病案分享CMMS技术康复治疗手脱套性

病案报告:CMMS技术康复治疗手脱套性损伤StudyDesign:Casereport.Introduction:Thiscasereportdescribestheuseofthecastingmotiontomobilizestiffness(CMMS)techniqueinthemanagementofacrushanddeglovinginjuryofthehand.Thepatientwasunabletoattendmultiplehandtherapysessionsduetogeographicconstraints.TheCMMStechniqueinvolvedtheapplicationofanonremovableplasterofpariscastthatselectivelyimmobilizesproximaljointsinanidealpositionwhileconstrainingdistaljointstodirectdesiredmotionoveralongperiod.Thisusesactivemotiononly.Traditionalhandtherapytechniquesormodalitiesarenotused.Thistreatmentapproachwasbeneficialtothepatientasaminimumof2appointmentspermonthwereneededtoregainfunctionalhanduse.PurposeoftheStudy:TodocumenttheuseoftheCMMStechniqueasaneffectivetreatmentapproachinthemanagementofacrushanddeglovinginjuryofthehand.Methods:TheCMMStechniquewasappliedtothepatient’sleft(nondominant)hand8weeksafterinjury.Thetechnique’saimwastoimprovethe30°flexiondeformityoftheleftwristandflexioncontracturesoftheindex,middle,andringfingerswithatotalactivemotionof0°.Orthoticdevicesandtraditionaltherapywereappliedoncejointstiffnesswasresolved,andanormalpatternofmotionwasreinstated.Results:At6months,substantialimprovementwasnotedinwristaswellasmetacarpophalangealandinterphalangealjoints.Totalactivemotionexceeded°inallfingersexcellentfunctionalout







































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