Marcin Krajczy, Edyta Krajczy, Anna Szczegielniak, Jacek Łuniewski, Katarzyna Bogacz, Tomasz Dybek, Piotr Kiczyński, Jan Szczegielniak

M. Krajczy, E. Krajczy, A. Szczegielniak, J. Łuniewski, K. Bogacz, T. Dybek, P. Kiczyński, J. Szczegielniak: Physiotherapy after a_hand surgery pm przypadku / Physiotherapy after a hand surgery performed with a diagnostic and functioerformed with a diagnostic and functional therapy device. Case study. Fizjoterapia Polska 2015;15(3);46-54

Abstract

Background. Surgical treatment after fingers flexor tendons’ injury requires a consequent physiotherapy of the handthat is basedonwell-establishedessential procedures. There are no reports on comprehensive hand physiotherapy treatment aftertraumatic injuries of the tendons, blood vessels and nerveswith an application of theHand Tutorsystem in the therapeutic process.
Aim of the study. The aim of the study is to present a comprehensive hand physiotherapy after surgery and revision of the tendonswith a rehabilitation system with biofeedback- Hand Tutor TM, which is a modern system designed for the therapy of sensory, motor and cognitive disorders of the hand.
Materials and methods. The study presents a case of a 42 year-old man. The patient suffered from the injury of a right hand with a significant damage of tendons, artery and ulnar nerve,  operatet on 2012. Complications after the performed surgery were observed during the recovery (inflammation, swelling and tissue adhesions). In the therapy early comprehensive hand physiotherapy was introduced (with an application of the system for hand physiotherapy with biofeedback – Hand Tutor TM).
Results. The study shows that introduction of an early, comprehensive physiotherapy together with the Hand Tutor device was successful in terms of the wound healing process and significant improvement in hand function after surgery. It appears that appropriately selected physiotherapy procedures may positively influence the effectiveness of the general therapy. Final results showed significant improvement in passive and active range of motion of the injured hand as well as in the speed of the movements. The study also showed a reduction of the subjective levelof the pain and the return of the ulnar nerve function.

Key words:
early comprehensive physiotherapy, Hand Tutor, traumatic tendon injury

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