The influence of early exercise (Proprioceptive Neuromuscular Facilitation-based muscle activation) on functional prognosis in patients with distal radius fracture: A retrospective observational study

IF 1.8 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy Pub Date : 2026-04-01 Epub Date: 2026-04-14 DOI:10.1016/j.jht.2026.02.002

Hong Tang, Pushan Yang, Xu Wang, Biao Zhao, Kun Ling MD

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引用次数: 0

Abstract

Background

Early rehabilitation is important after distal radius fractures, but evidence for Proprioceptive Neuromuscular Facilitation remains limited.

Purpose

This study aimed to evaluate the effect of a Proprioceptive Neuromuscular Facilitation-based early exercise program on functional prognosis after surgical fixation of distal radius fractures, compared with standard postoperative care.

Study Design

A retrospective observational study.

Methods

In this retrospective observational study, 114 surgically treated patients from January-December 2023 were allocated to a control group receiving standard postoperative care or an early exercise group receiving additional Proprioceptive Neuromuscular Facilitation-based exercise starting 3-4 weeks after surgery. Outcomes included wrist range of motion, grip strength, pain level, Disabilities of the Arm, Shoulder, and Hand (DASH) score, time to return to work, and radiographic healing at 12 weeks.

Results

At 6 weeks after surgery, the early exercise group showed greater wrist flexion (4.9°), extension (4.3°), pronation (5.4°), and supination (4.9°) than the control group. Grip strength was 3.1 kg higher (p = 0.002), Visual Analog Scale pain scores were 1.4 points lower (p = 0.001), and the mean DASH score was better (p = 0.015). Time to return to work was shorter (p = 0.002), and the healing rate at 12 weeks after surgery was higher (p = 0.002).

Conclusions

Proprioceptive Neuromuscular Facilitation-based early exercise significantly enhanced wrist motion, grip strength, pain relief, and disability reduction, leading to faster return to work and improved fracture healing. These results support incorporating structured Proprioceptive Neuromuscular Facilitation-based rehabilitation into standard postoperative care for distal radius fractures.

查看原文本刊更多论文

早期运动（基于本体感觉神经肌肉促进的肌肉激活）对桡骨远端骨折患者功能预后的影响：一项回顾性观察研究

背景：桡骨远端骨折后早期康复很重要，但本体感觉神经肌肉促进的证据仍然有限。目的：本研究旨在评估基于本体感觉神经肌肉促进的早期运动方案对桡骨远端骨折手术固定后功能预后的影响，并与标准术后护理进行比较。研究设计：回顾性观察性研究。方法：在这项回顾性观察研究中，从2023年1月至12月，114例手术治疗的患者被分配到接受标准术后护理的对照组或术后3-4周开始接受额外的本体感觉神经肌肉促进运动的早期运动组。结果包括手腕活动范围、握力、疼痛程度、手臂、肩膀和手的残疾（DASH）评分、恢复工作时间和12周的x线片愈合情况。结果：术后6周，早期运动组的腕关节屈曲（4.9°）、伸展（4.3°）、旋前（5.4°）和旋后（4.9°）均大于对照组。握力提高3.1 kg (p = 0.002)，视觉模拟量表疼痛评分降低1.4分（p = 0.001），平均DASH评分较好（p = 0.015）。术后恢复工作时间较短（p = 0.002），术后12周的治愈率较高（p = 0.002）。结论：基于本体感觉神经肌肉促进的早期运动可显著增强腕部运动、握力、疼痛缓解和残疾减轻，从而更快地恢复工作并改善骨折愈合。这些结果支持将结构化本体感觉神经肌肉促进康复纳入桡骨远端骨折的标准术后护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Hand Therapy 医学-外科

CiteScore

3.50

自引率

10.00%

发文量

审稿时长

19.2 weeks

期刊介绍： The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.