Mobilizing the Stiff Hand: Combining Theory and Evidence to Improve Clinical Outcomes

被引：26

作者：

Glasgow, Celeste ^{[1
]}

Tooth, Leigh R. ^{[2
]}

Fleming, Jenny ^{[3
]}

机构：

[1] EKCO Occupat Serv, Hand & Upper Limb Rehabil Unit, Brisbane, Qld 4000, Australia

[2] Univ Queensland, Sch Populat Hlth, Lifespan Hlth Res Unit, Herston, Qld, Australia

[3] Univ Queensland, Sch Hlth & Rehabil Sci, St Lucia, Qld, Australia

来源：

JOURNAL OF HAND THERAPY | 2010年 / 23卷 / 04期

关键词：

CONTINUOUS PASSIVE MOTION; JOINT MOBILIZATION; ADHESIVE CAPSULITIS; SHOULDER; FLEXION; CONTRACTURES; THERAPY;

D O I：

10.1016/j.jht.2010.05.005

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

The purpose of this narrative review is to provide a clinically reasonable guide to intervention choices, by combining a sound understanding of theory with available research evidence. The pathology of contracture formation is presented within the context of tissue repair. The soft tissue response to stress is explained and the optimal "dose" of treatment is discussed. The evidence behind the use of exercise, joint mobilization, continuous passive motion, casting motion to mobilize stiffness, and mobilizing splinting is examined. Recommendations regarding treatment implementation and future research needs are highlighted. The importance of mobilizing splinting and exercise as treatment modalities in the management of joint contracture is demonstrated. Level of Evidence: 5. J HAND THER. 2010;23:392-401.

引用

页码：392 / 400

页数：9

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