Strength Required for Opening Plastic Bottles in Individuals with Distal Radius Fracture
Strength Required for Opening Plastic Bottles in Individuals with Distal Radius Fracture
复制标题
桡骨远端骨折患者打开塑料瓶所需的力量
DOI：
10.4172/0974-8369.1000413
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Yumiko Saito
中科院分区：
文献类型：
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作者：
Kazuo Saitō;Yumiko Saito
为了估计打开塑料瓶所需的手功能，我们的目的是找出涉及哪些因素，并确定桡骨远端骨折患者保守治疗过程中的临界值。在这个病例对照研究中，包括了在一家医院和一家骨科诊所就诊的门诊患者。50名患者被分为开放组（能够打开塑料瓶的患者）和非开放组（无法打开塑料瓶的患者）。用扭矩计测量打开塑料瓶所需的扭矩值。我们还研究了握力和捏力之间的关系。我们检查了两组之间的手的功能：开放组和非开放组。在logistic回归分析中，损伤后时间（比值比[OR] 1.07, 0.02）、疼痛（比值比[OR] 1.68, p=0.018）、患手握力（比值比[OR] 1.50, p=0.001）、患手捏力（比值比[OR] 1.12, p=0.001）和扭矩值（比值比[OR] 1.74, p=0.001）是塑料瓶打开的预测因素。受者操作特征曲线显示受者手在受伤后（28.5天）、疼痛（1.53）、受者手握力（20.5 kg）、受者手捏力（4.5 kg）、受者手扭矩值（95 N-cm）方面预测打开塑料瓶能力的截止值。我们发现有三个因素对桡骨远端骨折患者打开塑料瓶的能力有显著影响，并且可以为每个因素获得一个截止值。建议将这些价值作为促进康复的目标。
To estimate the hand function required to open a plastic bottle, we aimed to find out which factors are involved and to determine the cutoff value over the course of conservative therapy in patients with a distal radius fracture. In this case control study, outpatients who visited a single hospital and a single orthopedic surgery clinic were included. Fifty patients each were included in the open group (those able to open a plastic bottle) and non-open group (those unable to open a plastic bottle). Using a torque meter, the torque value required to open a plastic bottle was measured. We also examined the association between grip strength and pinch strength. We examined the function of the hand between two groups: an open group and non-open group. The period after injury (odds ratio [OR] 1.07, 0.02), pain (OR 1.68, p=0.018), grip strength of the affected hand (OR 1.50, p=0.001), pinch strength of the affected hand (OR 1.12, p=0.001), and torque value (OR 1.74, p=0.001) were identified in logistic regression analysis as predictive factors for the openness of a plastic bottle. The receiver operating characteristic curve showed the cutoff values of the affected hand for predicting the ability to open a plastic bottle in terms of the period after injury (28.5 days), pain (1.53), e grip strength of the affected hand (20.5 kg), pinch strength of the affected hand (4.5 kg), and torque value (95 N-cm). We found that three factors are significantly involved in the ability of a patient with a distal radius fracture to open a plastic bottle, and it was possible to obtain a cutoff value for each factor. These values are suggested to be goals in promoting rehabilitation.