Choi SeongJu, Lee Joonha, Bae Kee Jeong, Kim Dong Kyun, Lee Young Ho, Lee Yohan
Department of Orthopaedic Surgery, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Republic of Korea.
Department of Orthopaedic Surgery, Yeson Hospital, Bucheon, Gyeonggi-do, Republic of Korea.
Hand Surg Rehabil. 2024 Dec;43(6):101779. doi: 10.1016/j.hansur.2024.101779. Epub 2024 Sep 28.
Appropriate postoperative rehabilitation of distal radius fractures is essential for early recovery and pain management, but may be limited by medical staff and equipment availability and costs. Home-based training or wearable devices provide an alternative.
To assess use of a wearable device and home-based training for rehabilitation after distal radius fracture surgery.
Prospective comparative cohort study.
Between April and November 2021, patients aged > 20 years with distal radius fracture who could understand and use wearable devices and their application were recruited. Patients with polytrauma, neurological disorder or musculoskeletal disorder were excluded. The control group underwent a regimen of passive and active finger and wrist exercises after surgery, while the experimental group performed equivalent rehabilitation using a wearable device (smart glove). Outcomes comprised pain on visual analog scale, wrist range of motion, Quick Disabilities of the Arm, Shoulder, and Hand score, Modified Mayo Wrist Score, and radiographic parameters (radial inclination, radial height, ulnar variance and volar tilt) at 6 and 12 weeks after surgery.
Fracture type, age and gender did not differ between the control (n = 7) and experimental (n = 7) groups. All participants achieved bone union and exhibited equivalent radiographic parameters at follow-up. The experimental group showed significantly improved Mayo scores (65.7 vs. 56.4, p = 0.044), wrist range of motion (259.3 vs. 179.3, p = 0.021), and pain (1.43 vs. 3.29, p = 0.011) at 6 but not 12 weeks' follow-up.
Rehabilitation using a smart glove showed better short-term clinical outcomes after surgery than conventional rehabilitation. Rehabilitation using a wearable device may be beneficial for early recovery after distal radius fracture surgery.
桡骨远端骨折术后的适当康复对于早期恢复和疼痛管理至关重要，但可能受到医护人员、设备可用性和成本的限制。家庭训练或可穿戴设备提供了一种替代方案。
评估可穿戴设备和家庭训练在桡骨远端骨折手术后康复中的应用。
前瞻性比较队列研究。
在2021年4月至11月期间，招募年龄大于20岁、能理解并使用可穿戴设备及其应用的桡骨远端骨折患者。排除多发伤、神经疾病或肌肉骨骼疾病患者。对照组术后接受被动和主动的手指及腕关节锻炼方案，而实验组使用可穿戴设备（智能手套）进行等效康复。结果包括术后6周和12周时视觉模拟量表上的疼痛、腕关节活动范围、手臂、肩部和手部快速残疾评分、改良梅奥腕关节评分以及影像学参数（桡骨倾斜度、桡骨高度、尺骨变异和掌倾角）。
对照组（n = 7）和实验组（n = 7）在骨折类型、年龄和性别方面无差异。所有参与者均实现骨愈合，随访时影像学参数相当。实验组在术后6周而非12周时，梅奥评分显著改善（65.7对56.4，p = 0.044）、腕关节活动范围显著改善（259.3对179.3，p = 0.021）以及疼痛显著改善（1.43对3.29，p = 0.011）。
与传统康复相比，使用智能手套进行康复在术后显示出更好的短期临床效果。使用可穿戴设备进行康复可能有利于桡骨远端骨折手术后的早期恢复。
