Svensson B H, Frellsen M B, Basse P N, Bliddal H, Caspers J, Parby K
Reumatologisk afdeling H., Bispebjerg Hospital, København.
Ugeskr Laeger. 1993 Feb 15;155(7):463-6.
We followed forty women with functional deficits in the wrist and hand after sustaining a Colles' fracture. The women participated in occupational therapy three times a week for three weeks. At the initial evaluation, after three weeks, and at a three month evaluation, we measured the following: range of joint movement, grip strength, hand volume (oedema), pain and ADL. There was significant improvement in most of the parameters measured after three weeks of occupational therapy, with a less significant improvement from three weeks to three months. Seventeen of the forty women received twenty minutes of intermittent pneumatic compression before occupational therapy. These patients showed significant improvement in wrist extension, compared with the control group of twenty-three patients. Occupational therapy is recommended for patients showing a functional deficit after Colles' fracture. Intermittent pneumatic compression is recommended as a supplement to occupational therapy.
我们对40名因科雷氏骨折导致手腕和手部功能缺陷的女性进行了跟踪研究。这些女性每周接受三次职业治疗,为期三周。在初始评估时、三周后以及三个月评估时,我们测量了以下指标:关节活动范围、握力、手部体积(水肿情况)、疼痛和日常生活活动能力。职业治疗三周后,所测量的大多数参数都有显著改善,从三周至三个月的改善则不太显著。40名女性中有17名在职业治疗前接受了20分钟的间歇性气压治疗。与23名患者组成的对照组相比,这些患者的手腕伸展有显著改善。对于科雷氏骨折后出现功能缺陷的患者,建议进行职业治疗。建议将间歇性气压治疗作为职业治疗的补充。