首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >A retrospective analysis of the number of therapy visits after distal radius fractures using a new provider-scored clinical severity scale
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A retrospective analysis of the number of therapy visits after distal radius fractures using a new provider-scored clinical severity scale

机译:利用新的提供商评分临床严重尺度对远端半径骨折后疗法次数的回顾性分析

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Study DesignRetrospective study. IntroductionFractures of the distal radius are common as is a postfracture referral to occupational therapy (OT). This article examines factors that cause greater morbidity and a greater number of OT visits. Purpose of the StudyThis study aims to analyze which of 5 common sequelae of the distal radius fracture is most significant for increasing the number of therapy visits. MethodsThree-hundred Sixty charts were reviewed, and 89 were selected. Multiple regression was used to determine which of our 5 independent variables had the greatest predictive power for the total number of therapy visits. ResultsThe regression model demonstrated significance atP≤ .01. Total active motion (TAM) of the digits (P≤ .01) and TAM of the forearm (P≤ .01) were the only complications that demonstrated statistical significance and a positive relationship with the number of therapy visits. In addition to this, TAM of the forearm and digits showed a strong correlation with the number of therapy visits. TAM of the wrist, pain, and edema had a weak correlation. Patients with high total group score on the clinical severity scale also had a moderate correlation. DiscussionThe results of the study illustrate the importance of digital contractures on a patient's morbidity, function, and their need for OT visits. ConclusionThe information from this study is important for the clinician as it identifies patients at risk for increased morbidity and identifies the complications that the clinician may want to stress early in the rehabilitation of that patient. Level of Evidence3.
机译:研究DesignRetrospietive研究。远端半径的介绍常见是与职业治疗后的后术转诊(OT)。本文研究了引起更大发病率和更多的OT访问的因素。该研究的目的旨在分析远端半径骨折的5个常见后遗症最重要的是增加治疗次数。审查了方法达到了六十六十六十六个图表,选择了89条。使用多元回归来确定我们的5个独立变量中的哪一个具有最大的预测力,可以获得疗法总数。结果液回归模型证明了ATP≤01的意义。前臂(P≤.01)的总活动动作(TAM)和前臂(P≤.01)的TAM是唯一表现出统计显着性和与治疗次数的正面关系的并发症。除此之外,前臂和数字的TAM与治疗次数进行了强烈的相关性。 Tam的手腕,疼痛和水肿有薄弱的相关性。临床严重程度较高总群体分数的患者也具有中等的相关性。讨论该研究的结果阐述了数字挛缩对患者发病率,功能及其对OT访问的需求的重要性。结论本研究的信息对于临床医生很重要,因为它将患者识别出现患者的发病率增加,并确定临床医生可能希望在康复康复的恢复中强调的并发症。证据水平3。

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