带道综合征的外部支持:哪一个效果最好? 一个双盲随机对照试验
Sefa Dongaz1, Asalet Aybüke Güp2, Özge İpek Dongaz3
1Physiotherapy and Rehabilitation Department, Institue of Health Sciences, Muğla Sıtkı Koçman University, Muğla, Turkey; Physiotherapy and Rehabilitation Department, Muğla Training and Research Hospital, Muğla, Turkey.
概括
刚性带在手道综合征患者中为握力提供了最一致的好处. 然而,外部支物,如刚性带和动态带在缓解疼痛方面并没有超过对照组.
科学领域:
- 整形外科 整形外科 整形外科
- 物理疗法物理治疗
- 康复医学 康复医学 康复医学
背景情况:
- 对于手腕道综合征的保守治疗方法的有效性仍然是争论的主题.
- 了解不同保守干预措施的比较疗效对于临床实践至关重要.
研究的目的:
- 为了比较刚性带,运动带和 splinting 与对照组对疼痛,症状严重程度,功能和手腕道综合征患者的握力的影响.
- 为了评估带技术与传统 splinting 对手掌道综合征的疗效.
主要方法:
- 一项前性,双盲,随机对照试验,涉及40名患有轻度/中度手腕道综合征的患者.
- 参与者被分配到刚性带,动态带, splinting,或对照组.
- 评估包括视觉模拟尺度,波士顿手腕道调查问卷,手动动力计和压力计在基线和2周后.
主要成果:
- 所有组都表现出疼痛,症状严重程度,功能状态,握力和力 (p ≤ 0.005) 的显著改善.
- 刚性带组显示握力增强最大,表现优于对照组 (p < 0.001).
- 虽然与对照组相比,刚性和动态带改善了握力,但对照组表现出更好的疼痛减轻 (p = 0.001).
结论:
- 刚性带提供了最一致的好处,特别是在手掌道综合征中,特别是抓地力.
- 动能磁带还改善了疼痛强度和握力.
- 与对照组相比,外部支持并没有在缓解疼痛方面表现出优越性;所有组的症状严重程度和功能改善都是可比的.
相关概念视频
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01:11Blinding
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