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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Rehabilitation of a patient following hand replantation after near-complete distal forearm amputation
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Rehabilitation of a patient following hand replantation after near-complete distal forearm amputation

机译：远端前臂近端完全切除后手植再植的患者的康复

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Study design Case report. Introduction Reports of comprehensive rehabilitation following hand replantation are limited. Purpose of the study To describe hand therapy of a patient following hand replantation. Methods Right hand dominant 55 year-old male assessed 9 days following left hand replantation to treat distal forearm amputation. Patient presented with dorsal blocking orthotic. Initial status: AROM digits and thumb 0-20° extension, 0-40° flexion; absent light touch sensation; 0-1/5 hand strength. Patient underwent 70 hand therapy sessions over 13 months focusing on A/PROM, therapeutic exercise, neuromuscular re-education, and modalities to address functional limitations. Results Hand therapy discharge status: AROM digits and thumb form composite fist, thumb opposition to digit 3, light touch sensation (monofilament) 4.03 (digits 2, 4) and 4.17 (digits 1, 3, 5); 3- to 4-/5 hand strength. Discussion Hand therapy allowed for near complete functional return of the hand following replantation. Conclusion Comprehensive Hand therapy aided restoration of adequate sensation and strength for functional use of the replanted hand. Level of evidence 4
机译：研究设计案例报告。简介人工再植后进行全面康复的报道有限。研究目的描述手植入后患者的手部治疗。方法右手占优势的55岁男性在左手再植后9天评估远侧前臂截肢。患者出现背侧矫形器。初始状态：AROM数字和拇指0-20°扩展，0-40°弯曲;缺少轻触感; 0-1 / 5手力量。患者在13个月内接受了70次手部治疗，重点是A / PROM，治疗性运动，神经肌肉再教育以及应对功能限制的方式。结果手部治疗放电状态：AROM手指和拇指形复合拳头，拇指与手指3相对，轻触感（单丝）4.03（手指2、4）和4.17（手指1、3、5）; 3-至4- / 5手力量。讨论手部治疗可使移植后手部几乎完全恢复功能。结论全面的手部治疗有助于恢复适当的感觉和力量，以供再植手功能使用。证据级别4

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