An advice and exercise program has some benefits over natural recovery after distal radius fracture: a randomised trial
An advice and exercise program has some benefits over natural recovery after distal radius fracture: a randomised trial
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DOI：
10.1016/s0004-9514(08)70004-7
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发表时间：
2008-01-01
影响因子：
--
通讯作者：
Stiller, Kathy
中科院分区：
文献类型：
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作者：
Kay, Sandra;McMahon, Margaret;Stiller, Kathy
问：建议和锻炼计划是否能改善成人桡骨远端骨折的预后？设计：随机试验，采用隐蔽分配、评估者盲法和意向治疗分析。研究对象：56例骨折内固定和/或石膏固定的患者。干预：实验组接受物理治疗师指导的建议和锻炼计划。对照组不接受任何物理治疗干预。观察指标：主要结果是手腕伸展(用测角器测量)。次要结果是其他腕关节的活动范围(用测角器测量)、握力(用测力计测量)、疼痛和活动限制(用问卷测量)。这些结果最初是被测量的，然后是三周和六周后。6周后，受试者对物理治疗干预的满意度进行评分。结果：两组患者在腕关节伸展的主要结果(平均差异6°，95%CI-3至14)以及其他运动范围和握力的次要结果方面没有发现差异。3周时疼痛评分差异为-16分(95%CI-27~-5)，6周时疼痛评分差异为-14分(95%CI-25~-3)，3周时活动度评分差异为-13分(95%CI-24~-2)；实验组对物理治疗干预量的满意度也更高。结论：与不干预相比，建议和锻炼计划为成人桡骨远端骨折提供了一些额外的好处。试用登记：ACTRN012607000204448。[S，麦克马洪，斯蒂勒·K(2008)一项建议和锻炼计划比桡骨远端骨折后的自然恢复有一些好处：一项随机试验。澳大利亚理疗杂志54：253-259]
Question: Does an advice and exercise program improve outcome for adults following distal radius fracture? Design: Randomised trial with concealed allocation, assessor blinding, and intention-to-treat analysis. Participants: Fifty-six patients whose fracture had been managed with pins and/or cast. Intervention: The experimental group received a physiotherapist-directed program of advice and exercises. The control group did not receive any physiotherapy intervention. Outcome measures: The primary outcome was wrist extension (measured with a goniometer). Secondary outcomes were the other wrist ranges of motion (measured with a goniometer), grip strength (measured with a dynamometer), pain, and activity limitations (measured with questionnaires). These outcomes were measured initially, then three and six weeks later. Participants also rated their satisfaction with physiotherapy intervention at Week 6. Results: No difference was found between groups for the primary outcome of wrist extension (mean difference 6 deg, 95% CI -3 to 14), nor for the secondary outcomes of other range of motion data and grip strength. The difference between groups for pain was -16 points out of 100 (95% CI -27 to -5) at Week 3, and -14 points (95% CI -25 to -3) points at Week 6, and for activity was -13 points out of 100 (95% CI -24 to -2) at Week 3; in favour of the experimental group. The experimental group was also more satisfied with the amount of physiotherapy intervention. Conclusion: An advice and exercise program provided some additional benefits over no intervention for adults following distal radius fracture. Trial registration: ACTRN012607000204448. [Kay S, McMahon M, Stiller K (2008) An advice and exercise program has some benefits over natural recovery after distal radius fracture: a randomised trial. Australian Journal of Physiotherapy 54: 253-259]