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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >The effect of corrective splinting on flexion contracture of rheumatoid fingers.
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The effect of corrective splinting on flexion contracture of rheumatoid fingers.

机译：矫正夹板对类风湿手指屈伸挛缩的影响。

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摘要

This paper reports a matched-pair experimental study to investigate the effect of corrective splinting on flexion contracture of rheumatoid fingers. Twenty-four patients with rheumatoid arthritis and finger flexion contracture participated in the study. After a 6-week baseline measurement of hand function-including measurement of grip strength and range of motion and administration of the Jebsen Hand Function Test-the patients were randomly placed into two groups. Patients in the first group were given dynamic (Capener) splints, and those in the second group were given static (belly gutter) splints. Hand function was re-assessed 6 weeks after the splinting program. Results indicated significant improvement in both groups, not only in the correction of the finger flexion contracture (p < 0.0005) but also in grip strength (p = 0.001) and hand function (p < 0.0005). Patients with dynamic finger extension splints did not differ from those with static splints in extension gains, but they did have better flexion than patients with static splints. Both types of splints can be recommended for flexion contracture of rheumatoid fingers, depending on patients' preferences and comfort.
机译：本文报道了一项配对实验研究，以研究矫正夹板对类风湿手指屈伸挛缩的影响。 24名类风湿性关节炎和手指弯曲挛缩的患者参加了该研究。在进行了为期6周的手部功能基线测量（包括握力强度和运动范围的测量以及Jebsen手部功能测试的给药）后，将患者随机分为两组。第一组患者接受动态（Capener）夹板，第二组患者接受静态（腹部装订线）夹板。夹板程序后6周重新评估手功能。结果表明两组均显着改善，不仅在手指屈伸挛缩的矫正上（p <0.0005），而且在握力（p = 0.001）和手功能（p <0.0005）上都有显着改善。动态手指伸展夹板的患者与静态夹板的患者在伸张增益方面没有差异，但与静态夹板的患者相比，他们的屈曲确实更好。两种类型的夹板均可推荐用于类风湿手指的屈曲挛缩，具体取决于患者的喜好和舒适度。

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