Belomazheva-Dimitrova, S. Recovery of the Complex Elbow Function after Stable Intra-Articular Fractures.
Proceedings of the 7th Annual International Conference: Physical Education, Sport and Health, 14th - 15th November, 2014, Pitesti, Romania. Series Publications Title: Scientific Report Physical Education and Sport, volume 18 1/2014, pp. 28-34. ISSN: 1453-1194
Problem statement: Functional recovery of the elbow joint after intra-articular fractures is a challenging problem due to the complexity of the joint and its high reactivity to different types of injuries. Following various specialized literature we did not have described an algorithm for physiotherapy and deadlines to restore the complex function of the elbow joint after stable intra-articular fractures treated conservatively.
Purpose: To follow the recovery of the complex function of the elbow joint after intra-articular stable fractures treated conservatively after applying own methodology of physiotherapy.
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 physiotherapy methodology was applied to patients including ultrasound, magnet, manually-mobilization and muscle-inhibitory technics, passive motion, active-assisted and active exercises for the elbow joint, consistent with instantaneous functional limitations. 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. Data of the functional recovery of patients was collected using Mayo elbow score (2000) for assessment of the complex function of the joint.
Results: The range of motion in the elbow joint showed progress and achieved range of motion in the elbow joint as at the end of the first month exceeded the functional range of motion (0°-30°-130° - for the movements in the sagittal plane and 50°-0°-50° - for the rotary motions), progressively reduced joint pain, increased muscle strength and stability of the joint.
Discussions: At the end of the first month were reached 90,33 points on the scale of Mayo, at the end of the third month of follow-up of functional recovery were achieved 98 points, which is close to the maximum score of 100 points on the scale of Mayo for the assessment of the complex function of the elbow joint.
Conclusion: Use of appropriate combinations of means of physiotherapy in non-replaced elbow fractures, treated conservatively, consistent with the period of tissue regeneration and instantaneous functional limitations leads to: recovery of the range of motion of the joint, reducing pain, strengthening the muscles, improve joint stability and recovery of the complex function of the elbow joint near to 100 point on the scale of Mayo at the end of the third month.
Key words: complex elbow function, range of motion, pain, stability, everyday activities.
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