综述

作业治疗在腕管综合征中的应用

  • 刘静娅 ,
  • 刘璇 ,
  • 黄富表 ,
  • 杨絮
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  • 1.首都医科大学康复医学院,北京市100068;
    2.中国康复研究中心北京博爱医院,北京市100068。
刘静娅(1985-),女,北京市人,主管治疗师,主要研究方向:腕管综合征、手外伤、脑血管病的作业治疗。E-mail: jealousy313@163.com。

收稿日期: 2016-12-17

  修回日期: 2017-02-23

  网络出版日期: 2017-05-24

Occupational Therapy for Carpal Tunnel Syndrome (review)

  • LIU Jing-ya ,
  • LIU Xuan ,
  • HUANG Fu-biao ,
  • YANG Xu
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  • 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China;
    2. Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China

Received date: 2016-12-17

  Revised date: 2017-02-23

  Online published: 2017-05-24

摘要

作业治疗是腕管综合征保护性和矫正性的非手术措施,通过物理检查、感觉检查、功能性使用等方面的评估,制定作业治疗的目标与方案。作业治疗师指导患者进行神经肌腱滑动训练,帮助患者制作或选择支具,调整任务,减轻可能造成患者病情加重的活动,合理利用代偿姿势,调整设备及环境,改造生活及工作中的工具;对患者进行宣教,包括腕管综合征的病理生理、治疗内容(保守治疗和手术)、姿势和活动性原则等信息,也可将其制成小册子,鼓励患者在家里复习。

本文引用格式

刘静娅 , 刘璇 , 黄富表 , 杨絮 . 作业治疗在腕管综合征中的应用[J]. 中国康复理论与实践, 2017 , 23(5) : 563 -566 . DOI: 10.3969/j.issn.1006-9771.2017.05.015

Abstract

Occupational therapy provides protective and corrective non-surgical measures for carpal tunnel syndrome. The information gained from the assessment process can help the occupational therapists determine the targets and treatment options, including the nerve-gliding exercises, tendon-gliding exercises, production or select splints, modification of tasks resulting in patients with exacerbations, modification of equipment and environment, transformation of daily necessities. The education would cover the pathophysiology of carpal tunnel syndrome, treatment options (conservative management and surgery), posture and activity modification principles. This information can also be provided in the form of an education booklet which participants will be encouraged to review at home.

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