BACKGROUND Hands are one of the most common burn sites in children.Hypertrophic scar contractures in hands after wound healing result in further reductions in their range of motion(ROM),motility,and fine motor activit...BACKGROUND Hands are one of the most common burn sites in children.Hypertrophic scar contractures in hands after wound healing result in further reductions in their range of motion(ROM),motility,and fine motor activities.Rehabilitation can improve the function of hands.But the optimal time of rehabilitation intervention is still unclear.Therefore,this study was designed to investigate the effects of early rehabilitation management of paediatric burnt hands and to compare the efficacy between early and later rehabilitation intervention.AIM To investigate the effects of early rehabilitation management of paediatric burnt hands.METHODS A total of 52 children with burnt hands were allocated into the early intervention group(≤1 mo from onset)and a late intervention group(>1 mo from onset)between January 2016 and December 2017.The children received the same rehabilitation programme including skin care,scar massage,passive ROM exercises,active ROM exercises,compression therapy,orthotic devices wearing and game or music therapy.Rehabilitation assessments were performed before and after the rehabilitation treatment.RESULTS In the early intervention group,the ROM of the hands was significantly improved after rehabilitation(P=0.001).But in the late group the effect was not significant statistically(P=0.142).In the early group,38.5%of the patients showed significant improvement,while in the late group,69.2%of the patients showed no significant improvement.The time from onset to posttraumatic rehabilitation(P=0.0007)and length of hospital stay(P=0.003)were negatively correlated with the hand function improvement.The length of rehabilitation stay was positively correlated with the hand function improvement(P=0.005).CONCLUSION These findings suggest that early rehabilitation might show better results in terms of ROM.展开更多
目的:研究全膝关节置换术结合康复功能训练对单侧膝内翻合并屈曲畸形患者的修复效果。方法:选取笔者医院于2017年10月-2018年10月收治的60例单侧膝内翻合并屈曲畸形患者进行研究,按照随机数字表法,随机分为实验组和对照组,每组30例。对...目的:研究全膝关节置换术结合康复功能训练对单侧膝内翻合并屈曲畸形患者的修复效果。方法:选取笔者医院于2017年10月-2018年10月收治的60例单侧膝内翻合并屈曲畸形患者进行研究,按照随机数字表法,随机分为实验组和对照组,每组30例。对照组应用常规手术治疗及护理,实验组则应用全膝关节置换术结合康复功能训练。观察并比较两组患者临床治疗效果、美国特种外科医院膝关节评分(Hospital for special surgery knee score,HSS)情况、膝关节功能恢复情况、患者满意度以及并发症发生情况。结果:治疗后,实验组优良率达到83.33%高于对照组的60.00%,差异有统计学意义(P<0.05)。术后1个月、3个月、6个月,两组患者膝关节HSS评分较出院时均明显升高,且实验组升高水平较对照组更为明显(P<0.05)。两组患者屈曲挛缩度、膝关节股胫角以及膝关节屈伸活动度均较治疗前有明显改善,且实验组较对照组改善更为显著(P<0.05)。实验组患者总满意度达90.00%高于对照组的63.33%,差异有统计学意义(P<0.05)。两组患者均发生腓总神经麻痹、深部感染等并发症,实验组并发症发生率为6.67%显著低于对照组的26.67%,差异有统计学意义(P<0.05)。结论:全膝关节置换术结合康复功能训练治疗单侧膝内翻合并屈曲畸形临床疗效和修复效果均显著,患者术后膝关节HSS评分、屈曲挛缩度、膝关节股胫角、膝关节屈伸活动度均显著改善,可有效提高患者满意度且并发症较少,值得在临床推广。展开更多
基金by the State Key Laboratory of Trauma,Burn and Combined Injury,No.SKL11201802Chongqing Basic Research and Frontier Exploration Project,No.cstc2017jcyjAX0242.
文摘BACKGROUND Hands are one of the most common burn sites in children.Hypertrophic scar contractures in hands after wound healing result in further reductions in their range of motion(ROM),motility,and fine motor activities.Rehabilitation can improve the function of hands.But the optimal time of rehabilitation intervention is still unclear.Therefore,this study was designed to investigate the effects of early rehabilitation management of paediatric burnt hands and to compare the efficacy between early and later rehabilitation intervention.AIM To investigate the effects of early rehabilitation management of paediatric burnt hands.METHODS A total of 52 children with burnt hands were allocated into the early intervention group(≤1 mo from onset)and a late intervention group(>1 mo from onset)between January 2016 and December 2017.The children received the same rehabilitation programme including skin care,scar massage,passive ROM exercises,active ROM exercises,compression therapy,orthotic devices wearing and game or music therapy.Rehabilitation assessments were performed before and after the rehabilitation treatment.RESULTS In the early intervention group,the ROM of the hands was significantly improved after rehabilitation(P=0.001).But in the late group the effect was not significant statistically(P=0.142).In the early group,38.5%of the patients showed significant improvement,while in the late group,69.2%of the patients showed no significant improvement.The time from onset to posttraumatic rehabilitation(P=0.0007)and length of hospital stay(P=0.003)were negatively correlated with the hand function improvement.The length of rehabilitation stay was positively correlated with the hand function improvement(P=0.005).CONCLUSION These findings suggest that early rehabilitation might show better results in terms of ROM.
文摘目的:研究全膝关节置换术结合康复功能训练对单侧膝内翻合并屈曲畸形患者的修复效果。方法:选取笔者医院于2017年10月-2018年10月收治的60例单侧膝内翻合并屈曲畸形患者进行研究,按照随机数字表法,随机分为实验组和对照组,每组30例。对照组应用常规手术治疗及护理,实验组则应用全膝关节置换术结合康复功能训练。观察并比较两组患者临床治疗效果、美国特种外科医院膝关节评分(Hospital for special surgery knee score,HSS)情况、膝关节功能恢复情况、患者满意度以及并发症发生情况。结果:治疗后,实验组优良率达到83.33%高于对照组的60.00%,差异有统计学意义(P<0.05)。术后1个月、3个月、6个月,两组患者膝关节HSS评分较出院时均明显升高,且实验组升高水平较对照组更为明显(P<0.05)。两组患者屈曲挛缩度、膝关节股胫角以及膝关节屈伸活动度均较治疗前有明显改善,且实验组较对照组改善更为显著(P<0.05)。实验组患者总满意度达90.00%高于对照组的63.33%,差异有统计学意义(P<0.05)。两组患者均发生腓总神经麻痹、深部感染等并发症,实验组并发症发生率为6.67%显著低于对照组的26.67%,差异有统计学意义(P<0.05)。结论:全膝关节置换术结合康复功能训练治疗单侧膝内翻合并屈曲畸形临床疗效和修复效果均显著,患者术后膝关节HSS评分、屈曲挛缩度、膝关节股胫角、膝关节屈伸活动度均显著改善,可有效提高患者满意度且并发症较少,值得在临床推广。
