RECOVERY OF MUSCLE FUNCTION AFTER STABLE ELBOW FRACTURES


Беломъжева-Димитрова, Стефания (2017) RECOVERY OF MUSCLE FUNCTION AFTER STABLE ELBOW FRACTURES PROCEEDINGS OF THE 59th INTERNATIONAL SCIENTIFIC CONFERENCE OF DAUGAVPILS UNIVERSITY


 Problem statement: The elbow joint is an important link in the kinematic chain of the upper limb. It allows the hand to be placed at different heights and position in space for various daily, self-service and occupational activities. Functional recovery of the elbow joint after fractures is a challenging problem. Following various specialized literature we did not have described an algorithm for physiotherapy and deadlines to restore the muscle function of the elbow joint after stable intraarticular fractures treated conservatively. Purpose: To follow the recovery of the muscle function of the elbow joint after intra-articular stable fractures treated conservatively by applying own methodology of physiotherapy. Methods: Within the period of two years, the functional recovery of 30 patients with stable intraarticular fractures of the elbow joint, treated with conservative methods (immobilization), was monitored. Own physiotherapy methodology was applied to patients. The patients were put under control for three months with physiotherapy procedures. During that period of time data of the end dynamometry, manual muscle testing and centimeters of arm and forearm was collected. Results: After removing of the immobilization were established hypotrophy and suppression of muscle function among patients manifested in weakness and inability to perform active movements. At the end of the follow-up of functional recovery were achieved 95,28 % of strength of the hand and more than 50% of patients have maximal evaluation of manual muscle testing of flexors, extensors and rotators of elbow joint. Centimeters of arm and forearm shows that muscle trophic is restored. Discussion: During the course of recovery procedures the thropics and muscle strength were gradually recovered. At the end of the study did not detect a significant difference in the analyzed indicators compared to the healthy upper limb. Conclusions: Careful selection of tools of physiotherapy designed to restore muscle function gives result and allows early involvement of upper extremity in daily and work activities.
  Доклад
 Key words: elbow, muscle function, strength, dynamometry, manual muscle testing, centimeters of arm and forearm.




 Издадено
  20873
 Стефания Беломъжева-Димитрова

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