水中主动运动结合涡流浴对手外伤后肿胀及手功能恢复的影响

目的:探讨水中主动运动结合涡流浴在手外伤后肿胀及手功能治疗中的临床应用价值。方法:将40例手外伤患者随机分为观察组和对照组各20例。2组均进行常规的运动疗法和作业疗法,观察组则在此基础上增加水中主动运动和涡流浴。治疗前后对患手肿胀程度、VAS评分、Carroll手功能评定(UEFT)、手指总主动活动范围(TAM)进行评估对比。结果:治疗4周后,2组患者患手和健手的体积差、VAS评分均较治疗前明显降低(P0.05),且观察组低于对照组(P0.05);2组UEFT、TAM评分均较治疗前明显提高(P0.05),且观察组高于对照组(P0.05)。结论:水中主动运动结合涡流浴能显著地改善手外伤患者手肿胀程度、手部疼痛及手指关节活动范围,并能明显提高患者手功能。

Effects of active exercise in water combined with vortex bath for swelling and recovery of hand function after trauma

Objective: To observe the effect of active exercise in water combined with vortex bath on swelling and recovery of hand function after trauma, and to explore its clinical value in the treatment of swelling and hand function after trauma. Methods: All 40 cases of hand trauma were randomly divided into experimental group and control group using a random number table (20 cases in each). The patients in both two groups were subjected to exercise therapy and occupational therapy routinely. The experimental group received additional water active exercise and vortex bath treatments for 4 weeks. The degree of swelling was assessed before and 1 week, 2 weeks and 4 weeks after treatment. VAS score, Carroll hand function assessment, also known as upper extremity function test (UEFT), and the total finger active motion (TAM) were compared after 4 weeks of treatments. Results: After treatment for 4 weeks, the difference in the affected and healthy hand size, and VAS scores were significantly reduced as compared with those before treatment in both two groups (P<0.05), and those in the experimental group were significantly lower than in the control group (P<0.05). The UEFT and TAM scores were significantly increased after treatments in both two groups as compared with those before treatments, and those in the experimental group were significantly higher than those in the control group. Conclusion: Active exercise in water combined with vortex bath can significantly alleviate the hand swelling and hand pain, increase finger joint movement, and obviously improve the hand function in patients with hand trauma.