Efficacy of Compression Gloves in the Rehabilitation of Distal Radius Fractures: Randomized Controlled Study

被引:9
作者
Miller-Shahabar, Inbar [1 ]
Schreuer, Naomi [2 ]
Katsevman, Haim [3 ]
Bernfeld, Benjamin [3 ]
Cons, Anat [4 ,6 ]
Raisman, Yael [1 ]
Milman, Uzi [5 ,7 ,8 ]
机构
[1] Clalit Hlth Serv, Lin Med Ctr, Occupat Therapy Dept, Haifa, Israel
[2] Univ Haifa, Fac Social Welf & Hlth Sci, Dept Occupat Therapy, IL-31905 Haifa, Israel
[3] Carmel Med Ctr Lady Davis, Orthoped Dept, Haifa, Israel
[4] Clalit Hlth Serv, Occupat Therapy Serv, Haifa, Israel
[5] Clalit Hlth Serv, Clin Res Unit, Haifa, Israel
[6] Clalit Hlth Serv, Occupat Therapy Serv, Western Galilee Dist, Israel
[7] Clalit Hlth Serv, Clin Res Unit, Western Galilee Dist, Israel
[8] Technion Israel Inst Technol, Fac Med, Dept Family Med, Haifa, Israel
关键词
Rehabilitation; Outcome assessment (health care); Range of motion (articular); Recovery of function; PRESSURE GARMENTS; MANAGEMENT; THERAPY; PAIN; DISABILITY; INJURY; HAND;
D O I
10.1097/PHM.0000000000000998
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective The aim of this study was to examine the outcomes of wearing made-to-measure compression gloves after distal radius fracture. Design In a randomized controlled trial, adults who were about 6 wks post distal radius fracture were recruited and divided into a comparison control group (n = 15), who received standard rehabilitation twice a week for half an hour, and an intervention group (n = 17), who additionally used compression gloves. All treatments were conducted at a single rehabilitation clinic. Outcomes assessed were wrist and finger range of motion, grip strength, swelling, pain, and activities of daily living (using the Patient Rating Wrist Evaluation). The intervention group underwent additional objective dynamic assessments of range of motion with and without the gloves. Results The intervention group demonstrated reduced swelling, pain, and analgesic use; increased wrist range of motion; better scores for specific hand functions; and greater participation in activities of daily living compared with the comparison group. Conclusion This randomized controlled trial shows that using compression gloves during the rehabilitation phase after distal radius fracture improves daily functioning and reduces adverse symptoms. These improvements, which are important in their own right, are also expected to aid in preventing the development of chronic conditions and disability. Evidence Level II Un-blinded prospective comparative study.
引用
收藏
页码:904 / 910
页数:7
相关论文
共 28 条
[1]  
[Anonymous], J HAND THERAPY
[2]   The effectiveness of pressure garment therapy for the prevention of abnormal scarring after burn injury: a meta-analysis [J].
Anzarut, Alexander ;
Olson, Jarret ;
Singh, Prabhjyot ;
Rowe, Brian H. ;
Tredget, Edward E. .
JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, 2009, 62 (01) :77-84
[3]  
Atiyeh B S, 2013, Ann Burns Fire Disasters, V26, P205
[4]   Basic Anatomy and Physiology of Pain Pathways [J].
Bourne, Sarah ;
Machado, Andre G. ;
Nagel, Sean J. .
NEUROSURGERY CLINICS OF NORTH AMERICA, 2014, 25 (04) :629-+
[5]   Therapy After Injury to the Hand [J].
Dorf, Erik ;
Blue, Carla ;
Smith, Beth P. ;
Koman, L. Andrew .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2010, 18 (08) :464-473
[6]  
Fess E., 1992, Clinical assessment recommendations, V2, P41
[7]   Hypertrophic Burn Scar Management: What Does the Evidence Show? A Systematic Review of Randomized Controlled Trials [J].
Friedstat, Jonathan S. ;
Hultman, C. Scott .
ANNALS OF PLASTIC SURGERY, 2014, 72 (06) :S198-S201
[8]  
HANDOLL HH, 2002, COCHRANE DB SYST REV, V2, P3324
[9]   Association between objective clinical variables and patient-rated disability of the wrist [J].
Karnezis, IA ;
Fragkiadakis, EG .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2002, 84B (07) :967-970
[10]   Responsiveness of the Michigan Hand Outcomes Questionnaire and physical measurements in outcome studies of distal radius fracture treatment [J].
Kotsis, Sandra V. ;
Lau, Frank H. ;
Chung, Kevin C. .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2007, 32A (01) :84-90