Short-term effects of self-mobilization with a strap on pain and range of motion of the wrist joint in patients with dorsal wrist pain when weight bearing through the hand: A case series

2013 ◽  
Vol 18 (6) ◽  
pp. 568-572 ◽  
Author(s):  
Sung-Dae Choung ◽  
Oh-Yun Kwon ◽  
Kyue-Nam Park ◽  
Si-Hyun Kim ◽  
Heon-Seock Cynn
2019 ◽  
Vol 08 (03) ◽  
pp. 198-201 ◽  
Author(s):  
Ashraf M. Abdelaziz ◽  
Wael Aldahshan ◽  
Faisal Ahmed Hashem El-Sherief ◽  
Yaser El Sayed Hassan Wahd ◽  
Hany Abdel Gawwad Soliman

Background Wrist denervation is one of the several available options for treating chronic wrist pain; partial wrist denervation performed through a single dorsal incision by resecting the distal posterior interosseous nerve provides good outcomes. Questions/Purposes This study evaluated the results of posterior interosseous neurectomy (PIN) in patients with chronic wrist pain secondary to scaphoid nonunion advanced collapse (SNAC) and scapholunate advanced collapse (SLAC). Methods In total, 30 wrists obtained from 28 patients (25 males, 3 females) were assessed. The dominant hands of 25 (right-handed) patients, nondominant hands of 5, and both hands of 2 were considered. The average age at the time of surgery was 35 (range: 19–50) years, and the average follow-up duration was 18 (range: 12–30) months. Fifteen and 13 patients had wrists with SNAC and SLAC, respectively, and all of those underwent PIN performed through the dorsal approach. The pre- and postoperative range of motion, grip strength, and pain relief percentage were recorded for all the 30 wrists. Results The average postoperative Disabilities of the Arm, Shoulder and Hand score was 30 (range: 20–80), and the difference between the pre- and postoperative scores was statistically significant. Ninety percent of the patients were satisfied with the results of PIN and reported improvement in grip strength and pain relief. Conclusions Thus, PIN may be an effective surgical technique for wrist reconstruction. Clinical Relevance To help patients challenge pain and maintain their wrist joint range of motion.


2009 ◽  
Vol 39 (7) ◽  
pp. 515-521 ◽  
Author(s):  
Javier GonzáLez-Iglesias ◽  
César Fernández-de-las-Peñas ◽  
Joshua Cleland ◽  
Peter Huijbregts ◽  
Maria Del Rosario Gutiérrez-Vega

2018 ◽  
Vol 28 (2) ◽  
pp. 547-551
Author(s):  
Galina Мratskova ◽  
Damyan Petrov ◽  
Nedko Dimitrov

Introduction: Osteoarthritis (OA) is a widespread disease among adult population and is one of the major public health problems. OA is leading cause of disability the joints of lower limbs: knee and hip. As global life expectancy increases, it predicted that OA will be the leading cause of damage resulting in permanent disability. In cases of OA a reduction in cartilage tissue is observed, which is radiographically demonstrated by narrowing of the joint space and bone changes, osteophytes and subchondral bone sclerosis. However, a significant proportion of patients with radiological evidence of gonarthritis do not report joint pain. It is important to evaluate the changes occurring in the surrounding tissues. Muscle weakness of m. quadriceps femoris may occur before pain and impaired joint function. The development and application of new non-pharmacological methods in the rehabilitation of degenerative joint diseases is particularly important.Purpose: To establish the short-term therapeutic effects of treatment with Low-frequency and Low-intensive electrostatic field, applied through Deep Oscillation® method and complex of therapeutic exercises in rehabilitation of patients with osteoarthritis of the knee.Materials and methods: We conducted a one-year observational study involving 23 patients with clinical symptoms and radiologically proven II and III stage according Kellgren-Lawrence gonarthritis, aged between 42 and 78 years, were observed. 15 of them were women average age 61.73±12.9 years vs 8 - males average age 61.75±9.6 years (p=0.997). The duration of the current pain-episode was 1.7±0.7 months. The treatment was conducted in 10 sessions and included: Low-frequency and Low-intensity electrostatic field and complex therapeutic exercises.Results: The results were evaluated before and after completion of therapeutic course by assessing pain (VAS) at rest, when walking, climbing and descending on stairs, Manual Muscle Testing, Measurment of the knee joint circumference, Test Range of Motion and WOMAC Osteoarthritis Index, V.LK 3.1. were tracked. For processing statistical data SPSS v.13 was used. There was a statistically significant reduction of pain syndrome at rest (p<0.001), walking (p<0.001), descending stairs (p<0.001), climbing (p<0.001). Reduction of knee joint circumference (p<0.001). Increasing the range of flexion before Ме (Range) from 105º (90º-120º) versus 120º (100º-125º) after therapy. Reduced deficiency at an extension from 3.48 ± 4.38 before therapy to recovery of the extension. Improved total WOMAC Index (p<0.001), Stiffness (p<0.001) and Function (p<0.001).Conclusion: The short-term effects of the application of Low-frequency and Low-intensive electrostatic field in complex with therapeutic exercises show reduction of clinical symptoms and improvement of daily functional activity in patients with knee joint osteoarthritis. Reduction of pain of rest and physical activity (walking, descending and climbing stairs) is observed, oedema is reduced, joint range of motion increases, immediately after completion of the therapeutic course. Because of the small number of patients included in the study for better objectifying of the effects of the low-frequency and low-intensity electrostatic field, the studies should continue.


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