JAS支具配合CPM机治疗创伤后肘关节早期僵硬的临床疗效研究

【摘要】 目的 探讨创伤骨折后肘关节早期僵硬在使用了JAS支具配合CPM机治疗的临床疗效及应用价值。方法 采用随机、对照研究的方法,将60例符合条件的肘关节僵硬的患者分为治疗组和对照组。治疗组患者使用肘关节JAS支具及CPM机进行关节松解。对照组以治疗师的手法治疗及CPM机进行关节松解。结果 60例患者治疗后第1周肘关节的被动活动范围增加情况差异有统计学意义(P=0.035),第2周差异无统计学意义(P=0.217),第3周观察肘关节的被动活动范围增加差异有统计学意义(P=0.001)。治疗开始1、2、3周及1、3月随访复查X线观察治疗组与对照组均未出现再折、骨化性肌炎情况及内固定物断裂。治疗3个月后随访评价肘关节功能(HSS肘关节功能评分)治疗组评分(89.18±3.35)分,对照组(87.18±3.58)分,差异有统计学意义(P=0.002)。结论 此项康复治疗创伤后早期肘关节僵硬疗效较好,从而能降低肘关节僵硬的致残率,增加医疗的安全性和简便性,提高操作效率,并且能获得较好的社会效应。更多还原

【Abstract】 Objective To investigate the clinical efficacy and value ofJAS brace combined with CPM in the treatment of early stiffness of elbow joint after traumatic fracture. Methods In this project, 60 patients with elbow stiffness were divided into treatment group and observation group by randomized study. The treatment group used the elbow joint JAS support and the CPM machine for joint loosening. The observation group was treated with a therapist and the CPM machine for joint loosening. Results Passive range of motion in 60 patients after first weeks of treatment of elbow joint increase was statistically significant(P=0.035), there was no significant difference in second weeks( P=0.217), third weeks of elbow joint passive movement of the range increased with significant difference( P=0.001).The treatment was followed up for 1,2,3 weeks and 1 th, 3 th month. X-ray observation showed that there was no refracture, myositis ossificans and break of internal fixation. After 3 months treatment, elbow joint function evaluation score( HSS score) in treatment group( 89.18 ± 3.35) and observation group( 87.18 ± 3.58) had significant difference(P=0.002).Conclusion This rehabilitation therapy is effective in the treatment of early elbow joint stiffness after trauma, which can reduce the disability rate of elbow stiffness, increase the safety and simplicity of the medical treatment, improve operational efficiency and achieve better social effects.更多还原