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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Effects of a dynamic stability approach in conservative intervention of the carpometacarpal joint of the thumb: A retrospective study
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Effects of a dynamic stability approach in conservative intervention of the carpometacarpal joint of the thumb: A retrospective study

机译：动态稳定性方法在拇指腕掌关节保守性干预中的作用：一项回顾性研究

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Study design: Retrospective cohort. Introduction: Conservative intervention of carpometacarpal joint (CMC) thumb pain, caused by osteoarthritis and ligament laxity, is frequently seen in hand therapy. Traditional intervention for pain and disability reduction includes orthoses, exercises, and joint protection education. The literature on conservative management is unclear which design or program of exercises create an effective result. Results of a conservative dynamic stability interventional model for thumb pain are presented as a design which positively effects pain and disability. Purpose of the study: The purposes were to primarily investigate change in pain and disability in persons with CMC pain in a dynamic stability modeled approach to intervention, and secondarily, to assess the average number of visits and the duration of total visits in this model. Methods: A retrospective chart review was completed on 35 charts of those seen at a multicenter hand therapy clinic. The pain and disability scores from the QuickDASH were used as outcome measures. Results: The average group pain and disability scores improved by 17.9% (p < .01) and 19.3% (p < .01) respectively, with average individual disability improvement of 15.7%, which is greater than the accepted MCID. The average patient visits were 2.37 over an average range of 44.5 days. The group demographics match current literature: 31 females to 4 males, with average age of 58 years (range of 30-82 years). Conclusion: Significant reduction in pain and disability is noted with a conservative dynamic stability modeled approach to intervention, with information on average visits and duration in this model of care for individuals with thumb pain at the CMC joint. Level of evidence: 4.
机译：研究设计：回顾性队列。简介：在手部疗法中，保守治疗由骨关节炎和韧带松弛引起的腕掌关节（CMC）拇指疼痛。减轻疼痛和残疾的传统干预措施包括矫形，锻炼和联合保护教育。关于保守管理的文献尚不清楚，哪种锻炼的设计或程序能产生有效的结果。拇指疼痛的保守动态稳定性干预模型的结果作为一种可以积极影响疼痛和残疾的设计提出。研究的目的：目的是主要通过动态稳定性建模的干预方法来调查CMC疼痛患者的疼痛和残疾变化，其次是评估该模型中的平均就诊次数和总就诊时间。方法：回顾性图表审查完成了在多中心手部治疗诊所所见的35张图表。 QuickDASH的疼痛和残疾评分被用作结果指标。结果：组的平均疼痛和残疾评分分别提高了17.9％（p <.01）和19.3％（p <.01），个人平均残疾水平提高了15.7％，高于公认的MCID。在44.5天的平均范围内，平均患者就诊次数为2.37次。人群统计资料与当前文献相符：31名女性到4名男性，平均年龄为58岁（范围为30-82岁）。结论：采用保守的动态稳定性模型化干预方法可显着减轻疼痛和残疾，并提供该CCM关节拇指疼痛患者的平均就诊次数和持续时间信息。证据级别：4。

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