本体感受训练在拇指基底骨关节炎功能恢复中的有效性。采用简单随机非盲法的多中心临床试验

IF 1.2 Q4 RHEUMATOLOGY
Leire Cruz-Gambero , Alejandra Lucía Tuljak , Santiago Garcia Orza , Jorge H. Villafañe , Raquel Cantero-Téllez
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引用次数: 0

摘要

背景和目的拇指根部骨关节炎(CMC-1 OA)是一种主要影响绝经后妇女的病理。主要症状包括疼痛,手拇指力量和精细运动能力下降。虽然在CMC-1型OA患者中已经证实存在本体感觉缺陷,但关于本体感觉训练的效果尚无足够的证据。本研究的主要目的是确定本体感觉训练在功能恢复中的有效性。材料与方法共纳入57例患者,对照组29例,实验组28例。两组接受相同的基本干预方案,但实验组包括本体感觉训练方案。研究变量为疼痛(VAS)、职业表现知觉(COMP)、感觉位置(SP)和力感觉(FS)。结果实验组患者疼痛症状改善有统计学意义(p <.05)和职业绩效(p <.001)。感觉位置(SP)和力感(FS)无统计学差异。讨论与结论本研究结果与以往有关本体感觉训练的研究结果一致。本体感觉训练方案的结合减少了疼痛并显著提高了职业表现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efectividad del entrenamiento propioceptivo en la recuperación funcional de la artrosis en la base del pulgar. Ensayo clínico multicéntrico con aleatorización simple no cegado

Background and objectives

Osteoarthritis at the base of the thumb (CMC-1 OA) is a pathology that mainly affects postmenopausal women. The main symptoms including pain, decreased hand-thumb strength and fine motor capacity. Although a proprioceptive deficit has already been demonstrated in people with CMC-1 OA, there is insufficient evidence regarding the effects of proprioceptive training. The main objective of this study is to determine the effectiveness of proprioceptive training in functional recovery.

Materials and methods

A total of 57 patients were included in the study, 29 in the control group and 28 in the experimental group. Both groups underwent the same basic intervention programme, but the experimental group included a proprioceptive training protocol. Variables of the study were pain (VAS), perception of occupational performance (COMP), sense position (SP) and force sensation (FS).

Results

Statistically significant improvement was observed in the experimental group in pain (p < .05) and occupational performance (p < .001) after 3 months of treatment. No statistical differences were found in sense position (SP) or sensation of force (FS).

Discussion and conclusions

The results concord with previous studies focussing on proprioception training. The incorporation of a proprioceptive exercise protocol reduces pain and significantly improves occupational performance.

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来源期刊
Reumatologia Clinica
Reumatologia Clinica RHEUMATOLOGY-
CiteScore
2.40
自引率
6.70%
发文量
105
审稿时长
54 days
期刊介绍: Una gran revista para cubrir eficazmente las necesidades de conocimientos en una patología de etiología, expresividad clínica y tratamiento tan amplios. Además es La Publicación Oficial de la Sociedad Española de Reumatología y del Colegio Mexicano de Reumatología y está incluida en los más prestigiosos índices de referencia en medicina.
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