基于游戏模式的肘关节功能锻炼对学龄期肱骨髁上骨折术后患儿疼痛程度及肘关节功能的影响

Effect of elbow joint functional exercise based on game mode on pain degree and elbow joint function in school-aged children with supracondylar fracture of humerus

目的探究基于游戏模式的肘关节功能锻炼对学龄期肱骨髁上骨折术后患儿疼痛程度及肘关节功能的影响。方法选取我科2017年7月至2019年7月收治的学龄期肱骨髁上骨折术后患儿97例为研究对象,随机分为对照组48例和观察组49例。对照组给予屈肘摆动康复训练,观察组给予基于游戏模式的肘关节功能锻炼,对比疗效。结果训练1周末、1个月末后观察组VAS评分低于对照组,骨折愈合时间低于对照组,关节功能优良率、关节活动范围评分、肘关节旋前、旋后度数高于对照组,差异有统计学意义(P<0.05)。结论基于游戏模式的肘关节功能锻炼对学龄期肱骨髁上骨折术后患儿训练,可有效提高肘关节活动度,降低疼痛程度,提升肘关节优良率。

Objective To explore the effect of elbow joint functional exercise based on game mode on the pain degree and elbow joint function of school-aged children with supracondylar fracture of the humerus.Methods A total of 97 school-age children with supracondylar fracture of the humerus in our department were divided into groups by random number table method.Forty-eight patients in the control group were given elbow flexion and swing rehabilitation training,and 49 patients in the observation group were given elbow joint functional exercise based on game mode;the effects were compared.Results The VAS score of the observation group was lower than that of the control group after 1 week and one month of training.The fracture healing time was lower than that of the control group.The rate of good joint function,score in joint range of motion,and degree of elbow joint pronation and supination were higher than the control group.The differences were statistically significant(P<0.05).Conclusion The elbow joint functional exercise based on game mode can effectively improve the range of motion of the elbow joint,reduce the pain degree,and increase the rate of good elbow joint function in school-age children with supracondylar humeral fractures.