Changes in the End Feel of the Elbow Joint during Recovery Process after Conservatively Treated Stable Fractures.
Proceedings of the 8th Annual International Conference: Physical Education, Sport and Health, 19th - 20th November, 2015, Pitesti, Romania. Series Publications Title: Scientific Report Physical Education and Sport, volume 19 (2/2015), pp. 485-490. ISSN: 1453-1194
Problem statement: Functional recovery of the elbow joint after fractures is a challenging problem. One of the important signs for functional recovery of joints is the end feel during passive motion. Following various specialized literature we did not have described an algorithm for physiotherapy and deadlines to restore the normal end feel in the elbow joint during passive movements after stable intra-articular fractures treated conservatively.
Purpose: To follow the changes in the end feel during passive movements of the elbow joint after intra-articular stable fractures treated conservatively after applying own methodology of kinesitherapy.
Methods: Within the period of two years, the functional recovery of 30 patients with stable intra-articular fractures of the elbow joint, treated with conservative methods (immobilization), was monitored. Own kinesitherapy methodology was applied to patients. The patients were put under control within one month of the start of the functional recovery, as each patient underwent individual recovery procedures after that to the end of the third month. During that period of time data of the end feel of passive movements of the elbow joint was collected.
Results: The Initial test shows that the end feel during passive movements in the elbow joint is completely pathological. Progressively at the end of the study the end feel changes. For the movements extension and flexion it becomes solid and hard and for rotation it becomes entirely hard or normal end feel.
Discussions: The initial study after trauma and immobilization shows that the supination movement is more painful and restricted than pronation and this imposed more careful treatment approach. The final study established that the end feel during passive extension and flexion is solid for the major group of patients. This means that stops of the movement are joint capsule and soft tissues which requires physiotherapy to continue until recovery of the functions of the soft tissues.
Conclusion: The reporting of the end feel in the elbow joint is important for determining the factors limiting the range of movements and for choosing appropriate methods of physiotherapy for functional recovery of this joint.
Key words: end feel, passive movements, elbow joint, soft tissues, functional recovery.
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