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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Current practice in the diagnosis and treatment of carpal instability--results of a survey of Australian hand therapists.
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Current practice in the diagnosis and treatment of carpal instability--results of a survey of Australian hand therapists.

机译：腕骨不稳定性的诊断和治疗的当前实践-一项澳大利亚手部治疗师调查的结果。

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A postal survey of all 85 full Australian Hand Therapy Association (AHTA) members was carried out to determine the current practice of the diagnosis and treatment of carpal instability by AHTA members. There was an 87% return rate. On average therapists saw 3.8 patients/month with carpal instability. Time from onset of pain or injury was a median of eight weeks (inter-quartile range 0-26 weeks). Ulnar pain was reported in 39% of patients, central pain in 17%, radial pain in 13%, and combined in 34%. Mean pain intensity at rest was 3.5/10 (SD 2.8), and with aggravating activity was 7.7 (SD 2.2). Forty-seven percent of patients reported difficulties with grip-related activities. Mean grip strength was 67% of the contralateral side. The most commonly used tests used were scaphoid shift, lunotriquetral ballotment, triangular fibrocartilage complex, and midcarpal stress tests. The most used treatments were patient education (advice and activity modification), splinting the wrist, and isometric exercising ofthe wrist musculature.
机译：对所有85名澳大利亚手疗法协会（AHTA）正式会员进行了邮政调查，以确定AHTA会员诊断和治疗腕骨不稳的当前做法。回报率为87％。平均而言，治疗师每月有3.8名患者出现腕骨不稳。从疼痛或伤害发作开始的时间中位数为八周（四分位间距为0-26周）。据报告39％的患者尺骨疼痛，17％的中枢疼痛，13％的radial骨疼痛和34％的合并疼痛。静止时的平均疼痛强度为3.5 / 10（SD 2.8），而加重活动的平均疼痛强度为7.7（SD 2.2）。 47％的患者报告与握力相关的活动有困难。平均握力为对侧的67％。最常用的测试是舟骨移位，腰椎弓突，三角纤维软骨复合体和腕中应力测试。最常用的治疗方法是患者教育（咨询和活动修改），腕部夹板和腕部肌肉的等距锻炼。

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