CAJ | 학술논문

目的:探讨屈肌腱滑动训练联合物理疗法对手外伤功能障碍及其疼痛程度的影响.方法:选取笔者所在医院康复科手外伤致功能障碍患者92例,按照随机数字表法将其分为三组,全部患者均给与常规运动治疗和作业治疗等综合康复治疗,A组32例,68指,采用屈肌腱滑动训练联合物理疗法;B组30例,64指,采用屈肌腱滑动训练,C组30例,65指,采用物理疗法;组间比较治疗前和治疗结束后第一天患者手功能恢复和疼痛程度的差异以及临床疗效.结果:A组手肌张力改善总有效率明显高于B、C组,差异均有统计学意义(P<0.05);治疗前,3组患者侧捏力、握力、三点捏力、食拇指对捏力、手整体功能Casrroll值、总主活动度TAM值和生活自理能力Barthel指数比较差异均无统计学意义(P>0.05),治疗后全部患者上述指标均明显高于治疗前,治疗前后比较差异均有统计学意义(P<0.05),其中A组治疗后侧捏力、握力、三点捏力、食拇指对捏力、Casrroll值和Barthel指数明显高于B、C组,A、B组治疗后TAM值和TAM优良率明显高于C组,差异均有统计学意义(P<0.05);治疗前,3组患者手肿胀程度、疼痛评分比较差异均无统计学意义(P>0.05),治疗后A、C组患者手肿胀程度和疼痛评分均明显低于治疗前,差异均有统计学意义(P<0.05),且A、C组上述指标均明显低于B组,差异均有统计学意义(P<0.05).结论:屈肌腱滑动训练联合物理疗法显著改善手外伤功能障碍恢复和疼痛程度,提高生活自理能力,其中屈肌腱滑动训练以改善手关节活动度的功能为主,而物理疗法以降低手肿胀和疼痛程度的作用为主,两者联合治疗值得临床推广应用.
목적:탐토굴기건활동훈련연합물리요법대수외상공능장애급기동통정도적영향.방법:선취필자소재의원강복과수외상치공능장애환자92례,안조수궤수자표법장기분위삼조,전부환자균급여상규운동치료화작업치료등종합강복치료,A조32례,68지,채용굴기건활동훈련연합물리요법;B조30례,64지,채용굴기건활동훈련,C조30례,65지,채용물리요법;조간비교치료전화치료결속후제일천환자수공능회복화동통정도적차이이급림상료효.결과:A조수기장력개선총유효솔명현고우B、C조,차이균유통계학의의(P<0.05);치료전,3조환자측날력、악력、삼점날력、식무지대날력、수정체공능Casrroll치、총주활동도TAM치화생활자리능력Barthel지수비교차이균무통계학의의(P>0.05),치료후전부환자상술지표균명현고우치료전,치료전후비교차이균유통계학의의(P<0.05),기중A조치료후측날력、악력、삼점날력、식무지대날력、Casrroll치화Barthel지수명현고우B、C조,A、B조치료후TAM치화TAM우량솔명현고우C조,차이균유통계학의의(P<0.05);치료전,3조환자수종창정도、동통평분비교차이균무통계학의의(P>0.05),치료후A、C조환자수종창정도화동통평분균명현저우치료전,차이균유통계학의의(P<0.05),차A、C조상술지표균명현저우B조,차이균유통계학의의(P<0.05).결론:굴기건활동훈련연합물리요법현저개선수외상공능장애회복화동통정도,제고생활자리능력,기중굴기건활동훈련이개선수관절활동도적공능위주,이물리요법이강저수종창화동통정도적작용위주,량자연합치료치득림상추엄응용.
Objective:To study the flexor tendon gliding combined training of physical therapy trauma dysfunction and pain degree of influence. Method:Selection our hospital rehabilitation division cause dysfunction in patients with 92 cases of hand trauma,it could be divided into three groups at random, all patients were given routine exercise therapy and operation therapy such as comprehensive rehabilitation treatment,32 cases of group A,68,the flexor tendon gliding combined training of physical therapy;B group of 30 cases, 64 refers to,using the flexor tendon gliding training,30 cases of group C,65 refers to, used physical therapy;Comparison between groups of hand function recovery and pain degree of difference.Result:The total effective rate group A hand muscle tension to improve significantly higher than that of group B and C,the more similar between the two groups have statistical significance(P<0.05);Group before the treatment,patients between side pinch strength,grip strength,three food thumb to pinch strength,hand pinch strength and overall function Casrroll value,total TAM main mobility and life self-care ability Barthel index comparison difference had no statistical significance(P>0.05),all patients after treatment of the above indicators were significantly higher than that of before treatment,before and after treatment comparison difference had statistical significance (P<0.05),the side of group A pinch strength,grip strength,three food thumb to pinch pinch strength and force,and Barthel Casrroll value index significantly higher than that of group B,C,A,B group and TAM TAM value was significantly higher than that of group C,compare the differences between way had significance(P<0.05);Before the treatment,comparison of hand swelling degree,pain score group has no statistically significant difference(P>0.05),A and C group after treatment with hand degree of swelling and pain scores were significantly lower than before the treatment,before and after treatment compared with significant difference(P<0.05),and A,the above indicators were significantly lower than that of group B, group C way had the obvious difference(P<0.05).Conclusion:flexor tendon gliding training joint dysfunction recovery physical therapy significantly improve hand trauma and pain degree,improve the ability of independent living, the flexor tendon gliding training give priority to in order to improve the function of the hand of motion,and physical therapy to reduce swelling and pain is given priority to,the effect of the combination therapy is worthy of clinical application.