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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >The impact of flexor tendon rehabilitation restrictions on individuals' independence with daily activities: Implications for hand therapists
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The impact of flexor tendon rehabilitation restrictions on individuals' independence with daily activities: Implications for hand therapists

机译：屈肌腱康复限制对个人日常活动独立性的影响：对手治疗师的影响

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Study design: Descriptive, grounded theory. Purpose: This study identified activity limitations which individuals with flexor tendon lacerations experience post-repair and explored methods they used to support participation in life roles. The role of hand therapy during the period of restricted hand use is discussed. Methods: Standardized interviews with 19 individuals 6-12 months after flexor tendon repair (FTR) were recorded and thematic analysis was performed. Descriptive and nonparametric statistics were used to analyze quantitative data generated through these interviews. Results: Patients struggled to fulfill life roles during the period of restricted hand use following FTR. Most participants asked other individuals for assistance; however, 59% of the participants removed their injured fingers from the orthosis in order to use their hand to perform activities. All of the participants' hand therapists instructed them in orthotic wear and activity restrictions and most addressed pain management, but few addressed how to perform meaningful activities and participate in life roles during the period of restricted hand use. Participants who did receive these types of interventions perceived that they were very useful. Conclusions: During the phase of restricted hand use following FTR, it is important for hand therapists to address activity performance and participation in meaningful life roles, in addition to ensuring the integrity and function of the healing tendon. This can include instruction in one-handed methods, use of adaptive equipment, and exploration of accommodations needed at work. Level of Evidence: III.
机译：研究设计：描述性，扎实的理论。目的：本研究确定了屈肌腱撕裂伤患者在修复后会遇到的活动限制，并探讨了他们用来支持参与生活角色的方法。讨论了手部受限使用期间手部治疗的作用。方法：对19例屈肌腱修复（FTR）后的12个月进行标准化访谈，并进行主题分析。描述性和非参数统计被用来分析通过这些访谈产生的定量数据。结果：在FTR限制手部使用期间，患者难以发挥生活作用。大多数参与者要求其他人提供帮助;但是，有59％的参与者将受伤的手指从矫形器上移开，以便用他们的手进行活动。所有参与者的手部治疗师都指导他们进行矫正穿戴和活动限制，以及大多数针对疼痛的治疗方法，但很少有人提出如何在受限的手部使用期间进行有意义的活动并参与生活角色。确实接受过此类干预的参与者认为它们非常有用。结论：在FTR之后限制手部使用的阶段，对于手部治疗师来说，除了确保愈合肌腱的完整性和功能外，应对活动表现和参与有意义的生活角色也很重要。这可以包括单手指导，使用自适应设备以及探索工作中需要的住宿条件。证据级别：III。

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