首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Splinting and radial nerve palsy: a single-subject experiment.
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Splinting and radial nerve palsy: a single-subject experiment.

机译:夹板和radial神经麻痹:单项实验。

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摘要

This study examines which of three splint designs most effectively improved hand function in a patient with radial nerve palsy, and demonstrates the application of a single-subject experimental design. The static volar wrist cock-up splint (splint 1), dynamic tenodesis suspension splint (splint 2), and dorsal wrist cock-up with dynamic finger extension splint (splint 3) were evaluated. Each splint was worn for 3 weeks, and hand function was assessed by means of standardized measures of function and disability. Statistical significance was calculated using the minimal level of detectable change (MDC) at the 95% confidence level. Only with splints 2 and 3 did a true change in function occur, compared with baseline scores (no splint). In addition, the patient completed all tasks while using splints 2 and 3 but did not complete three tasks while using splint 1. The hand therapists' goal is to fabricate a splint that improves function and that the patient will wear. Only splint 3 met these criteria. This experiment highlights the need to evaluate both the statistical and the clinical significance of treatment interventions.
机译:这项研究检查了三种夹板设计中哪一种能最有效地改善radial神经麻痹患者的手功能,并证明了单受试者实验设计的应用。评估了静态手腕腕向上固定夹板(夹板1),动态腱固定悬吊夹板(夹板2)和带有动态手指延伸夹板的背侧腕固定板(夹板3)。每个夹板都佩戴了3周,并通过功能和残疾的标准化措施评估了手的功能。使用在95%置信水平下的最小可检测变化(MDC)计算统计显着性。与基线评分相比,只有夹板2和3才发生功能上的真正变化(无夹板)。另外,患者在使用夹板2和3时完成了所有任务,但在使用夹板1时未完成三个任务。护理师的目标是制造能够改善功能并可以穿戴的夹板。仅夹板3满足这些条件。该实验强调需要评估治疗干预措施的统计和临床意义。

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