臨床整形外科48巻7号

2013年07月発行

論述

Bouchard結節に対する機能的スプリント療法の効果

著者： 水谷陽子¹ 森本浩之²

所属機関： ¹水谷病院整形外科 ²水谷病院リハビリテーション科

ページ範囲：P.693 - P.697

　背景：Bouchard結節は症例数が少なく，治療効果を報告しているものは少ない．

　対象と方法：Bouchard結節のある15指に対しスプリントを作製し，スプリント装着前後に手指proximal interphalangeal(PIP)関節の屈曲角度，握力，痛みvisual analogue scale(VAS)，動かしやすさVASを計測し比較した．

　結果：スプリント装着前後で手指PIP関節の屈曲角度と痛みVASは有意に減少したが，握力と動かしやすさVASは変化は認められなかった．

　まとめ：今回考案したスプリントによって握力と手指の動かしやすさに影響を及ぼさない程度で運動制限したことにより疼痛が軽減した．

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