Impact of impaired wrist motion on hand and upper-extremity performance
Impact of impaired wrist motion on hand and upper-extremity performance
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DOI：
10.1016/s0363-5023(03)00424-6
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发表时间：
2003-11-01
影响因子：
1.9
通讯作者：
McCullough, M
中科院分区：
文献类型：
--
作者：
Adams, BD;Grosland, NM;McCullough, M
目的：使用任务表现和感知残疾的客观测量来量化和比较腕部运动减少和缺失引起的残疾，并评估腕部运动受损引起的肩、肘、前臂和躯干的代偿运动。方法：对21名正常受试者进行了一项临床研究，以测量身体表现并评估手腕功能在减少的情况下（30度屈曲和30度伸展）和几乎不存在手腕运动，使用已建立的物理测试和问卷调查（手臂、肩部和手部残疾[DASH]，患者评定手腕评估[PRWE]和研究特定调查）。临床研究还测量了补偿运动的肩膀，肘部，前臂，和trunk.Results：平均时间进行的Jebsen测试和日常生活活动（ADL）测试增加的运动限制条件的手腕，但没有显着差异的条件。关于功能的问卷评分在运动受限的情况下明显更差，在几乎没有运动的情况下最差。平均代偿运动在四肢和躯干统计学上增加了两个运动限制的条件，但不显着，并没有条件之间的差异。对于这两种运动限制条件，受试者的所有身体测试和问卷都存在高度变异性。结论：手腕运动减少导致的感知残疾似乎大于使用常见身体测试和结果调查测量的功能损失。美国手外科学会版权所有（C）2003。
Purpose: To quantify and compare the disabilities caused by reduced and absent wrist motion using objective measurements of task performance and perceived disability, and to assess the compensatory motions of the shoulder, elbow, forearm, and trunk caused by impaired wrist motion.Methods: A clinical study of 21 normal subjects was done to measure physical performance and to assess wrist function under conditions of reduced (30degrees flexion and 30degrees extension) and nearly absent wrist motion using established physical tests and questionnaires (Disabilities of the Arm, Shoulder, and Hand [DASH], Patient Rated Wrist Evaluation [PRWE], and a study-specific survey). The clinical study also measured compensatory motions of the shoulder, elbow, forearm, and trunk.Results: Average times to perform the Jebsen test and activities of daily living (ADLs) test increased for both motion-restricted conditions of the wrist but did not differ significantly between the conditions. Questionnaire scores regarding function were significantly worse for both motion-restricted conditions and poorest for nearly absent motion. Average compensatory motions in the extremity and trunk statistically increased for both motion-restricted conditions but were not marked and did not differ between the conditions. High variability among subjects occurred in all physical tests and questionnaires for both motion-restricted conditions.Conclusions: Perceived disability from reduced wrist motion appeared greater than measured functional loss using common physical tests and outcome surveys. Copyright (C) 2003 by the American Society for Surgery of the Hand.