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运动想象对女性掌指关节骨关节炎术后固定期的影响:一项随机临床试验方案

The effects of motor imagery on trapeziometacarpal osteoarthritis in women during the post-surgical immobilisation period: A protocol for a randomised clinical trial.

作者信息

Prado-Robles Eva, Delgado-Gil Jose Ángel, Navarro-Prada Sonia Ruth, Rodríguez-Martín Bárbara, Gómez-Martínez Miguel, Seco-Calvo Jesús

机构信息

León University Hospital (SACYL), León, Spain.

PrimarCare Management Physiotherapist at SACYL, León, Spain.

出版信息

Br J Occup Ther. 2023 Aug;86(8):531-539. doi: 10.1177/03080226221137771. Epub 2022 Dec 29.

Abstract

BACKGROUND

Trapeziometacarpal osteoarthritis is the second most frequent degenerative hand disease and is the most functionally debilitating. The condition presents in 66% of women over 55. Motor imagery (MI) training post-surgery could help reduce rehabilitation times.

METHOD

It is an experimental, prospective, longitudinal, parallel arm randomised clinical trial. Participants were women over 50 years old on the surgical waiting list. The experimental group will undergo MI training during the 3-week post-surgical immobilisation period. The control group will receive standard rehabilitation treatment. Outcomes will be assessed four times throughout the study using the Disabilities of the Arm, Shoulder and Hand questionnaire, the Cochin Hand Function Scale questionnaire, the Visual Analogue Scale, goniometry, baseline pinch gauge, circumferential measurement (cm), the Modified Kapandji Index and the Kinaesthetic and Visual Imagery questionnaire.

DISCUSSION

Early MI could improve hand function leading to improvements in recovery times.

TRIAL REGISTRATION

Clinical Trials registration: NCT03815734. Ethics Committee approval: 17155. Project funded in 2021.

摘要

背景

大多角骨-第一掌骨骨关节炎是第二常见的手部退行性疾病,也是功能上最使人衰弱的疾病。55岁以上的女性中66%患有这种疾病。术后进行运动想象(MI)训练有助于缩短康复时间。

方法

这是一项实验性、前瞻性、纵向、平行组随机临床试验。参与者为手术等候名单上50岁以上的女性。实验组将在术后3周的固定期内接受MI训练。对照组将接受标准康复治疗。在整个研究过程中,将使用手臂、肩部和手部功能障碍问卷、科钦手功能量表问卷、视觉模拟量表、角度测量、基线捏力计、周径测量(厘米)、改良Kapandji指数以及动觉和视觉想象问卷对结果进行四次评估。

讨论

早期进行MI训练可改善手部功能,从而缩短恢复时间。

试验注册

临床试验注册编号:NCT03815734。伦理委员会批准号:17155。该项目于2021年获得资助。

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