动态关节松动术治疗桡骨远端骨折后关节僵硬的初步研究  

A preliminarily study of mobilization with movement on ankylosis of wrist after distal radius fractures

作　　者：张瑾[1] 张顺喜[1] 张光明[2] 王建炜[2] 戈涛[2] 邝炯祥[2] 肖学军[2] 杨运发[2] 

机构地区：[1]广州市第一人民医院康复医学科,510180 [2]广州市第一人民医院骨科,510180

出　　处：《广州医药》2012年第3期8-12,共5页Guangzhou Medical Journal

摘　　要：目的初步研究动态关节松动术对桡骨远端骨折后关节僵硬的疗效及应用价值。方法将18例桡骨远端骨折后关节僵硬的患者分为动态关节松动术组10例和对照组8例。动态关节松动术组采用动态关节松动术治疗,对照组采用Kaltenborn关节松动术治疗,3周后对两组治疗前后的腕部关节活动度和关节功能进行比较。结果动态关节松动术组与对照组治疗后的腕关节活动度及关节功能均优于康复治疗前(P<0.05)。治疗后两组患者之间的关节活动度和功能无明显差异(P>0.05)。结论动态关节松动术是一种治疗桡骨远端骨折后关节僵硬的有效手段,可作为该类患者的康复方法之一。Objective To investigate the effect and application of a manual therapy technique-mobilization with movement （MWM） in patients with ankylosis of wrist after distal radius fractures. Methods Eighteen subjects with ankylosis of wrist after distal radius fractures were enrolled and were divided into two groups according to different treatment. The patients of MWM group were treated with MWM for three weeks, and the patients of the Kahenborn mobilization （KM） group were treated with Kaltenborn mobilization for three weeks. The range of motion and the function of wrist were measured before and after the treatment. Results The range of motion and the function of wrist were improved in both MWM and KM group （P 〈 0. 05 ） . After the treatment, the range of motion and the function of wrist of MWM group were equal with KM group. Conclusion MWM is a effective intervention for the treatment of patients with ankylosis of wrist after distal radius fractures, and could be one of the effective treatments.

关 键 词：动态关节松动术 桡骨远端骨折 关节僵硬 Kaltenborn关节松动术 

分 类 号：R687.4[医药卫生—骨科学]