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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Manual mobilization of the wrist: A pilot study in rehabilitation of patients with a chronic hemiplegic hand post-stroke
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Manual mobilization of the wrist: A pilot study in rehabilitation of patients with a chronic hemiplegic hand post-stroke

机译：腕部的手动动员：中风后慢性偏瘫手康复的先导研究

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Study design Prospective pilot cohort study, quasi-experimental design. Introduction Restricted hand mobility, limitation in activities and participation, due to relative immobilization of the hemiplegic hand are frequently reported after stroke. Purpose of the study To establish whether manual mobilization of the wrist has an additional value in the treatment of the hemiplegic hand. Methods Eighteen patients received treatment twice a week for a period of 6 weeks. Both treatment groups received therapy based upon the Dutch guidelines for stroke. In the intervention group, a 10-min manual mobilization of the wrist was integrated. The primary outcomes were active and passive wrist mobility and activity limitation. The secondary outcomes were spasticity, grip strength, and pain. Data were collected at 0, 6 and 10 weeks. Statistical analysis was performed using the Friedman's test, related t-test, Wilcoxon test, independent t-test, and Mann-Whitney U-test. Results Statistically significant differences were found in the intervention group; between T0 and T2 measurements in active wrist extension (+18°; p < 0.001), in passive wrist extension (+15°; p < 0.001), and in the Frenchay Arm Test (+2 points, 18%; p = 0.038). This significant improvement was not found in the control group. Statistically significant differences were found between the two groups in active and passive wrist extension (p < 0.001; p = 0.002), as well as a change in Frenchay Arm Test (p = 0.01). Conclusion This study suggests that manual mobilization of the wrist has a positive influence on the recovery of the hemiplegic hand. Replication of the results is needed in a large scale randomized controlled trial. Level of evidence 4.
机译：研究设计前瞻性队列研究，准实验设计。前言卒中后经常报告由于偏瘫手的相对固定而导致的手部活动受限，活动和参与受限。研究目的确定手腕的手部运动在偏瘫手的治疗中是否还有其他价值。方法18名患者每周接受两次治疗，为期6周。两个治疗组均根据荷兰中风指南接受了治疗。在干预组中，整合了10分钟的手腕动员。主要结果为主动和被动腕关节活动度和活动受限。次要结果是痉挛，握力和疼痛。在第0、6和10周收集数据。使用弗里德曼检验，相关t检验，Wilcoxon检验，独立t检验和Mann-Whitney U检验进行统计分析。结果干预组有统计学意义的差异。在主动腕部伸展（+ 18°; p <0.001），被动腕部伸展（+ 15°; p <0.001）和Frenchay Arm Test（+2分，18％; p = 0.038）的T0和T2测量之间）。在对照组中未发现这种显着改善。两组之间在主动和被动手腕伸展方面存在统计学上的显着差异（p <0.001; p = 0.002），并且Frenchay Arm Test的变化（p = 0.01）。结论这项研究表明，手腕的手部运动对偏瘫手的康复有积极的影响。在大规模的随机对照试验中，需要复制结果。证据水平4。

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