Colles骨折后腕部功能障碍的关节松动综合治疗

Rehabilitation for Restricted Wrist Joint Movement after Colles Fractures

目的:介绍Colles骨折后腕部功能障碍的康复治疗方法及其疗效,说明康复介入的重要性。方法:以腕关节松动术为主,配合蜡疗、体疗及作业疗法。结果:治疗前后分别用量角器测量腕关节的活动范围。经过康复介入,腕关节的掌屈/背伸,桡偏/尺偏,旋前/旋后的活动范围,分别由治疗前的27.54/30.59度.5.50/9.25度,34.56/39.00度增加到治疗后的56.10/60.00度,18.75/41.75度和71.56/71.22度。治疗前后的活动范围统计学的t检验,统计显著水平P<0.01,有非常显著性意义。结论:康复治疗对于腕关节功能障碍的恢复具有重要作用,康复应尽早介入。

Objective: The comprehensive rehabilitation methods of restricted wrist range of motion(ROM) patients after Colles fracture were introduced with emphasis on its curative effect. Methods: Joint mobilizing techniques was taken in combination with wax therapy, physical therapy and occupational therapy. Wrist joint ROM was measured by using gonimeter pre and post treatment. Results: A satisfactory result was achieved through treatment; wrist joint ROM of flexion/extension, radial/ulnar deviation, pronation/supination increased from 27.54/30.59°, 5.50/9.25°, 34.56/39.00° to 56.10/60.00°, 18.75/41.75°, 71.56/71.22°, respectively. The results confirmed that mobilizing techniques were very effective for joint dysfunction. Conclusion: Rehabilitation intervention is essential to the recovery of wrist function post - trauma and should be applied as early as possible.