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MR Vol.10 No.3 indexに戻る
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MODERN RHEUMATOLOGY
Vol.10 No.3 |
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The Senami Wrist Supporter for patients
with rheumatoid arthritis |
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| H. Ishikawa1, A. Murasawa1, A. Suzuki2,
M. Mizukoshi2, A. Yamazaki2, M. Abe2 |
(1)Department of Rheumatology, Rheumatic Center,
Niigata Prefectural Senami Hospital, 2-4-15 Murakami, Niigata 958-0037,
Japan
(2)Department of Rehabilitation, Niigata Prefectural Senami Hospital, Niigata,
Japan |
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| Abstract |
| Abstract One of the wrist orthoses, the Senami
Wrist Supporter (SWS), was applied to 203 rheumatoid wrists in
112 patients who had persistent wrist pain and restricted forearm
rotation due to synovitis and instability at the distal radioulnar
joint (DRUJ). The study was performed by sending out a questionnaire
to the patients about the use of the SWS at home, and examining
grip strength and forearm rotation with and without the use of
the SWS. The average age of the patients was 61 years, and the
average follow-up period was 18 months. The rate of compliance
of wearing the SWS at home was 73% on average. It was higher in
wrists of Larsen-Dale-Eek (LDE) grades 0, I, and II (normal, slight,
and definite early abnormality) than in those of grades III, and
IV (medium and severe destructive abnormality). Decreased pain
was noted in 52% of the wrists at the time of applying the SWS.
The SWS was not used in 10% of the wrists because of remission
of pain at follow-up. Grip strength increased significantly (P < 0.01)
and so did forearm rotation (P < 0.05) by the stabilizing effect
of the SWS on the unstable DRUJ. The use of the SWS was confirmed
to be an efficient measure to treat painful rheumatoid wrists with
early stages of disease at the DRUJ. |
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| Key words |
| Key words Rheumatoid arthritis ・ Wrist ・ Orthosis
・ Distal radioulnar joint ・ Compliance |
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