Iván De-Rosende-Celeiro, PhD, OT, is Assistant Professor and Occupational Therapist, Department of Health Sciences, University of A Coruña, A Coruña, Spain;
Jorge Juan Fernández-Barreiro, OT, is Occupational Therapist, A Coruña University Hospital Complex, A Coruña, Spain.
Am J Occup Ther. 2023 Nov 1;77(6). doi: 10.5014/ajot.2023.050218.
Identifying the outcomes of occupational therapy after a distal radius fracture (DRF) is important so that effective strategies can be developed to mitigate the consequences associated with this common fracture.
To determine whether participation in occupational therapy improved functional status. Secondary objectives were to assess its effects on body functions and to examine the association between changes in outcome measures and occupational therapy-related factors.
Longitudinal, with consecutive sampling over a 12-mo period.
Outpatient rehabilitation service.
Participants were 38 adults with a unilateral DRF (ages 31-75 yr.; 81.6% female).
Multicomponent occupational therapy, including supplemental techniques and activity-based interventions.
Functional status and body functions were assessed before and after therapy.
All standardized measures of functional status showed significant improvements, which were large in size. Several body functions improved significantly (pain, sleep, wrist and forearm movements, and grip strength fraction), and effect sizes ranged from medium to large. For several outcome variables, earlier therapy was significantly associated with better results; moreover, the likelihood of achieving better outcomes was significantly higher among participants who attended more sessions.
Occupational therapy services have an important role to play after a DRF in terms of returning to daily activities and reducing impairments in body functions. Earlier intervention and attending a higher number of occupational therapy sessions are likely to further improve these outcomes. What This Article Adds: Because the effects of occupational therapy among people with a DRF remain uncertain, we quantified the outcomes of this intervention in an outpatient rehabilitation service, revealing medium to large improvements in the performance of daily activities and in various body functions. Our findings identified two factors associated with better results: early initiation of therapy and a higher number of occupational therapy sessions.
确定桡骨远端骨折（DRF）后的康复治疗效果很重要，这样才能制定有效的策略来减轻与这种常见骨折相关的后果。
确定职业治疗是否能改善功能状态。次要目标是评估其对身体功能的影响，并研究结局测量的变化与职业治疗相关因素之间的关系。
12 个月的纵向连续抽样。
门诊康复服务。
38 名单侧 DRF 成人（年龄 31-75 岁；81.6%女性）。
多成分职业治疗，包括补充技术和基于活动的干预。
治疗前后均评估了功能状态和身体功能。
所有功能状态的标准化测量都有显著改善，且改善幅度较大。多项身体功能有显著改善（疼痛、睡眠、腕关节和前臂运动以及握力分数），且效应大小从中等到较大。对于几个结局变量，治疗时间越早与更好的结果显著相关；此外，参加更多治疗的患者，取得更好结果的可能性显著更高。
DRF 后，职业治疗服务在恢复日常活动和减少身体功能障碍方面发挥着重要作用。早期干预和参加更多的职业治疗课程可能会进一步改善这些结果。这篇文章的添加内容：由于桡骨远端骨折患者的职业治疗效果仍不确定，我们在门诊康复服务中量化了这种干预的结果，发现日常活动和各种身体功能都有从中等到较大的改善。我们的研究结果确定了与更好的结果相关的两个因素：早期开始治疗和更多的职业治疗课程。
