of motion (ROM), grip strength, apprehensiveness, and activity performance (PRWE) improved significantly between follow-ups ( < .001-.01). Apprehensiveness correlated moderately with activity performance on all visits (0.40-0.47, < .01), which implies a correlation between the variables, but the regression model showed that the differences in the PRWE at twelve weeks cannot be explained by the differences in apprehensiveness or range of motion at cast removal. At 12 weeks, the study participants had regained almost 70% of their grip strength and 74-96% of the ROM of the uninjured hand.The study shows that, during the study period, the participants improved in both pain, hand function and activity performance, and indicates that a simple question on apprehensiveness in terms of using the injured hand in daily life could be an important factor in distal radius fracture rehabilitation.
桡骨远端骨折（DRF）是一种常见损伤，会影响功能和活动表现。术后康复是手术治疗DRF的重要组成部分。本研究旨在评估手术治疗DRF后的前三个月内的疼痛、手部功能、活动表现和忧虑感及其关联。88例DRF患者在术后3天、2周、6周和12周接受了疼痛、手部功能、活动表现和忧虑感评估。结果表明，随访期间疼痛、活动范围（ROM）、握力、忧虑感和活动表现（PRWE）均有显著改善（<0.001-0.01）。每次随访时忧虑感与活动表现均呈中度相关（0.40-0.47，<0.01），这意味着变量之间存在相关性，但回归模型显示，12周时PRWE的差异无法用拆除石膏时的忧虑感或活动范围差异来解释。12周时，研究参与者已恢复了近70%的握力以及未受伤手74%-96%的活动范围。该研究表明，在研究期间，参与者的疼痛、手部功能和活动表现均有所改善，并表明一个关于在日常生活中使用受伤手的简单忧虑问题可能是桡骨远端骨折康复的一个重要因素。
