Objectives: We evaluated whether a valgus knee brace and an insole with subtalar strapping could reduce pain and improve functional scores over 12 months in patients with medial knee osteoarthritis (OA). Methods: OA w...Objectives: We evaluated whether a valgus knee brace and an insole with subtalar strapping could reduce pain and improve functional scores over 12 months in patients with medial knee osteoarthritis (OA). Methods: OA was confirmed by radiography in all patients, who were divided into three groups: exercise (n = 44), insole (n = 55), and brace (n = 19). Clinical knee functions and gait analyses were evaluated. Results: After 12 months, the clinical results for all groups had improved compared to pretreatment findings. Although the knee varus moment decreased and the gait speed increased when the insole was worn initially, the effects of the insole decreased at 6 and 12 months. In contrast, the knee varus moment decreased and the gait speed increased when the brace was initially fitted. The effects of the brace were maintained during the 12 months. Conclusions: The insole was effective for patients with Kellgren-Lawrence Grades II and III, and the knee brace was effective for patients with Grades III and IV conditions. Furthermore, the knee brace was more effective when worn for more than 6 months, while the effects of the insoles were not continuous.展开更多
目的:评价手部功能支具调控下进行早期功能锻炼及骨洗2方熏洗对减轻屈肌腱粘连的临床疗效与安全性。方法:采用随机对照试验,确定了97例屈肌腱损伤术后患者。拟通过屈肌腱修复术后,49例应用手部功能支具调控下进行早期主、被动功能锻炼...目的:评价手部功能支具调控下进行早期功能锻炼及骨洗2方熏洗对减轻屈肌腱粘连的临床疗效与安全性。方法:采用随机对照试验,确定了97例屈肌腱损伤术后患者。拟通过屈肌腱修复术后,49例应用手部功能支具调控下进行早期主、被动功能锻炼及骨洗2方熏洗;另48例石膏托固定4周后进行功能锻炼及常规中药熏洗。治疗12周,4周为1个疗程。采用美国手外科学会推荐的TAM(Total Active Movement,TAM)系统评定方法,分别在第4周、8周及12周末评价两组的手功能TAM,并对两组数据进行比较。结果:4周末、8周末、12周末,实验组TAM改善均优于对照组。实验组优良率100%,对照组优良率81.82%。经Ridit检验,两组数据之间的差异有显著性(P<0.05)。结论:手部功能支具调控下进行早期功能锻炼及骨洗2方熏洗,安全系数大,能够显著减轻肌腱修复术后的粘连,改善患者手部的功能。展开更多
文摘Objectives: We evaluated whether a valgus knee brace and an insole with subtalar strapping could reduce pain and improve functional scores over 12 months in patients with medial knee osteoarthritis (OA). Methods: OA was confirmed by radiography in all patients, who were divided into three groups: exercise (n = 44), insole (n = 55), and brace (n = 19). Clinical knee functions and gait analyses were evaluated. Results: After 12 months, the clinical results for all groups had improved compared to pretreatment findings. Although the knee varus moment decreased and the gait speed increased when the insole was worn initially, the effects of the insole decreased at 6 and 12 months. In contrast, the knee varus moment decreased and the gait speed increased when the brace was initially fitted. The effects of the brace were maintained during the 12 months. Conclusions: The insole was effective for patients with Kellgren-Lawrence Grades II and III, and the knee brace was effective for patients with Grades III and IV conditions. Furthermore, the knee brace was more effective when worn for more than 6 months, while the effects of the insoles were not continuous.
文摘目的:评价手部功能支具调控下进行早期功能锻炼及骨洗2方熏洗对减轻屈肌腱粘连的临床疗效与安全性。方法:采用随机对照试验,确定了97例屈肌腱损伤术后患者。拟通过屈肌腱修复术后,49例应用手部功能支具调控下进行早期主、被动功能锻炼及骨洗2方熏洗;另48例石膏托固定4周后进行功能锻炼及常规中药熏洗。治疗12周,4周为1个疗程。采用美国手外科学会推荐的TAM(Total Active Movement,TAM)系统评定方法,分别在第4周、8周及12周末评价两组的手功能TAM,并对两组数据进行比较。结果:4周末、8周末、12周末,实验组TAM改善均优于对照组。实验组优良率100%,对照组优良率81.82%。经Ridit检验,两组数据之间的差异有显著性(P<0.05)。结论:手部功能支具调控下进行早期功能锻炼及骨洗2方熏洗,安全系数大,能够显著减轻肌腱修复术后的粘连,改善患者手部的功能。
