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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Optimal daily total end range time for contracture: resolution in hand splinting.
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Optimal daily total end range time for contracture: resolution in hand splinting.

机译：挛缩的最佳每日总结束时间：手夹板的分辨率。

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摘要

Reduced passive range of motion (PROM) of the joints of the hand is a common sequela of traumatic upper limb injury. Although mobilizing splinting is a common modality used by hand therapists to improve PROM, limited empirical evidence is available to guide therapist prescription. This study investigated the importance of the timing of splint application per 24-hour period, daily total end range time (TERT), via a prospective sequential clinical trial. A total of 43 subjects with joint contractures of the hand after traumatic upper limb injury were randomly allocated to one of two splint programs. Subjects in group A used their splint for less than 6 hours per day, and subjects in group B used their splint for 6 to 12 hours per day. Daily TERT was recorded by subjects in a splint diary. Passive torque range of motion (TROM) was used to measure the extent of contracture resolution over four weeks of splinting. High intrarater, interrater, and test-retest reliability of the TROM technique was establishedfor this sample (intraclass correlation coefficients 0.993 to 0.998). Sequential analysis showed a statistically significant preference for group B, daily TERT of 6 to 12 hours per day (p < 0.05). Pretreatment joint stiffness (p = 0.162) and joint type (p = 0.463) did not influence final TROM significantly. These findings help to provide some controlled data from which therapists may base future prescription (dose) of daily TERT.
机译：减少手部关节的被动活动范围（PROM）是上肢外伤的常见后遗症。尽管动手夹板是手动治疗师用来改善PROM的一种常见方式，但有限的经验证据可用于指导治疗师的处方。这项研究通过一项前瞻性顺序临床试验研究了每24小时应用夹板时间，每日总终止时间（TERT）的重要性。总共有43名上肢外伤后手部关节挛缩的受试者被随机分配到两个夹板程序之一。 A组受试者每天使用夹板少于6小时，B组受试者每天使用夹板6至12小时。受试者在夹板日记中记录每日TERT。运动的被动扭矩范围（TROM）用于测量夹板四周内挛缩的程度。对于该样本，建立了TROM技术的高度内部评价者，间质个体和重测信度（类内相关系数为0.993至0.998）。顺序分析显示，B组的每日TERT为每天6到12小时，具有统计学意义（p <0.05）。预处理关节的刚度（p = 0.162）和关节类型（p = 0.463）不会显着影响最终的TROM。这些发现有助于提供一些可控的数据，治疗师可根据这些数据制定每日TERT的未来处方（剂量）。

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