《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (6): 567-570.

• 论文 • 上一篇    下一篇

Valpar 4 系统在手外伤康复中的应用研究

苏彬1，贾澄杰1，朱毅2，陈煜1，郑泽1，王淑桐1，张秀花1   

  1. 1.无锡同仁(国际)康复医院，江苏无锡市214151；2.南京中医药大学，江苏南京市210023
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-06-25 发布日期:2014-06-25

Application of Valpar 4 System in Rehabilitation of Hand Injury

SU Bin, JIA Cheng-jie, ZHU Yi, et al.   

  1. Wuxi Tongren International Rehabilitation Hospital, Wuxi 214151, Jiangsu, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-06-25 Online:2014-06-25

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摘要： 目的评价Valpar 4 系统在手外伤康复中的作用。方法将40 例手外伤患者，随机分为对照组和观察组各20 例。对照组进行常规康复治疗，观察组在此基础上，采用Valpar 4 系统进行技能模拟训练，两组患者分别在治疗前，治疗2 周、4 周后进行手关节总主动活动度(TAM)、上肢功能评定表(DASH)和Carroll 手功能评定(UEFT)。结果治疗2 周后，对照组TAM较治疗前显
著改善(P<0.001)，观察组TAM、DASH、UEFT均较治疗前显著改善(P<0.001)，且DASH、UEFT疗效显著优于对照组(P<0.001)。治疗4 周后，对照组TAM、UEFT较治疗前显著改善(P<0.001)，观察组TAM、DASH、UEFT均显著改善(P<0.001)，且疗效均优于对照组(P<0.05)。结论Valpar 4 系统能改善手外伤患者手指关节活动度、手功能及上肢功能，尤以上肢从事日常活动的能力改善更为显著。

关键词: 手外伤, Valpar 4系统, 总主动活动度, 上肢功能评定表, Carroll手功能评定

Abstract: Objective To observe the effect of Valpar 4 system on hand injury. Methods 40 patients with hand injury were randomly divided into control group and observation group with 20 patients in each group. Routine treatment was applied in both groups while Valpar 4 system was added in the observation group. Then total active motion (TAM) of finger joints, Disability of Arm Shoulder and Hand (DASH), and Upper Extremity Function Test (UEFT) were carried out before, 2 weeks and 4 weeks after treatment. Results The TAM improved significantly in the control group 2 weeks after treatment (P<0.001). The TAM, DASH and UEFT improved significantly in the observation group (P<0.001), and the DASH and UEFT were better in the observation group than in the control group (P<0.001). 4 weeks after treatment,
the TAM and UEFT improved significantly (P<0.001) in the control group, the TAM, DASH, UEFT significantly improved in the observation group (P<0.001), and were better in the observation group than in the control group (P<0.05). Conclusion Valpar 4 system can effectively improve the TAM of fingers, function of hands and upper limb, especially in terms of activities of daily living of upper limbs.

Key words: hand injury, Valpar 4 system, total active motion, Disability of Arm Shoulder and Hand, Upper Extremity Function Test