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首页> 外文期刊>Osteoarthritis and cartilage >A prospective randomized comparison of neoprene vs thermoplast hand-based thumb spica splinting for trapeziometacarpal arthrosis
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A prospective randomized comparison of neoprene vs thermoplast hand-based thumb spica splinting for trapeziometacarpal arthrosis

机译：氯丁橡胶vs热塑性塑料手基拇指夹板对斜方肌掌关节的前瞻性随机比较

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Objective: In patients with trapeziometacarpal arthrosis, we tested the hypothesis that there is no difference in arm-specific disability 5-15 weeks after prescription of a pre-fabricated neoprene or a custom-made thermoplast hand-based thumb spica splint with the metacarpophalangeal joint included and the first interphalangeal joint free. Method: One hundred nineteen patients with a diagnosis of trapeziometacarpal arthrosis were prospectively randomized to wear either a neoprene or a thermoplast hand-based thumb spica splint. At enrollment, patients completed a set of validated questionnaires. An average of 9 weeks later, patients returned for a second visit. Bivariable analyses assessed factors associated with disability, pain and satisfaction. Analysis was by intention-to-treat. Results: Sixty-two patients (32 with a neoprene and 30 with a thermoplast splint) completed the study, 51 patients (43%) did not return for the second visit, and six did not complete the protocol for other reasons. Non-completers were significantly younger than completers (. P < 0.00044). On average completers rated the neoprene splint as more comfortable (. P = 0.048), but there were no detectable differences in Disabilities of the Arm, Shoulder and Hand (DASH), change in DASH, pain, satisfaction, pinch or grip strength between the two splint types in our sample. Conclusion: When compared to custom-made thermoplast splints, pre-fabricated neoprene hand-based thumb spica splints are, on average, more comfortable, less expensive, and as effective in treating trapeziometacarpal arthrosis.This trial was registered at Clinicaltrials.gov (. NCT00438763).
机译：目的：在患有梯形腕掌关节病的患者中，我们测试了以下假设：在处方预制氯丁橡胶或定制的热塑性塑料手掌拇指夹板和掌指关节后5-15周，手臂特异性残疾没有差异包括在内，第一指间关节游离。方法：前瞻性地将119名诊断为足跟掌关节病的患者随机分为氯丁橡胶或手掌热塑性拇指夹板。入组时，患者填写了一组经过验证的问卷。平均9周后，患者再次就诊。双变量分析评估了与残疾，疼痛和满意度相关的因素。分析是按意向性进行的。结果：62位患者（32位氯丁橡胶和30位热塑性塑料夹板）完成了研究，51位患者（43％）没有第二次就诊，并且有6位因其他原因未完成方案。未完成者的年龄明显小于未完成者（。P <0.00044）。平均而言，完成者认为氯丁橡胶夹板更舒适（。P = 0.048），但手臂，肩部和手部的残障（DASH），DASH的变化，疼痛，满意度，捏捏或握力之间没有可检测到的差异。样本中有两种夹板类型。结论：与定制的热塑性塑料夹板相比，预制的氯丁橡胶手基拇指夹板平均更舒适，更便宜，并且在治疗角掌指关节方面有效。该试验已在Clinicaltrials.gov（。 NCT00438763）。

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