■比较使用定制矫形器对改善急性和慢性槌状手指的延伸滞后和减少残疾的效果。
■我们招募了51例急性或慢性Doyle1型槌状手指患者,为他们提供定制的热塑性抗槌状手指矫形器,全职佩戴6周,夜间再佩戴2周。主要结果,扩展滞后,在注册以及6周和12周随访时进行评估。次要结果包括残疾和满意度,使用手臂残疾进行评估,肩膀,并在入学和12周时进行问卷调查,和12周随访时的满意度量表。数据分析采用单变量方差分析(ANOVA),单向重复测量混合模型协方差分析(ANCOVA),和独立样本t检验。
■共有43名参与者,25个急性和18个慢性槌状手指,完成了为期12周的评估。该研究发现两组在任一随访时间点的延长滞后改善方面均无显著差异(P=0.21)。随访时急性组和慢性组的残疾均有改善(P<0.05)。此外,两组均对治疗结果表示满意,差异无统计学意义(t=0.173,P=0.51)。我们无法确定两组之间在延伸滞后方面的任何临床显着差异,残疾,或对后续行动的满意度。值得注意的是,急性组中96%的患者和慢性组中88%的患者表现出良好至优异的结果。
■在急性和慢性槌状手指中使用定制的热塑性材料进行矫正干预,改善了伸展滞后和残疾,两组均对治疗结果感到满意.我们的研究结果表明,慢性槌状手指患者与急性槌状手指患者一样,可以从矫形干预中受益。
UNASSIGNED: To compare the effect of using custom-made orthosis on improving extension lag and reducing disability in acute and chronic mallet fingers.
UNASSIGNED: We recruited 51 patients with acute or chronic Doyle type-1 mallet fingers, who were provided with a custom-made thermoplastic anti-mallet finger orthosis to wear full-time for 6 weeks and an additional 2 weeks at nighttime. The primary outcome, extension lag, was assessed at enrollment as well as six- and twelve-week follow-ups. Secondary outcomes included disability and satisfaction, which were evaluated using the Disability of the Arm, Shoulder, and Hand questionnaire at enrollment and 12 weeks, and a satisfaction scale at 12 weeks follow-up. Data analysis was conducted using univariate analysis of variance (ANOVA), one-way repeated measure mixed model analysis of covariance (ANCOVA), and independent sample t-test.
UNASSIGNED: A total of 43 participants, 25 acute and 18 chronic mallet fingers, completed the 12-week evaluation. The study found no significant difference between the two groups in terms of improvement in extension lag at either follow-up time point (P=0.21). Disability improved in both the acute and chronic groups at follow-up (P<0.05). Additionally, both groups expressed satisfaction with the treatment outcome, and no statistically significant difference was observed (t=0.173, P=0.51). We could not identify any clinically significant difference between the two groups in regard to extension lag, disability, or satisfaction at follow-up. Notably, 96% of the patients in the acute group and 88% of the patients in the chronic group demonstrated good to excellent outcomes.
UNASSIGNED: Orthotic intervention with custom-made thermoplastic material in acute and chronic mallet fingers improved extension lag and disability, and both groups were satisfied with the treatment outcomes. The findings of our study indicated that patients with chronic mallet fingers benefited from orthotic interventions in the same way that patients with acute mallet fingers did.