The Australian journal of physiotherapy · 2007
Cyclic pneumatic soft-tissue compression enhances recovery following fracture of the distal radius: a randomised controlled trial.
СтатьяРандомизированное исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Challis Murray J, Jull Gwendolen J, Stanton Warwick R, Welsh Mark K
Аннотация
QUESTIONS: Does the addition of cyclic pneumatic soft-tissue compression during the 6-week immobilisation period following fracture of the distal radius result in a faster recovery of muscle strength and joint range of motion? Does it result in a larger recovery of muscle strength and joint range of motion immediately after the immobilisation period (at 6 weeks) or four weeks after the immobilisation period (at 10 weeks)?
DESIGN: Randomised controlled trial with concealed allocation and assessor blinding.
PARTICIPANTS: 21 patients with fracture of the distal radius.
INTERVENTION: The experimental group received cyclic pneumatic soft-tissue compression during the 6-week immobilisation period whereas the control group received usual care. Both groups were instructed to actively make a fist 100 times per day during the 6-week immobilisation period and were given an exercise program during the 4-week post-immobilisation period.
OUTCOME MEASURES: Function was measured as power grip, pinch grip, key grip, and supination strength using dynamometry from Week 1 to 10 as well as wrist flexion/extension and forearm supination/pronation range of motion using goniometry from Week 6 to 10. The outcome measures are presented as a percentage of the intact side.
RESULTS: The experimental group improved significantly faster than the control group in muscle strength from Week 1 to 10 (p ? 0.001) but not in joint range of motion from Week 6 to 10 (p > 0.05). By Week 6, the experimental group was 12-26% stronger and had 8-14% more range of motion than the control group. By Week 10, the experimental group was 24-29% stronger and had 10-15% more range of motion than the control group.
CONCLUSION: The findings indicate that a larger clinical trial is warranted and should incorporate direct measures of fracture healing.
DESIGN: Randomised controlled trial with concealed allocation and assessor blinding.
PARTICIPANTS: 21 patients with fracture of the distal radius.
INTERVENTION: The experimental group received cyclic pneumatic soft-tissue compression during the 6-week immobilisation period whereas the control group received usual care. Both groups were instructed to actively make a fist 100 times per day during the 6-week immobilisation period and were given an exercise program during the 4-week post-immobilisation period.
OUTCOME MEASURES: Function was measured as power grip, pinch grip, key grip, and supination strength using dynamometry from Week 1 to 10 as well as wrist flexion/extension and forearm supination/pronation range of motion using goniometry from Week 6 to 10. The outcome measures are presented as a percentage of the intact side.
RESULTS: The experimental group improved significantly faster than the control group in muscle strength from Week 1 to 10 (p ? 0.001) but not in joint range of motion from Week 6 to 10 (p > 0.05). By Week 6, the experimental group was 12-26% stronger and had 8-14% more range of motion than the control group. By Week 10, the experimental group was 24-29% stronger and had 10-15% more range of motion than the control group.
CONCLUSION: The findings indicate that a larger clinical trial is warranted and should incorporate direct measures of fracture healing.