Journal of hand therapy : official journal of the American Society of Hand Therapists · 2017
Postoperative treatment of metacarpal fractures-Classical physical therapy compared with a home exercise program.
Сравнительное исследованиеСтатьяРандомизированное исследованиеНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Gülke Joachim, Leopold Barbara, Grözinger Daniel, Drews Björn, Paschke Stephan, Wachter Nikolaus J
Аннотация
STUDY DESIGN: Prospective cohort randomized controlled trial.
PURPOSE OF THE STUDY: Is either a home exercise (HE) program or traditional physical therapy (PT) more effective in the postoperative management of metacarpal fractures?
METHODS: Sixty patients suffering from nonthumb metacarpal fractures who received mobilization-stable open reduction and internal fixation were included. All patients were prospectively randomized into either the PT group or the HE group. Follow-up examinations at 2, 6 and 12 weeks postoperatively.
RESULTS: After 2 weeks, the range of motion (ROM) in both groups was still severely reduced. Twelve weeks after surgery the ROM improved to 245° (PT) and 256° (HE). Grip strength after 6 weeks was 68% (PT) and 71% (HE) when compared to the non-injured hand, improving to 91% (PT) and 93% (HE) after 12 weeks.
CONCLUSION: Study results show that both HE program and traditional PT are effective in the postoperative management of metacarpal fractures.
LEVEL OF EVIDENCE: II.
PURPOSE OF THE STUDY: Is either a home exercise (HE) program or traditional physical therapy (PT) more effective in the postoperative management of metacarpal fractures?
METHODS: Sixty patients suffering from nonthumb metacarpal fractures who received mobilization-stable open reduction and internal fixation were included. All patients were prospectively randomized into either the PT group or the HE group. Follow-up examinations at 2, 6 and 12 weeks postoperatively.
RESULTS: After 2 weeks, the range of motion (ROM) in both groups was still severely reduced. Twelve weeks after surgery the ROM improved to 245° (PT) and 256° (HE). Grip strength after 6 weeks was 68% (PT) and 71% (HE) when compared to the non-injured hand, improving to 91% (PT) and 93% (HE) after 12 weeks.
CONCLUSION: Study results show that both HE program and traditional PT are effective in the postoperative management of metacarpal fractures.
LEVEL OF EVIDENCE: II.