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杜普伊特伦挛缩锻炼

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Exercise handout following Dupuytren's release — extension, DIP/PIP flexion and wrist tenodesis exercises, recreated from an Extend Rehabilitation sheet.

Updated Jun 2026
一幅手绘的杜普伊特伦手术插图,采用诊所特有的风格绘制。
杜普伊特伦挛缩锻炼 Kieran Hirpara 4.0

本页面由机器翻译,尚未经临床医生审核。英文版本为权威版本。

由 Extend Rehabilitation 协助编制

姓名:____________________  日期:____________

什么是杜普伊特伦病

杜普伊特伦病导致环指和小指屈曲

杜普伊特伦病表现为手掌和手指出现异常的肿块和“索带”样组织。这些肿块和索带代表掌腱膜(一种将手掌皮肤固定在位的纤维组织)的异常增生。

随着杜普伊特伦索带随时间逐渐收紧,手指关节被牵拉至屈曲位,导致手指持续弯曲。该病最常累及环指和小指。拇指也可能受累,但这种情况较少见。

症状进展的速度在患者之间差异极大。在许多患者中,病情可能在较长时间内保持稳定,仅需观察。而在另一些患者中,病情可能进展较快,需要更早的手术干预。

病因是什么?

杜普伊特伦病主要影响具有北欧血统的人群。该病在男性中的发病率高于女性,且通常在40岁后发病。在许多病例中,该病具有家族遗传倾向。

治疗

杜普伊特伦病(掌腱膜挛缩症)没有永久性的治愈方法。手术可以缓解手指向手掌弯曲的症状,但该病症可能会随时间复发。杜普伊特伦病手术的目标是切除病变的筋膜并恢复手指的伸展(伸直)功能。

手术后会发生什么?

通常,您将在手术后 2-3 天被转诊给手部治疗师。他们会为您制作一个塑料夹板,以维持手指处于伸直位置,并指导您进行一些轻柔的练习。

我何时需要佩戴支具?何时可以使用手部?

最初,您可能需要全天佩戴支具,仅在锻炼时取下。通常在一周左右后,您只需在夜间佩戴支具。此时,您可以在白天开始进行轻度活动。通常支具需要在夜间佩戴3个月,在某些情况下最长可达6个月。您的治疗师/外科医生将具体指导您关于支具佩戴和活动的注意事项。

伤口护理

在拆线之前,保持伤口清洁干燥非常重要。拆线后,您可以弄湿皮肤,但请避免将手浸入水中,需再等待一周。

练习

手腕伸直,手指伸直并相互分开。

主动伸指

手腕保持伸直,将手指伸直并分开。您可以使用另一只手辅助。放松。

按照您的手部治疗师的规定——____ 次,每天 ____ 次

另一只手在指间关节屈曲时,于远端关节皱襞下方提供支撑。

主动远端指间关节(DIP)屈曲

用另一只手在末节指间关节的屈侧褶皱下方提供支撑。用力弯曲末节指间关节。

按照您的手部治疗师的规定——____ 次,每天 ____ 次

笔握于手指根部,手指环绕笔身。

主动远端/近端指间关节(DIP/PIP)屈曲

将一支笔放在手指根部。弯曲手指环绕笔,使两个指间关节(IP关节)均屈曲。

按照您的手部治疗师的规定——____ 次,每天 ____ 次

松握的拳头。

复合屈曲

轻轻握成一个松散的拳头。

按照您的手部治疗师的规定——____ 次,每天 ____ 次

肘部支撑,手指放松,手腕向前和向后弯曲。

腕部肌腱固定效应练习

肘部支撑,手指放松,将手腕向前弯曲,然后向后弯曲。

按照您的手部治疗师的规定——____ 次,每天 ____ 次

每天需完成 __________ 次

完整的分阶段康复计划,请参阅杜普伊特伦挛缩松解术康复方案。


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