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静态渐进性关节活性系统在改善上肢关节硬性的有效性
Kobi Steinberg1, Danit Langer1, Hanna Melchior1
1Shaare Zedek Medical Center, Jerusalem, Israel.
Hand surgery & rehabilitation
|May 2, 2024
概括
关节主动系统静态渐进性 splint 有效地改善了硬的肘部,手腕和手指关节的运动范围. 即使在其他疗法失败后,这种治疗也能带来显著的收益.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 上肢受伤经常导致由于囊收缩导致关节硬.
- 传统治疗侧重于伸展,通常涉及物理或职业治疗.
- 创伤或手术后的有限运动可以显著影响功能.
研究的目的:
- 评估联合主动系统 (JAS) 静态渐进性在增强运动范围 (ROM) 的有效性.
- 为了确定JAS splint是否对其他治疗已经平稳后的硬关节有益.
- 评估JAS splint在患有创伤后或手术后上肢硬的患者中的有效性.
主要方法:
- 在2015年至2019年期间,对39名用JAS splint治疗的患者进行了回顾性审查.
- 纳入标准侧重于上肢创伤,手术后硬和对治疗反应平稳的患者.
- 收集的数据包括JAS治疗前后的运动范围 (ROM) 和功能评分.
主要成果:
- 在所有接受治疗的关节中观察到ROM的显著改善:肘部 (66.5°至95.7°),手腕 (63.5°至81.1°) 和近接间关节 (PIP) (33.2°至51.8°).
- 功能性得分也显示了治疗后肘部和手腕关节的显著改善.
- 即使在初始受伤数月后启动JAS,也表现出有效性.
结论:
- 关节活性系统静态渐进性是改善肘,手腕和手指关节硬的ROM的有效治疗方法.
- splint 为那些在常规治疗中达到平原的患者提供了好处.
- 这种干预可以在受伤或手术后恢复运动和功能.
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