对手综合征进行基于的干预:一项随机试验
M S Garfinkel1, A Singhal, W A Katz
1Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, USA. mariang102@aol.com
JAMA
|November 20, 1998
概括
可以有效地缓解手掌道综合征的症状. 这项研究发现,改善了握力,并比手腕更能减少疼痛.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 补充和替代医学 补充和替代医学
背景情况:
- 带道综合征 (CTS) 是一种与重复性活动相关的普遍疾病,导致患者患病率显著.
- 了解CTS的有效,非侵入性治疗选择对于改善患者的治疗结果至关重要.
研究的目的:
- 为了评估基于的疗法在缓解与手腕道综合征相关的症状方面的有效性.
- 为了比较干预与标准手腕 splinting 对CTS症状缓解的效果.
主要方法:
- 进行了一项随机的,单盲的,受控的试验,涉及42名被诊断患有手腕道综合征的参与者.
- 干预组每周两次练习11种姿势和放松技巧,持续8周.
- 对照组接受了手腕 splint作为补充治疗.
主要成果:
- 组在握力 (P = .009) 和疼痛减轻 (P = .02) 方面表现出统计学上显著的改善.
- 与对照组 (P = .008) 相比,组观察到法伦标志的显著改善.
- 在睡眠障碍,Tinel标志或神经传导时间方面,研究小组之间没有发现显著差异.
结论:
- 一种以为基础的疗法显示出作为对某些手腕道综合征症状的有效干预措施的承诺.
- 可以为传统治疗提供有益的替代方案或辅助方法,例如对CTS进行手腕 splinting.
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