Effect of Matrix Rhythm Therapy (MaRhyThe®) Versus Conventional Physiotherapy on Hand Mobility and Function in Individuals with Postoperative Hand Tendon Injuries: A Pilot Randomized Controlled Trial.

IF 1.9 4区 医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE
Aarti Patil, Peeyoosha Gurudut, D U Rajput, Vijay Kage, Aarti Welling, Soumya Hulmani
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引用次数: 0

Abstract

Introduction: Postoperative hand tendon injuries often lead to complications, such as stiffness, limited hand mobility, and impaired function, warranting effective rehabilitation. Matrix Rhythm Therapy (MaRhyThe®) is a novel physiotherapy method used in treating various soft tissue disorders.

Objective: This pilot randomized controlled trial comparatively evaluated the impact of MaRhyThe® and conventional physiotherapy on hand mobility and function in individuals recovering from postoperative hand tendon injuries.

Materials and methods: Twenty Participants underwent a 2-week intervention program with 4 clinic-based sessions per group. Sessions were conducted every third day, with 2-day home exercise intervals between sessions. Group A (n = 10) received 60 min of MaRhyThe® while Group B (n = 10) received 5 min of conventional physiotherapy (therapeutic ultrasound). The range of motion (ROM) of the wrist and fingers, hand function measured by the Action Research Arm Test (ARAT), and pain levels using the Numerical Pain Rating Scale (NPRS) were assessed: pre-intervention (before session 1) and immediately post-intervention (after session 4).

Results: Both MaRhyThe® and therapeutic ultrasound significantly improved hand mobility, function, and pain. Group A showed greater mean improvements and larger effect sizes across most outcomes compared to Group B. Wrist flexion improved by 19.5° (d = 1.23) in Group A versus 7° (d = 1.11) in Group B. ARAT total scores increased by 15.2 points (d = 1.04) in Group A and 12.9 points (d = 0.88) in Group B. Pain (NPRS) decreased by 3.1 points in Group A (d = 2.59) and 3.0 points in Group B (d = 3.18). Between-group comparisons favoured MaRhyThe® with significant gains in wrist and finger ROM and lower post-treatment pain scores.

Conclusion: MaRhyThe® demonstrated superior post-treatment outcomes across most ROM parameters, with greater pain relief. These pilot findings support further investigation of MaRhyThe® in hand tendon rehabilitation protocols.

Keywords: Physical Therapy Modalities, Hand Injuries, Tendon Injuries, Rehabilitation, Postoperative Care, Matrix Rhythm Therapy.

基质节律疗法(MaRhyThe®)与传统物理疗法对手部肌腱损伤术后患者手部活动和功能的影响:一项随机对照试验
术后手部肌腱损伤经常导致并发症,如僵硬、手部活动受限和功能受损,需要有效的康复。Matrix Rhythm Therapy (MaRhyThe®)是一种用于治疗各种软组织疾病的新型物理治疗方法。目的:本试点随机对照试验比较评价MaRhyThe®和常规物理治疗对手部肌腱损伤术后恢复期患者手部活动和功能的影响。材料和方法:20名参与者接受了为期2周的干预计划,每组4次临床治疗。每隔三天进行一次训练,两次训练之间有2天的家庭训练间隔。A组(n = 10)接受60 min的MaRhyThe®治疗,B组(n = 10)接受5 min的常规物理治疗(治疗性超声)。评估手腕和手指的活动范围(ROM),通过动作研究臂测试(ARAT)测量的手部功能,以及使用数值疼痛评定量表(NPRS)评估疼痛水平:干预前(第1阶段之前)和干预后立即(第4阶段之后)。结果:MaRhyThe®和治疗性超声均可显著改善手部活动、功能和疼痛。与B组相比,A组在大多数结局中表现出更大的平均改善和更大的效应大小。A组的手腕屈曲度提高了19.5°(d = 1.23),而B组的手腕屈曲度提高了7°(d = 1.11)。A组的ARAT总分提高了15.2分(d = 1.04), B组的ARAT总分提高了12.9分(d = 0.88)。在组间比较中,MaRhyThe®在腕关节和手指关节活动度方面有显著改善,治疗后疼痛评分较低。结论:MaRhyThe®在大多数ROM参数中表现出优越的治疗后结果,并有更大的疼痛缓解。这些试验结果支持MaRhyThe®手肌腱康复方案的进一步研究。关键词:物理治疗方式,手部损伤,肌腱损伤,康复,术后护理,矩阵节律治疗。
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来源期刊
Alternative therapies in health and medicine
Alternative therapies in health and medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
0.90
自引率
0.00%
发文量
219
期刊介绍: Launched in 1995, Alternative Therapies in Health and Medicine has a mission to promote the art and science of integrative medicine and a responsibility to improve public health. We strive to maintain the highest standards of ethical medical journalism independent of special interests that is timely, accurate, and a pleasure to read. We publish original, peer-reviewed scientific articles that provide health care providers with continuing education to promote health, prevent illness, and treat disease. Alternative Therapies in Health and Medicine was the first journal in this field to be indexed in the National Library of Medicine. In 2006, 2007, and 2008, ATHM had the highest impact factor ranking of any independently published peer-reviewed CAM journal in the United States—meaning that its research articles were cited more frequently than any other journal’s in the field. Alternative Therapies in Health and Medicine does not endorse any particular system or method but promotes the evaluation and appropriate use of all effective therapeutic approaches. Each issue contains a variety of disciplined inquiry methods, from case reports to original scientific research to systematic reviews. The editors encourage the integration of evidence-based emerging therapies with conventional medical practices by licensed health care providers in a way that promotes a comprehensive approach to health care that is focused on wellness, prevention, and healing. Alternative Therapies in Health and Medicine hopes to inform all licensed health care practitioners about developments in fields other than their own and to foster an ongoing debate about the scientific, clinical, historical, legal, political, and cultural issues that affect all of health care.
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