静力递增型伸屈肘矫形器治疗创伤后肘关节僵硬的疗效观察

Therapeutic Effect of Static Progressive Stretch Elbow Extension and Flexion Orthosis in the Treatment of Post-traumatic Elbow Stiffness

目的:评价静力递增型伸屈肘矫形器对创伤后肘关节僵硬患者的治疗效果.方法:对40例创伤后肘关节僵硬患者随机分成观察组和对照组,观察组(n=20)在传统康复治疗的基础上,配合我院自行设计制作的静力递增型伸屈肘矫形器治疗;对照组(n=20)仅行传统康复治疗.2组均在治疗前和治疗后3个月采用肘关节伸屈活动度测量,以及使用Mayo肘关节功能评分(Mayo elbow performance score,MEPS)系统评价患肘关节总体功能.结果:治疗后,2组肘关节伸屈活动度较治疗前均明显提高(t>9.182,P<0.01),观察组优于对照组(P<0.01);治疗后,2组MEPS评分较治疗前均有明显提高(t>3.421,P<0.05),观察组优于对照组(P<0.01).结论:静力递增型伸屈肘矫形器对创伤后肘关节僵硬关节伸屈活动度及肘关节功能改善具有促进作用.

Objective:To evaluate the effect of static progressive stretch elbow extension and flexion orthosis in the treatment of post-traumatic elbow stiffness.Methods:40 patients with post-traumatic elbow stiffness were randomly divided into observation group and control group.The observation group(n=20)was treated with static progressive stretch elbow extension and flexion orthosis designed and manufactured by our hospital on the basis of traditional rehabilitation treatment,while the control group(n=20)was treated with traditional rehabilitation only.Patients elbow stiffness were assessed in extension and flexion range of motion and mayo elbow performance score before and 3 months after treatments.Results:The elbow extension and flexion range of motion were improved in two groups after treatment(t>9.182,P<0.01),and improved more in the observation group than in the control group(P<0.01).The mayo elbow per-formance score were improved in two groups after treatment(t>3.421,P<0.05),and improved more in the observation group than in the control group(P<0.01).Conclusion:Static progressive stretch elbow extension and flexion orthosis can promote the improvement of post-traumatic elbow siffness,extension and flexion rang of motion of the joint and elbow function.