首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture.
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Changes in impairment and function after static progressive splinting for stiffness after distal radius fracture.

机译:静态渐进夹板static骨远端骨折后僵硬后损伤和功能的变化。

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摘要

The purpose of this study was to describe changes in range of motion, grip strength, and function in subjects treated with static progressive splinting for stiffness after distal radius fracture. A retrospective review was conducted on 25 patients; outcomes reviewed included wrist/forearm motion, grip strength and Disability of the Arm, Shoulder, and Hand (DASH) scores. The Wilcoxon-Signed Rank test was used to assess differences between pre-/postsplinting outcome measurements. Spearman correlation coefficients were calculated for the DASH scores with each of the other measurements. Wrist extension and flexion improved 18.6 (p<0.0001) and 11.4 degrees (p<0.0001), respectively. Forearm pronation and supination improved 20.0 (p<0.0001) and 14.5 degrees (p<0.0001), respectively. Grip strength improved 24.5 pounds (p=0.0012). The median DASH score improved from 43 to 19 (p>0.0001). DASH scores demonstrated a significant negative correlation with wrist extension (r=-0.50, p=0.011) and forearm supination (r=-0.47, p=0.02). Increased wrist extension and supination correlated with better functional outcome as reflected by the DASH scores.
机译:这项研究的目的是描述在static骨远端骨折后接受静态渐进夹板治疗僵硬的受试者的运动范围,握力和功能的变化。回顾性回顾了25例患者。评估的结果包括腕/前臂运动,握力和手臂,肩部和手部(DASH)得分。 Wilcoxon签名秩检验用于评估夹板前/夹板后结果测量之间的差异。使用其他测量中的每一个,计算DASH得分的Spearman相关系数。腕部伸展和弯曲分别改善了18.6度(p <0.0001)和11.4度(p <0.0001)。前臂旋前和旋后分别改善20.0度(p <0.0001)和14.5度(p <0.0001)。握力提高了24.5磅(p = 0.0012)。 DASH评分中位数从43提高到19(p> 0.0001)。 DASH评分显示与腕部伸展(r = -0.50,p = 0.011)和前臂旋后(r = -0.47,p = 0.02)呈显着负相关。 DASH评分反映出增加的腕部伸展和仰卧与更好的功能结果相关。

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