Bertsch V
Handchirurgie. 1980;12(1-2):119-23.
A special treatment program has been developed for each individual patient. Each day the patient receives three different treatment modalities--active exercises, passive exercises and electrical stimulation. On days when X-ray therapy is administered, the patient performs only active exercises and receives no electrical stimulation. The patient is also directed to perform certain exercises at home. Patients are advised strongly against the use of hot baths. Dynamic splints are adjusted regularly. In winter and during cold weather, patients are instructed to wear gloves. This therapy, combined with meticulous surgical technique, permits the rehabilitation of most hands affected by Dupuytren's contracture. The goal of rehabilitation is tailored to the needs of the patient and should include a sufficiently strong grasp, chuck pinch and possibly a good pulp pinch. When necessary, the therapy should be continued for long periods of time because a small gain in mobility may represent a significant improvement in overall function of the hand.
已为每位患者制定了专门的治疗方案。患者每天接受三种不同的治疗方式——主动运动、被动运动和电刺激。在进行X射线治疗的日子里，患者仅进行主动运动且不接受电刺激。患者还被指导在家中进行某些运动。强烈建议患者不要使用热水浴。动态夹板需定期调整。在冬季和寒冷天气，指导患者戴手套。这种治疗方法，结合精细的手术技术，能使大多数受杜普伊特伦挛缩影响的手部得到康复。康复目标是根据患者的需求定制的，应包括足够有力的抓握、捏取以及可能良好的指尖捏取。如有必要，治疗应持续较长时间，因为手部活动度的微小增加可能代表着手部整体功能的显著改善。
