Restitution of hand function as a result of the applied physical therapy in patients with de Quervain's disease treated conservatively or surgically
Journal Title: Fizjoterapia Polska - Year 2013, Vol 13, Issue 3
Abstract
Summary: De Quervains disease involves inflammation clamping tenosynovitis abductor pollicis longus (APL) and exiensor pollicis brevis (EPB), which together fill the first of six compartments of the wrist extensors. Symptoms include pain in the area of the styloid process of the radius, and the limitation of active range of motion of thumb and wrist.Aim: The aim of this study was to compare The effectiveness of physical therapy among patients with de Quervains diseasetreated conservatively or surgically on a base of selected hand function parameters.Material and Methods: Medical records of nearly 1,000 patients of Specialized Rehabilitation Hand Center in Cracow have been analyzed, among which 23 patients with de Quervains disease were identified. 16 of them were treated conservatively, and 7 – surgically. The study was conducted twice: on admission to the Centre (1st examinations) and at the end of rehabilitation 2nd examination). The results were analyzed statistically.Results: A statistically significant improvement of function of specific movements and the global CMCP thumb joint total thumb function, hand and wrist function both in the group treated conservatively and surgically treated was pointed out. Improvement of Finkelstein’s test results were also statistically significant in both groups.Conclusions: Adequate, individually chosen physiotherapy program is an effective tool in hand function restitution for patients with de Quervain’s disease treated conservatively or surgically.
Authors and Affiliations
Marek Pieniążek, Krzysztof Jamka, Jakub Szczechowicz
Keywords
Related Articles
- EP ID EP65677
- DOI -
- Views 40
- Downloads 0
POTSI, HUMP SUM I SUMA ROTACJI - NOWE PARAMETRY Z ZAKRESU TOPOGRAFII POWIERZCHNI CIAŁA DLA OPISU ZNIEKSZTAŁCENIA TUŁOWIA U CHORYCH ZE SKOLIOZĄ
Wstęp. Topografia powierzchniowa w skoliozie idiopatycznej powinna uwzględniać specyfikę tej deformacji poprzez użycie pa¬rametrów POTSI i Hump Sum. Celem pracy było przedstawienie tych parametrów, nieopisanych w polskim...
Strength and kinesthetic differentiation of deep muscles stabilizing lumbar spine in low back subclinical pain complaints
Background. Lumbar spine pain is one of the most frequent malfunctioning of the locomotor system. The aim of this article was to examine whether there is a co-relationship between the preliminary, subclinical symptoms of...
KONTROLA POSTAWY CIAŁA W ZALEŻNOŚCI OD WYDOLNOŚCI STÓP U DZIECI Z BOCZNYM SKRZYWIENIEM KRĘGOSŁUPA. DONIESIENIE WSTĘPNE
[b]Wstęp.[/b] Boczne skrzywienie kręgosłupa jest to wielopłaszczyznowe zniekształcenie, z którym często występuje kompensacyjne wygięcie kręgosłupa, zaburzenie ustawienia miednicy i kończyn dolnych. Zmiany występujące w...
Evaluation of the effect of ultrasound therapy on pressure ulcer healing
As well as being a long process, the treatment of pressure ulcers involves the application of different therapeutic methods. In treating soft tissue defects, including pressure ulcers, physical modalities are increasingl...
Functional recovery in patients receiving rehabilitation after operative treatment of post-traumatic extraaxial cerebral haematoma
The number of patients treated surgically for post-traumatic extraaxial cerebral haematoma is growing every year, thus becoming a significant therapeutic problem. The main aim of the study is to describe changes in funct...