Feinberg J, Brandt K D
Am J Occup Ther. 1981 Mar;35(3):173-8. doi: 10.5014/ajot.35.3.173.
A follow-up evaluation of 50 patients with rheumatoid arthritis who were fitted with full bilateral wrist and hand resting splints revealed that 62 percent wore them most or all of the prescribed time. Patients deviated from the prescribed splint program when their symptoms remitted or diminished, and adhered more closely to the program when they experienced persistent inflammation. Patients splinted during a hospital stay were somewhat more compliant than those splinted as outpatients. Patients judged to be noncompliant discontinued splint usage because of a decrease of joint pain or stiffness, or both. Their decision did not appear detrimental, since, during the course of the study, there was no significant difference between compliant and noncompliant patients in range of motion of hand or wrist joints at followup evaluation and, when range of motion at the time of initial evaluation was compared with that at the follow-up examination, a higher proportion of noncompliant (37%) than compliant patients (16%) showed improvement.
对50名佩戴双侧手腕和手部全功能静态夹板的类风湿性关节炎患者进行的随访评估显示，62%的患者在规定时间的大部分或全部时间佩戴夹板。当症状缓解或减轻时，患者会偏离规定的夹板治疗方案；而当出现持续炎症时，他们会更严格地遵守该方案。住院期间佩戴夹板的患者比门诊患者更依从。被判定为不依从的患者因关节疼痛或僵硬程度减轻或两者皆有而停止使用夹板。他们的决定似乎并无不利影响，因为在研究过程中，依从和不依从患者在随访评估时手部或腕关节活动范围并无显著差异，并且将初始评估时的活动范围与随访检查时的活动范围进行比较时，不依从患者（37%）比依从患者（16%）有更高比例的改善。
