作业治疗在腕管综合征中的应用

Occupational Therapy for Carpal Tunnel Syndrome(review)

作业治疗是腕管综合征保护性和矫正性的非手术措施,通过物理检查、感觉检查、功能性使用等方面的评估,制定作业治疗的目标与方案。作业治疗师指导患者进行神经肌腱滑动训练,帮助患者制作或选择支具,调整任务,减轻可能造成患者病情加重的活动,合理利用代偿姿势,调整设备及环境,改造生活及工作中的工具;对患者进行宣教,包括腕管综合征的病理生理、治疗内容(保守治疗和手术)、姿势和活动性原则等信息,也可将其制成小册子,鼓励患者在家里复习。

Occupational therapy provides protective and corrective non-surgical measures for carpal tunnel syndrome. The information gained from the assessment process can help the occupational therapists determine the targets and treatment options, including the nerve-gliding exercises, tendon-gliding exercises, production or select splints, modification of tasks resulting in patients with exacerbations, modification of equipment and environment, transformation of daily necessities. The education would cover the pathophysiology of carpal tunnel syndrome, treatment options （conservative management and surgery）, posture and activity modification principles. This information can also be provided in the form of an education booklet which participants will be encouraged to review at home.