發(fā)布時(shí)間：2018-03-03 08:54

  本文選題：橈遠(yuǎn)骨折　切入點(diǎn)：腕手功能障礙　出處：《成都體育學(xué)院》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:研究傳統(tǒng)關(guān)節(jié)松解術(shù)結(jié)合作業(yè)治療是否對(duì)橈骨遠(yuǎn)端骨折患者腕手功能障礙康復(fù)更有效。方法:本研究收集62例四川省骨科醫(yī)院康復(fù)科住院女性患者,將患者分為兩組,其中治療組(傳統(tǒng)關(guān)節(jié)粘連松解術(shù)結(jié)合腕手徒手訓(xùn)練)31例,試驗(yàn)組(傳統(tǒng)關(guān)節(jié)粘連松解術(shù)結(jié)合腕手部作業(yè)治療)31例。兩組基線資料(年齡,病程,部位)基本一致,治療前無(wú)差異。兩組分別于治療前,治療兩周后,治療四周后測(cè)量指標(biāo)。包括關(guān)節(jié)活動(dòng)度、握力、腕手關(guān)節(jié)功能評(píng)分、Barthel指數(shù)評(píng)分、VAS評(píng)分。對(duì)搜集的指標(biāo)進(jìn)行觀察分析。結(jié)果:1、治療兩周后,兩組腕關(guān)節(jié)活動(dòng)度無(wú)顯著差異(p0.05),試驗(yàn)組指間關(guān)節(jié)活動(dòng)度優(yōu)于治療組(p0.05);治療四周后,兩組腕關(guān)節(jié)活動(dòng)度無(wú)顯著差異(p0.05),試驗(yàn)組指間關(guān)節(jié)活動(dòng)度改善優(yōu)于治療組(p0.05)。各組治療前后均有顯著差異。2、治療兩周后,兩組握力無(wú)顯著差異(p0.05);治療四周后,治療組握力優(yōu)于試驗(yàn)組握力(p0.05)。各組治療前后均有顯著差異。3、治療兩周后,兩組腕手關(guān)節(jié)功能評(píng)分無(wú)顯著差異(p0.05);治療四周后,試驗(yàn)組腕關(guān)節(jié)功能評(píng)分優(yōu)于治療組(p0.05)。各組治療前后均有顯著性差異。4、治療兩周后,試驗(yàn)組VAS評(píng)分小于治療組VAS評(píng)分(p0.05);治療四周后,兩組VAS評(píng)分無(wú)顯著差異(p0.05)。各組治療前后均有顯著差異。5、治療兩周與治療四周時(shí),兩組Barthel指數(shù)評(píng)分無(wú)顯著差異(p0.05)。各組治療前后均有顯著差異。結(jié)論:1、傳統(tǒng)關(guān)節(jié)粘連松解術(shù)結(jié)合作業(yè)治療在改善精細(xì)活動(dòng)度和增加腕手靈活性方面,優(yōu)于傳統(tǒng)關(guān)節(jié)粘連松解術(shù)結(jié)合腕手徒手功能訓(xùn)練。2、傳統(tǒng)關(guān)節(jié)粘連松解術(shù)結(jié)合徒手功能訓(xùn)練對(duì)于腕手肌力的恢復(fù),優(yōu)于傳統(tǒng)關(guān)節(jié)粘連松解術(shù)結(jié)合作業(yè)治療。3、傳統(tǒng)關(guān)節(jié)粘連松解術(shù)結(jié)合作業(yè)治療與傳統(tǒng)關(guān)節(jié)粘連松解術(shù)結(jié)合腕手徒手功能訓(xùn)練對(duì)于改善腕關(guān)節(jié)活動(dòng)度的作用一致。對(duì)于橈骨遠(yuǎn)端骨折導(dǎo)致的腕手功能障礙都有確切治療效果。
[Abstract]:Objective: to study whether traditional arthrolysis combined with occupational therapy is more effective for rehabilitation of wrist and hand dysfunction in patients with distal radius fracture. Methods: 62 female patients in rehabilitation department of Sichuan Orthopaedic Hospital were collected and divided into two groups. Among them, 31 cases were treated in the treatment group (traditional joint adhesion release combined with free hand training) and 31 cases in the experimental group (traditional joint adhesion release combined with wrist operation). The baseline data (age, course of disease, site) of the two groups were basically the same. There was no difference between the two groups before treatment, two weeks after treatment, and four weeks after treatment. The functional score of wrist and hand joint and the score of Barthel index and VAS were observed and analyzed. Results: after two weeks of treatment, there was no significant difference in the motion of wrist joint between the two groups (p 0.05), and the activity of interphalangeal joint in the test group was better than that in the treatment group (P 0.05), and after four weeks of treatment, the movement of interphalangeal joint in the experimental group was better than that in the treatment group. There was no significant difference in wrist motion between the two groups (p 0.05). The improvement of interphalangeal motion in the experimental group was better than that in the treatment group. There was significant difference between the two groups before and after treatment. After two weeks of treatment, there was no significant difference in grip strength between the two groups, and after four weeks of treatment, there was no significant difference in grip strength between the two groups. The grip strength of the treatment group was better than that of the experimental group. There was significant difference before and after treatment. After two weeks of treatment, there was no significant difference in the score of wrist and hand joint function between the two groups, and after four weeks of treatment, there was no significant difference between the two groups in the score of wrist and hand joint function. The wrist function score in the experimental group was better than that in the treatment group (P 0.05). There was significant difference between the two groups before and after treatment. After two weeks of treatment, the VAS score in the test group was smaller than that in the treatment group (P 0.05), and after four weeks of treatment, the score of VAS in the experimental group was lower than that in the treatment group. There was no significant difference in VAS score between the two groups (p0.05). There was significant difference between the two groups before and after treatment. There was no significant difference in Barthel index score between the two groups (p 0.05). There were significant differences between the two groups before and after treatment. Conclusion: the traditional joint adhesion release combined with occupational therapy can improve the precision of motion and increase the flexibility of wrist and hand. It is superior to the traditional joint adhesion release combined with the wrist hand function training. 2. The traditional joint adhesion release combined with the free hand function training can restore the muscle strength of the wrist and hand. It is better than traditional joint adhesion release combined with occupational therapy. The effect of traditional joint adhesion release combined with traditional joint adhesion release combined with carpal hand free hand function training on improving wrist motion is the same as that of traditional joint adhesion release combined with occupational therapy. All of the wrist and hand dysfunction caused by distal radius fracture have definite therapeutic effect.
【學(xué)位授予單位】：成都體育學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R683

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