Stumpfe Maximilian C, Beneke Kaya, Horch Raymund E, Arkudas Andreas, Müller-Seubert Wibke, Cai Aijia
Department of Plastic and Hand Surgery, Laboratory for Tissue Engineering and Regenerative Medicine, University Hospital Erlangen, Friedrich Alexander University Erlangen-Nürnberg FAU, Krankenhausstraße 12, 91054 Erlangen, Germany.
Life (Basel). 2024 Aug 10;14(8):997. doi: 10.3390/life14080997.
Hand disorders can reduce wrist range of motion (ROM). The SARS-CoV-2 pandemic highlighted challenges in routine follow-up exams, making telemedicine a viable solution. This study evaluates the feasibility and accuracy of patient self-measured wrist ROM using a self-designed goniometer template. The template was designed to measure flexion/extension and radial/ulnar abduction movements. A cohort of 50 adults (25 males/25 females) participated in this prospective study. The exclusion criteria included wrist immobilization and ages outside of 18-65 years. Participants self-assessed their wrist ROM with the goniometer template. Measurements were independently performed by a student and a specialist using standard goniometry, as well as a resident using the self-designed goniometer. The results were blinded for unbiased analysis. Mean differences in ROM varied across movement directions, with minimal differences for ulnar abduction and more substantial deviations for radial abduction, extension and flexion. The patient-specialist comparison showed deviations below 5 degrees for flexion and ulnar abduction in 50% of cases. Telemedicine, expanded by the COVID-19 pandemic, offers significant potential for hand rehabilitation. Current methods of ROM assessment lack cost-effectiveness and simplicity. Our method, demonstrating comparable accuracy for most movements, provides a cost-effective, reliable alternative for remote ROM assessment, enhancing telemedicine practices in hand rehabilitation.
手部疾病会降低腕关节活动范围（ROM）。新冠疫情凸显了常规随访检查中的挑战，使远程医疗成为一种可行的解决方案。本研究评估了使用自行设计的量角器模板让患者自行测量腕关节ROM的可行性和准确性。该模板旨在测量屈伸和桡尺侧外展运动。一组50名成年人（25名男性/25名女性）参与了这项前瞻性研究。排除标准包括腕关节固定以及年龄不在18至65岁之间。参与者使用量角器模板自行评估其腕关节ROM。测量由一名学生和一名专家使用标准量角法独立进行，以及由一名住院医生使用自行设计的量角器进行。结果进行了盲法分析，以确保无偏倚。ROM的平均差异在不同运动方向上有所不同，尺侧外展差异最小，而桡侧外展、伸展和屈曲的偏差则更大。患者与专家的比较显示，在50%的病例中，屈曲和尺侧外展的偏差低于5度。因新冠疫情而得到扩展的远程医疗为手部康复提供了巨大潜力。目前的ROM评估方法缺乏成本效益和简便性。我们的方法在大多数运动中显示出可比的准确性，为远程ROM评估提供了一种经济高效、可靠的替代方案，增强了手部康复中的远程医疗实践。
