Graduate School of Physical Therapy, Sahmyook University, Seoul 01795, Republic of Korea.
Department of Physical Therapy, Sahmyook University, Seoul 01795, Republic of Korea.
Medicina (Kaunas). 2024 Jul 16;60(7):1144. doi: 10.3390/medicina60071144.
Non-specific chronic wrist pain is wrist pain that occurs without a specific cause, such as trauma, and may limit the range of motion of the joints of the wrist and hand, affecting muscle strength, grip strength, and function. This study aimed to determine the effects of grip-strengthening exercises combined with wrist stability training on pain and function in patients with non-specific chronic wrist pain. The subjects of the study were 31 patients with wrist pain. To determine the effect of grip-strengthening exercises combined with wrist stability training, 15 participants participated in grip-strengthening exercises combined with wrist stability training and 16 control subjects participated. The experimental group participated in wrist-stability training. Grip-strengthening exercises combined with wrist stability training were performed for 20 min/day twice a week for 4 weeks, and relaxation massage and conservative physical therapy were performed for 20 min/day twice a week for 4 weeks. The control group received relaxation massage and conservative physical therapy for 40 min/day twice a week for 4 weeks. A visual pain scale was used to evaluate the degree of pain before and after treatment, and a patient-rated wrist evaluation was used to evaluate wrist function. The results showed that the visual score significantly decreased in the time effect before and after the intervention in both groups ( < 0.001), patient-rated wrist evaluation significantly decreased ( < 0.001), and grip strength and muscle strength significantly increased ( < 0.001). The results of this study showed that grip-strengthening exercises combined with wrist stability training were effective in improving pain, function, grip strength, and muscle strength in patients with non-specific chronic wrist pain. Grip-strengthening exercises combined with wrist stability training can be used as an effective intervention method to improve pain, function, grip strength, and muscle strength, emphasizing the need for wrist exercise interventions in patients with non-specific chronic wrist pain in the future.
非特异性慢性腕痛是指无特定原因引起的腕痛，如创伤，并可能限制腕关节和手部关节的活动范围，影响肌肉力量、握力和功能。本研究旨在确定握力增强练习结合腕部稳定性训练对非特异性慢性腕痛患者疼痛和功能的影响。
研究对象为 31 例腕痛患者。为了确定握力增强练习结合腕部稳定性训练的效果，15 名参与者参加了握力增强练习结合腕部稳定性训练，16 名对照组参与者参加了握力增强练习结合腕部稳定性训练。实验组接受腕部稳定性训练。握力增强练习结合腕部稳定性训练每天进行 20 分钟，每周两次，共 4 周；每天进行 20 分钟的放松按摩和保守物理治疗，每周两次，共 4 周。对照组每天接受 40 分钟的放松按摩和保守物理治疗，每周两次，共 4 周。使用视觉疼痛量表评估治疗前后疼痛程度，使用患者自评腕关节评估评估腕关节功能。
结果显示，两组治疗前后时间效应的视觉评分均显著降低（<0.001），患者自评腕关节评估显著降低（<0.001），握力和肌肉力量显著增加（<0.001）。本研究结果表明，握力增强练习结合腕部稳定性训练可有效改善非特异性慢性腕痛患者的疼痛、功能、握力和肌肉力量。握力增强练习结合腕部稳定性训练可作为改善疼痛、功能、握力和肌肉力量的有效干预方法，强调今后在非特异性慢性腕痛患者中需要进行腕部运动干预。
