桡骨远端骨折手术患者运动松动术的有效性：一项单盲随机对照研究。
Effectiveness of mobilization with movement in patients operated for distal radius fracture: a single-blinded, randomized controlled study.
作者信息
Horoz Levent, Cigdem-Karacay Basak, Ceylan Ismail, Alkan Halil
机构信息
Kirsehir Ahi Evran University, Faculty of Medicine, Department of Orthopedics and Traumatology - Kırşehir, Turkey.
Kirsehir Ahi Evran University, Faculty of Medicine, Department of Physical Medicine and Rehabilitation - Kırşehir, Turkey.
出版信息
Rev Assoc Med Bras (1992). 2024 Dec 2;70(11):e20241190. doi: 10.1590/1806-9282.20241190. eCollection 2024.
OBJECTIVE
BACKGROUND: There are limited data on the use of Mulligan's mobilization with movement technique in patients who underwent surgery for distal radius fracture. AIMS: This study aimed to evaluate the effectiveness of adding Mulligan's mobilization with movement to the conventional exercise program for those who underwent open reduction and volar plate application due to distal radius fracture.
METHODS
This randomized controlled, single-blind study was conducted with 53 patients who had been operated on for distal radius fracture. The patients were divided into two groups, the mobilization with movement group and the control group. Patients in the mobilization with movement group were mobilized using Mulligan's mobilization with movement technique in addition to the rehabilitation program used in the control group. The degree of volar inclination and radial inclination were recorded. Radial height was measured in millimeters. Ulnar variance was recorded. Perimeter was measured using the Figure of Eight method. The range of motion of the joint was measured by goniometry. Hand grip strength was measured with Jamar® hand dynamometer, and pinch grip was measured with a pinch meter. The Patient-Rated Wrist Evaluation questionnaire was used to assess functionality.
RESULTS
There is no statistically significant difference identified between the groups (p>0.05). The intra-group changes in the data of the groups were found to be statistically significant in visual analog scale, range of motion, pinch grip, hand grip, and Patient-Rated Wrist Evaluation parameters (p<0.05). There was a statistically significant difference between the mobilization with movement group and the control group for pronation value and hand grip strength value in measurements (p<0.05).
CONCLUSIONS
XThe mobilization with movement had no additive effect on parameters other than hand grip strength and pronation.
目的
背景：关于在桡骨远端骨折手术患者中使用穆利根动态关节松动术的数据有限。目的：本研究旨在评估对于因桡骨远端骨折接受切开复位和掌侧钢板固定术的患者，在传统锻炼方案基础上增加穆利根动态关节松动术的有效性。
方法
本随机对照单盲研究纳入了53例接受桡骨远端骨折手术的患者。患者被分为两组，即动态关节松动术组和对照组。动态关节松动术组的患者除了接受对照组使用的康复方案外，还采用穆利根动态关节松动术进行治疗。记录掌倾角和桡倾角的度数。以毫米为单位测量桡骨高度。记录尺骨变异情况。采用8字形法测量周长。通过量角器测量关节活动范围。使用Jamar®握力计测量握力，并用捏力计测量捏力。采用患者自评腕关节评估问卷评估功能。
结果
两组之间未发现统计学上的显著差异（p>0.05）。在视觉模拟量表、活动范围、捏力、握力和患者自评腕关节评估参数方面，两组数据的组内变化具有统计学意义（p<0.05）。在测量的旋前值和握力值方面，动态关节松动术组与对照组之间存在统计学上的显著差异（p<0.05）。
结论
动态关节松动术除了对握力和旋前有影响外，对其他参数没有附加作用。
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