Study of the Effect of Mobilization and Muscle-Inhibitory Techniques on an Elbow Arthrokinematics after Conservative Treatment of Intra-Articular Fractures of the Elbow Joint.
Proceedings of the 6th Annual International Conference: Physical Education, Sport and Health, 22nd - 23rd November, 2013, Pitesti, Romania. Series Publications Title: Scientific Report Physical Education and Sport, volume 17 (1/2013), pp. 98-103. ISSN: 1453-1194
Problem statement: The traumas of the elbow joint requiring immobilization for a certain period of time, may lead to long-term lack of working capacity and incapability for self-servicing. In our opinion, this justifies the importance of rehabilitation practices, which are put into practice in such cases. We think that kinesitherapy plays a key role in the overall process of recovery after intra-articular fractures of the elbow joint.
The need for optimizing the recovery process in this pathology case explains our focus on this problem.
Purpose: to study the influence of mobilizing and muscular-inhibitory techniques for a more effective recovery of the joint arthrokinematics on patients with non-replaced intra-articular fractures of the elbow joint, undergone conservative treatment.
Methods: Within the period of three years, the functional recovery of 59 patients with intra-articular fractures of the elbow joint, treated with conservative methods, was monitored. Data of the functional recovery of two groups of patients – experimental and control was collected. In the experimental group, mobilizing and muscular-inhibitory techniques were put to practice early in the recovery process. The patients of the two groups were under control within one month of the start of the functional recovery, as each patient underwent individual recovery procedures.
Results: The range of motion in the elbow joint showed progress in both groups, but only in the experimental group, the achieved range of motion in the elbow joint as at the end of the first month exceeded the functional range of motion.
Discussions: The experimental group scored a better volume of motion in comparison to the control group, which was supported by statistical data.
Conclusion: The early use of joint mobilization and muscular-inhibitory techniques in the methodology of kinesitherapy in non-replaced elbow fractures, treated conservatively leads to: curing of the muscular and soft tissue shortenings causing joint contractures; recovering of the functional range of motion of the joint within the first month of the functional recovery.
Key words: range of motion, trauma, elbow stiffness, pain, mobilization techniques, muscle-inhibitory techniques.