静态进展型指间关节伸展支具与动力型伸指支具的比较研究

Comparative study of static progressive and flexing splinting to the interphalangeal joint and dynamic stretch splinting

目的通过研究静态进展性指间关节伸展支具与动力型伸指支具比较在改善指间关节屈曲挛缩方面的优劣性。方法 82例指间关节挛缩的患者随机分为试验组和对照组,试验组41例,41个关节,对照组41例,41个关节,两组均行常规系统康复治疗并分别佩戴静态进展型指间关节伸展支具、动力型伸指支具。在治疗前、治疗4周、8周后采用被动关节活动范围、疼痛和综合伸指功能简易评定,并进行统计学分析。结果治疗后两组患者的被动关节活动范围和综合伸指功能均有改善(P<0.05),试验组优于对照组(P<0.05),在疼痛方面,试验组轻于对照组,差异有统计学意义(P<0.01)。结论静态进展型指间关节伸展支具较动力型伸指支具在改善指间关节屈曲挛缩方面更有优势,包括耗材少、更有疗效和较少并发症三方面。

Objective To compare the advantages and disadvantages on the range of the interphalangeal joint improvement by the research between static progressive and flexing splinting to the interphalangeal joint and dynamic stretch splinting.Methods Eighty-two patients with interphalangeal joints contracture were divided randomly into experimental group and control group.The experimental group include 41 joint of 41 patients,the control group include 41 joint of 41 patients.Both groups were given routine rehabilitation treatment systemly and wearing static progressive and flexing splinting to the interphalangeal joint and dynamic stretch splinting respectively.After the treatment,4 weeks and 8 weeks after treatment,passive range of motion,pain and comprehensive extension function were evaluated and analyzed statistically.Results After treatment,the passive range of motion and the extension function of the two groups were improved(P<0.05),and the experimental group was better than the control group(P<0.05).In terms of pain,the experimental group was lighter than that of control group,and the difference was statistically significant(P<0.01).Conclusion The static progressive and flexing splinting to the interphalangeal joint have more advantages than the dynamic stretch splinting,including more curative effect,less consumables and complications.