Physiotherapy after volar plating of wrist fractures is effective using a home exercise program
| Autor: | Florian Schneider, Gert Krischak, Daniel Gulkin, Anna Krasteva, Florian Gebhard, Michael Kramer |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male Wrist Joint medicine.medical_specialty Home Nursing medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Wrist Cohort Studies Grip strength Fracture Fixation Internal Physical medicine and rehabilitation Hand strength Bone plate Fracture fixation Activities of Daily Living medicine Internal fixation Humans Range of Motion Articular Aged Hand Strength business.industry Rehabilitation Middle Aged Hand Exercise Therapy Self Care medicine.anatomical_structure Orthopedic surgery Physical therapy Female business Range of motion Radius Fractures Bone Plates Follow-Up Studies |
| Zdroj: | Archives of physical medicine and rehabilitation. 90(4) |
| ISSN: | 1532-821X |
| Popis: | To determine the effect of 2 different postoperative therapy approaches after operative stabilization of the wrist fractures: treatment by a physical therapist with 12 sessions and an unassisted home exercise program.Randomized controlled cohort study.Hospital-based care, primary center of orthopedic surgery.Volunteers (N=48) with fractures of the distal radius after internal fixation with locking plates. There were 46 patients available for follow-up after exclusion of 2 participants due to physiotherapy sessions in excess of the study protocol.Not applicable.Evaluation of grip strength using a Jamar dynamometer, range of motion (ROM), and Patient Related Wrist Evaluation (PRWE).After a 6-week period of postoperative treatment, the patients (n=23) performing an independent home exercise program using a training diary showed a significantly greater improvement of the functionality of the wrist. Grip strength reached 54% (P=.003), and ROM in extension and flexion 79% (P.001) of the uninjured side. Ulnar and radial abduction was also higher in this group. In contrast, patients who were treated by a physical therapist achieved grip strength equal to 32%, and ROM in extension and flexion of 52% of the uninjured side. Patients who were performing the home training after operation recorded an improved wrist function with a nearly 50% lower value (P.001) in the PRWE score.In the postoperative rehabilitation of wrist fractures, instructions in a home exercise program are an effective alternative to prescribed physical therapy treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|