早期康复对骨关节损伤功能恢复的观察

Early rehabilitation on function restoration after Osteoarticular Traumata

目的：观察早期康复对上肢骨折后肢体功能恢复的影响。方法：上肢骨关节损伤患者６６例，分为康复组３５例，对照组３１例。在制动期，康复组即接受综合康复治疗（理疗、肌肉等长收缩训练、关节被动运动等），对照组不接受任何康复措施。运用上肢功能评定箱（ＳＨＥＦ）与日常生活活动能力（ＡＤＬ）进行功能评定。结果：康复组上肢各项综合功能评定积分明显高于对照组（Ｐ＜０．０１），两组差异有非常显著性。

Objective:To observe the effect of early rehabilitation on restoration of motion function after upper extremity fracture.Methods:66 patients who had suffered from the fracture in upper extremities were randomly divided into early rehabilitation group and control group,35 cases in the immobilized period were received comprehensive rehabilitation treatment,including physiotherapies,isometric muscular contraction training and articular passive exercise.Another 31 cases didn't received the rehabilitation treatment.The motion function of extremity was assessed by Japanese Kim's functional upper extremity evaluation method and ADL.Results:The evaluated score of early rehabilitation group was higher than that of control group obviously.There was a significant difference between two groups(P<0.01).Conclusion:It is indicated that the early rehabilitation plays an important role for promoting the restoration of motion function in extremities fracture.