在创伤性臂膜中康复结果受伤:职业治疗视角
Tejal Talankar1, Shilpshree Palsule1
1Department of Occupational Therapy Seth G.S. Medical College & KEM Hospital, India.
Journal of hand and microsurgery
|May 26, 2025
概括
职业疗法显著改善了创伤性臂损伤 (TBPI) 患者的结果,增强了肌肉力量,感觉和生活质量. 保守管理的患者经历了更大的功能增长,强调了量身定制的康复计划的重要性.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 职业疗法 职业疗法 职业疗法
背景情况:
- 创伤性交损伤 (TBPI) 会导致严重的运动和感官缺陷,影响日常生活和幸福感.
- 对TBPI的手术结果是可变的,强调需要有效的康复策略.
- 职业治疗 (OT) 对TBPI患者的上肢功能,心理支持和生活质量至关重要,但研究,特别是在印度,是有限的.
研究的目的:
- 评估成年TBPI患者OT干预的功能结果.
- 评估OT对肌肉力量,感觉,运动范围,功能表现和生活质量的影响.
- 调查OT在TBPI康复的印度环境中的作用.
主要方法:
- 一项前性纵向观察性研究,涉及印度孟买31名成人TBPI患者.
- 干预措施在12个月内使用标准化措施进行了评估:肌肉力量,感官评估,运动范围,手臂评估工具 (BrAT),手臂,肩膀和手的残疾 (DASH) 评分,WHOQOL-BREF和修改的马莱特评分.
- 在基线和干预后3,6,9和12个月收集的数据.
主要成果:
- 在肌肉力量 (p=0.0001) 和感觉 (p=0.0001) 中观察到显著的改善.
- BrAT得分显著改善,在保守管理的患者中获得更大的收益 (p<0.01).
- DASH分数显著下降 (p=0.0001),WHOQOL-BREF领域有所改善 (p<0.05),并且在功能分数 (DASH,Brat,WHOQOL-BREF) 之间发现了强烈的相关性.
结论:
- 职业治疗显著提高了TBPI患者的功能恢复,独立性和心理社会福祉.
- 保守管理的TBPI患者与手术管理的患者相比,表现出更好的功能增长.
- 标准化的OT协议对于优化TBPI康复中的患者结果至关重要.
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