手外伤后指关节僵硬的系统康复治疗

目的 观察系统康复治疗对手外伤后指关节僵硬的临床疗效。方法 配合物理因子治疗。对213例外伤后指关节僵硬的手指先行牵引与手法治疗，后行ROM训练并结合矫形夹板与中药水浴治疗。结果 治疗后AROM优良率82.2%。有效率97.7%；PROM优良率94.8%。有效率100%；手指综合功能从治疗前的17%增至56%。结论 运动治疗的同时结合物理因子治疗与作业疗法能较好地改善手外伤后僵硬指关节的活动范围，促进手功能的恢复。

Systemic rehabilitation for stiffness of finger joints after hand injury

Objective To investigate the clinical effect of systemic rehabilitation on stiffness of finger joints after hand injury. Methods A total of 213 stiff fingers were observed in patients with hand injury. All the patients were administered with therapeutic exercise, physical modalities and splinting. The improvement of the patients in terms of active range of motion (AROM) and passive range of motion (PROM) of their fingers was graded as excellent, good, adequate or poor according to the standard the authors set. Results With regard to their AROM and PROM, 82.2% and 94.8% of the patients got excellent improvement, 97.7% and 100% of the patients got excellent to adequate improvement, respectively. The finger function was increased from 17% to 56%. Conclusion Systemic rehabilitation can increase the AROM and PROM of stiff finger effectively and improve the patients' hand function.