目的 观察基于康复花园的园艺训练对手外伤术后的康复效果。方法 2015年1月至2016年12月,手外伤手术修复后存在功能障碍的患者78例随机等分为对照组和观察组。对照组采用常规康复治疗,观察组在对照组的基础上进行基于康复花园的园艺训练,共28 d。分别于治疗前后测量手总主动活动度(TAM),进行上肢功能评分(DASH)、Carroll手功能评分(UEFT)。结果 治疗后两组TAM、DASH、UEFT均较治疗前显著改善(t>10.632, P<0.001),观察组优于对照组(t>2.269, P<0.05)。结论 基于康复花园的模拟园艺训练能有效改善手外伤患者手功能和上肢功能。
Objective To observe the effect of horticultural training based on healing garden as rehabilitation for post-operation of hand trauma.Methods From January, 2015 to December, 2016, 78 patients with functional disorder after operation for hand trauma were randomized into control group and observation group equally. All the patients accepted routine rehabilitation, while the observation group accepted horticultural training based on healing garden in addition, for 28 days. They were assessed with Total Active Movement (TAM), Disability of Arm Shoulder and Hand (DASH), and Upper Extremity Function Test (UEFT) before and after treatment.Results The scores of TAM, DASH and UEFT improved in both groups after treatment (t>10.632, P<0.001), and improved more in the observation group than in the control group (t>2.269, P<0.05).Conclusion The horticultural training based on healing garden may promote the recovery of movement of fingers, function of hand and upper limbs in patients after hand trauma.
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