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首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Recovery, age, and gender effects on hand dexterity after a distal radius fracture. A 1-year prospective cohort study
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Recovery, age, and gender effects on hand dexterity after a distal radius fracture. A 1-year prospective cohort study

机译：远端半径骨折后，恢复，年龄和性别效果对手灵活性。 一个1年的前瞻性队列研究

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Study DesignA prospective cohort study. IntroductionPhysical factors that predict hand dexterity and the recovery of hand dexterity after a distal radius fracture (DRF) have not yet been examined. Purpose of the StudyThe first objective was to evaluate the recovery of hand dexterity comparing the injured and uninjured hands during the year after a DRF. The second objective was to determine the effect of age and sex on hand dexterity of the injured hand. MethodsHand dexterity was examined bilaterally for the manipulation of 3 different sized objects (small, medium, and large) using the NK hand dexterity test. The measurements took place at 3, 6, and 12 months after DRF. Generalized linear modeling was performed, with age and sex as covariates, to assess changes over time, and between sides. ResultsOverall, 242 patients with DRF (45 males and 197 females) with a mean age of 60.2 years with SD of 11.26, participated in the study. Statistical differences in hand dexterity were found between the injured and uninjured hands across all time intervals (P< .001). The effect size for the deficit between the injured and uninjured hands decreased across the time intervals and ranged from 0.19 to 0.38 for large objects, from 0.17 to 0.25 for medium objects, and from 0.11 to 0.32 for small objects. For each 1-year increase in age, hand dexterity scores were 0.3-0.4 seconds slower. Sex had much less effect, with annual increases of 0.1 seconds in hand dexterity scores. ConclusionsScores on the NK dexterity test improved between 3 and 6 months and then worsened between 6 and 12 months; at no point did dexterity equal the uninjured side. Greater attention to measuring and treating dexterity may be needed to provide a complete recovery after DRF. Scores will be affected by age and sex. Level of EvidencePrognosis, 2a.
机译：研究设计课程队列研究。在尚未检查远端半径骨折（DRF）之后预测手感和恢复手灵巧的引导介导的因素。该研究的目的是评估手持性的恢复比较DRF后一年中的受伤和未加注的双手比较。第二个目标是确定年龄和性别在伤害手的手中的效果。使用NK手搅拌测试，预先检查了双方进行3种不同尺寸的物体（小，中等和大）的方法。在DRF之后的3,6和12个月内进行测量。通过年龄和性别作为协变量进行广义的线性建模，以评估随着时间的推移和两侧之间的变化。结果，242名DRF（45名男性和197名女性）患者，平均年龄为60.2岁，SD为11.26，参加了该研究。在所有时间间隔的受伤和未加注的手之间发现了手动灵巧的统计差异（p <.001）。受伤和未采用的双手之间的缺陷的效果大小在时间间隔中减少，大物体的0.19至0.38，对于媒体对象为0.17至0.25，对于小物体为0.11至0.32。对于年龄增长的每1年增加，手弱分数为0.3-0.4秒较慢。性别效果少得多，手中的年增长率为0.1秒。结论NK灵活性测试中的血迹在3至6个月之间改善，然后在6到12个月之间恶化;在没有点的情况下，灵活性等于未加注的方面。可能需要更加注重测量和处理灵活性，以便在DRF之后提供完全恢复。分数将受年龄和性别影响。现状水平，2a。

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