神经肌肉关节保护性炼治疗方案治疗手腕骨关节炎的效果:一项随机对照试验
Sara L Larsson1,2, Elisabeth Ekstrand3,4, Lars B Dahlin3,5,6
1Department of Hand Surgery, Skåne University Hospital, Malmö, Sweden. sara.larsson.5408@med.lu.se.
BMC musculoskeletal disorders
|January 5, 2024
概括
对手腕关节炎 (OA) 的新炼计划与标准范围运动炼相比,并没有显著改善疼痛或功能. 对于有效的手腕OA治疗,需要进一步的研究.
科学领域:
- 整形外科 整形外科 整形外科
- 类风湿病学 类风湿病学
- 物理疗法物理治疗
背景情况:
- 手腕骨关节炎 (OA) 导致疼痛,软弱和运动能力下降,影响生活质量.
- 标准的OA治疗包括教育和运动,但这并未为手腕OA建立.
- 一个新的神经肌肉关节保护性运动治疗计划被研究为手腕OA.
研究的目的:
- 评估一线神经肌肉关节保护性炼治疗计划对手腕OA的有效性.
- 为了将这个程序与标准的运动范围 (ROM) 练习程序进行比较.
- 评估结果,包括疼痛,功能,握力和自我效能.
主要方法:
- 一项为期12周的随机对照试验 (RCT) 涉及48名手腕OA确定的患者.
- 参与者被分配到神经肌肉关节保护炼计划或ROM炼计划中.
- 测量结果包括PRWE,握力,ROM,NPRS,DASH和GSES,由一个盲人评估员进行评估.
主要成果:
- 12周后,患者指定的手腕评估 (PRWE) 在组之间没有显著差异.
- 在干预组中,手臂,肩膀和手的残疾 (DASH) 评分在干预组中明显改善 (p=0.02).
- 数字疼痛评分表 (NPRS) 在干预组内有所改善 (p=0.006),但DASH变化需要谨慎解释.
结论:
- 神经肌肉关节保护性炼疗法在12周后对手腕OA的ROM炼没有优越性.
- 进一步的研究是必要的,以开发有效的炼治疗方案手腕OA.
- 该研究强调,需要继续研究手腕OA的最佳非药物治疗方法.
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