Comparing the effectiveness of mobilization techniques with movement and myofascial techniques in patients following distal radius fractures treated conservatively
Journal Title: Rehabilitacja Medyczna - Year 2017, Vol 21, Issue 4
Abstract
Introduction: Fractures of the distal radius are one of the most common types in the upper limb area. They lead to significant reduction in range of mobility, muscle weakness and the occurrence of serious pain.<br/><br/>Material and methods: The research involved 20 patients from the Specialist Hand Rehabilitation Centre in Krakow, who were rehabilitated after fractures to the distal radial bone. They were randomly divided into two groups. In group A (n = 10), there were patients who underwent mobilization techniques with movement according to the Mulligan concept as part of their manual work. Group B (n = 10) consisted of patients subjected to myofascial techniques. Functional examination of the hand was carried out twice before and after beginning rehabilitation. The range of active mobility, muscle strength and superficial feeling were examined. Based on the obtained results, functional loss was calculated according to Swanson’s method, Total Active Motion and the sensory index. The obtained results were subjected to statistical analysis using the Excel 10 programme.<br/><br/>Results: Significant improvement in hand and muscle strength was noted in both groups. In the group of patients treated with myofascial techniques, better rates of improvement for the tested parameters were obtained than in the group treated with the use of joint mobilization techniques.<br/><br/>Conclusions: 1. The applied programme of rehabilitating patients following fracture of the distal radial bone is characterized by statistically significant improvement in hand function. 2. The use of soft-tissue techniques is a more effective method of hand function restitution than the method of mobilization with movement.<br/><br/>myofascial techniques, forearm fractures, physiotherapy<br/><br/>
Authors and Affiliations
Krzysztof Jamka, Jakub Szczechowicz, Marek Pieniążek, Katarzyna Kubasiak
Keywords
Related Articles
- EP ID EP346512
- DOI 10.5604/01.3001.0012.0895
- Views 75
- Downloads 0
Analiza efektów programu usprawniającego kończynę górną pacjentów po przebytym niedokrwiennym udarze mózgu leczonych toksyną botulinową
Wprowadzenie: Udar mózgu stanowi nie tylko problem medyczny lecz także, ze względu na trwałą niepełnosprawność poszkodowanych, znaczny problem społeczny. U znacznej liczby chorych po przebytym zdarzeniu neurologicznym ro...
Review of body balance research methods
A man's physical fitness largely depends on the ability to maintain body balance. This ability is examined by using various methods and tests, still searching for the best way of its evaluation. Body balance is discussed...
Zaopatrzenie ortopedyczne kończyny górnej u chorych po udarze mózgu stosowane w profilaktyce zespołu bolesnego barku
Jednym z poważniejszych problemów jakie powstają po przebytym udarze mózgu są bóle w obrębie barku. Dolegliwości tego typu dotyczą nawet 65% chorych. Tzw. zespół bolesnego barku hemiplegika (zbbh) jest często rezultatem...
Rehabilitacja poudarowa metodą PNF, z zastosowaniem i bez zastosowania toksyny botulinowej – opisy przypadków
Jedną z częściej spotykanych chorób układu nerwowego jest udar mózgu. Do najczęstszych objawów ruchowych należą niedowłady bądź porażenia kończyn, z towarzyszącym wzrostem napięcia mięśniowego, zwanym spastycznością. Dla...
Assessment of shoulder mobility in women over 60 years of age after one-sided mastectomy
The overall risk of contracting various diseases, including breast cancer, increases with age. An on-going process of population ageing challenges modern physiotherapy with the need to have functional capacity in older p...