| 高能量激光联合针对性手功能训练治疗1-2级拇腕掌关节骨性关节炎的疗效观察 |
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投稿时间：2023-03-11
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| 作者 | Author | 单位 | Address | E-Mail |
| 郭青 |
GUO Qing |
北京市第二医院, 北京 100031 |
Beijing 2nd Hospital, Beijing 100031, China |
m13811323227@163.com |
| 张自茂 |
ZHANG Zi-mao |
北京市第二医院, 北京 100031 |
Beijing 2nd Hospital, Beijing 100031, China |
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| 范佳豪 |
FAN Jia-hao |
北京市第二医院, 北京 100031 |
Beijing 2nd Hospital, Beijing 100031, China |
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| 朱津阳 |
ZHU Jin-yang |
北京市第二医院, 北京 100031 |
Beijing 2nd Hospital, Beijing 100031, China |
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| 魏小林 |
WEI Xiao-lin |
北京市第二医院, 北京 100031 |
Beijing 2nd Hospital, Beijing 100031, China |
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| 期刊信息：《中国骨伤》2023年，第36卷，第8期，第743-747页 |
| DOI：10.12200/j.issn.1003-0034.2023.08.009 |
| 基金项目: |
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中文摘要:
目的：观察高能量激光(high-intensity laser therapy,HILT)联合针对性手功能训练对1-2级拇腕掌关节(carpometacarpal,CMC)骨性关节炎(osteoarthritis,OA)的疼痛和侧捏力的影响。
方法：选择2020年4月至2022年4月诊断为1-2级CMC OA的患者42例,年龄58~80(68.90±7.58)岁,均为女性,分为观察组和对照组,各21例。观察组患者接受HILT及手功能训练4周,对照组患者接受超短波治疗及矫形器制动4周。分别在干预前、干预后即刻以及干预后12周采用疼痛视觉模拟评分(visual analogue scale,VAS)比较疼痛程度,采用测力计观测拇指侧捏力并比较手指功能恢复情况。
结果：干预后即刻及干预后12周,两组患者VAS及拇指侧捏力均较治疗前改善(P<0.05)。但与对照组比较,观察组VAS减轻程度更大(干预后立即t=3.37,P<0.05,干预后12周t=9.05,P<0.05),拇指侧捏力平均值高于对照组(干预后立即t=-2.55,P<0.05,干预后12周t=-9.51,P<0.05)。
结论：高能量激光联合针对性手功能训练较传统方法更能有效改善1-2级拇腕掌关节骨关节炎的疼痛和侧捏力。 |
| 【关键词】疼痛 拇指腕掌关节骨关节炎 高能量激光治疗 手功能训练 |
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| High-intensity laser therapy combined with targeted hand function training for the treatment of grade 1-2 thumb carpometacarpal osteoarthritis |
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ABSTRACT
Objective To explore clinical effect of high-intensity laser therapy(HILT) combined with targeted hand function training on pain and lateral pinch force in grade 1-2 thumb carpometacarpal(CMC) osteoarthritis(OA).
Methods From April 2020 and April 2022,42 female patients with thumb CMC OA grade 1 to 2,aged from 58 to 80 years old with an everage of (68.90±7.58) years old were divided into observation group of 21 patients who received HILT and targeted hand function training for 4 weeks,and 21 patients in control group who received ultrashort wave therapy combined with using of an orthosis for 4 weeks. Visual analogue scale(VAS) was applied to evaluate degree of pain,function of finger was evaluated by dynamometer to measure lateral pinch force at baseline,immediately following intervention at 4 and 12 weeks following intervention.
Results VAS and lateral pinch force at immediately and 12 weeks after intervention betwwen two groups were better than that of before intervention(P<0.05). Compared with control group,the degree of pain in observation group improved more(immediately after intervention t=3.37,P<0.05,12 weeks after intervention t=9.05,P<0.05),lateral pinch force higher than that of control group (immediately after intervention t=-2.55,P<0.05,12 weeks after intervention t=9.51,P<0.05).
Conclusion High-intensity laser therapy combined with targeted hand function training is more effective than traditional methods in improving pain and lateral pinch force in grade 1-2 thumb carpometacarpal osteoarthritis. |
| KEY WORDS Pain Thumb carpometacarpal osteoarthritis High-intensity laser therapy Hand function training |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 郭青,张自茂,范佳豪,朱津阳,魏小林.高能量激光联合针对性手功能训练治疗1-2级拇腕掌关节骨性关节炎的疗效观察[J].中国骨伤,2023,36(8):743~747 |
| 英文格式: | GUO Qing,ZHANG Zi-mao,FAN Jia-hao,ZHU Jin-yang,WEI Xiao-lin.High-intensity laser therapy combined with targeted hand function training for the treatment of grade 1-2 thumb carpometacarpal osteoarthritis[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(8):743~747 |
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