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手外伤后指关节僵硬的系统康复治疗 被引量:32

Systemic rehabilitation for stiffness of finger joints after hand injury
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摘要 目的 观察系统康复治疗对手外伤后指关节僵硬的临床疗效。方法 配合物理因子治疗 ,对2 1 3例外伤后指关节僵硬的手指先行牵引与手法治疗 ,后行ROM训练并结合矫形夹板与中药水浴治疗。结果 治疗后AROM优良率 82 .2 % ,有效率 97.7% ;PROM优良率 94.8% ,有效率 1 0 0 % ;手指综合功能从治疗前的 1 7%增至 56 %。结论 运动治疗的同时结合物理因子治疗与作业疗法能较好地改善手外伤后僵硬指关节的活动范围 。 Objective To investigate the clinical effect of systemic rehabilitation on stiffness of finger joints after hand injury. Methods A total of 213 stiff fingers were observed in patients with hand injury. All the patients were administered with therapeutic exercise, physical modalities and splinting. The improvement of the patients in terms of active range of motion (AROM) and passive range of motion (PROM) of their fingers was graded as excellent, good, adequate or poor according to the standard the authors set. Results With regard to their AROM and PROM, 82.2% and 94.8% of the patients got excellent improvement, 97.7% and 100% of the patients got excellent to adequate improvement, respectively. The finger function was increased from 17% to 56%. Conclusion Systemic rehabilitation can increase the AROM and PROM of stiff finger effectively and improve the patients' hand function.
出处 《中华物理医学与康复杂志》 CAS CSCD 北大核心 2003年第2期98-100,共3页 Chinese Journal of Physical Medicine and Rehabilitation
关键词 手外伤 关节僵硬 康复 Hand injury Stiffness of joint Rehabilitation
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参考文献1

  • 1克鲁逊 南登昆.克氏康复医学[M].长沙:湖南科学技术出版社,1990.197.

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