Jansen C W, Watson M G
School of Physical Therapy, Texas Woman's University, Houston 77030.
J Hand Surg Am. 1993 May;18(3):411-7. doi: 10.1016/0363-5023(93)90083-f.
The purpose of this study was to compare classification systems of active range of motion of the finger after flexor tendon surgery in zone II of the hand. Active range of motion of 20 fingers (16 subjects) was classified according to five systems. Agreement between the systems was only fair. Strickland's original system and the Louisville system rated the results most strictly, followed by Strickland's adjusted system. Buck-Gramcko's systems (in centimeters and degrees) rated the results least strictly. Strickland's systems conformed most closely to measurement principles. This article concludes that at this time Strickland's original classification system is preferable for scientific and clinical purposes. However, additional research is needed to evaluate reliability of the measurement, the variability of the scaling factor of 175 degrees, the sensitivity of the measurement, and the validity of the measurement with regard to functional use of the finger and gliding of the repaired tendon.
本研究的目的是比较手部II区屈肌腱手术后手指主动活动范围的分类系统。根据五种系统对20根手指（16名受试者）的主动活动范围进行了分类。各系统之间的一致性仅为一般。斯特里克兰德的原始系统和路易斯维尔系统对结果的评定最为严格，其次是斯特里克兰德的调整系统。巴克-格拉姆科系统（以厘米和度数表示）对结果的评定最宽松。斯特里克兰德系统最符合测量原则。本文得出结论，目前斯特里克兰德的原始分类系统在科学和临床方面更可取。然而，需要进一步研究来评估测量的可靠性、175度缩放因子的变异性、测量的敏感性以及该测量在手指功能使用和修复肌腱滑动方面的有效性。
