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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Splinting the degenerative basal joint: Custom-made or prefabricated neoprene?
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Splinting the degenerative basal joint: Custom-made or prefabricated neoprene?

机译：夹住退化性基底关节：定制或预制的氯丁橡胶？

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Abstract The purpose of this study was to compare the objective, subjective, and radiographic responses of patients with carpometacarpal joint osteoarthritis (CMCJ-OA) wearing a prefabricated neoprene splint (PFN), which crosses the CMCJ and metacarpophalangeal joint, with those of patients wearing a custom-made thermoplastic short opponens splint (CMT), which crosses only the CMCJ. Patients ( N = 25) with first CMCJ stage I and II osteoarthritis were assigned randomly to wear either the PFN splint or the CMT splint for one week. After one week, the subjects rated their function in the splint and their satisfaction and pain levels on visual analogue scales. Pinch measurements were performed and x-rays were taken to assess carpometacarpal subluxation. The second splint was then applied for one week and all measures were repeated. The subjects rated the PFN splint significantly higher, and most reported that they would choose the PFN splint over the CMT splint for daily and long-term use. Both pain and function were improved with splinting, but the effect was amplified with the PFN splint compared with the CMT splint. Both splints reduced subluxation at the first carpometacarpal joint, but the CMT effect was greater. This study further supports current evidence that subjects with stage I and II first CMCJ-OA will have pain relief with thumb splinting. In addition, the PFN splint will provide greater relief when compared with the CMT splint. Furthermore, this study reveals that patients prefer the PFN splint to the CMT splint.
机译：摘要这项研究的目的是比较穿用预制氯丁二烯夹板（PFN）的腕掌关节骨关节炎（CMCJ-OA）患者（横跨CMCJ和掌指关节）与患者的客观，主观和影像学反应。定制的热塑性短opponens夹板（CMT），仅横穿CMCJ。患有I型和II级CMCJ第一期骨关节炎的患者（N = 25）被随机分配为穿PFN夹板或CMT夹板一周。一周后，受试者以视觉模拟量表对夹板的功能，满意度和疼痛程度进行评分。进行捏测量并用X射线评估腕掌半脱位。然后将第二夹板应用一周，并重复所有措施。受试者对PFN夹板的评分明显更高，并且大多数人报告说，他们在日常和长期使用中会选择PFN夹板而不是CMT夹板。夹板可改善疼痛和功能，但与CMT夹板相比，PFN夹板可增强效果。两个夹板都减少了第一个腕掌关节的半脱位，但是CMT效果更大。这项研究进一步支持了目前的证据，即第一和第二阶段为CMCJ-OA的受试者将通过拇指夹板缓解疼痛。此外，与CMT夹板相比，PFN夹板将提供更大的释放。此外，这项研究表明，患者更喜欢PFN夹板而不是CMT夹板。

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