Krzysztof Jamka, Szczechowicz Jakub, Marek Pieniążek

K. Jamka, J. Szczechowicz, M. Pieniążek – Restoration of hand function as a result of physiotherapy program used in patients after surgical decompression of the ulnar nerve in the groove. FP 2014; 14(4); 52-62

Abstract

The aim of this study was to evaluates selected parameters of hand function in patients after surgical release of the ulnar nerve in the groove and its restitution under the influence of the applied program of physiotherapy.
Material and methods. The study included 19 patients (9 women and 10 men) after surgical decompression of the ulnar nerve in the groove. The research was conducted two times, at the beginning of rehabilitation (study examination 1) and after finishing rehabilitation programm (study examination 2). Examinations included measurements of muscle strength (grip hand and precise grips), superficial feeling (two-point discrimination test) and active mobility of the wrist, thumb and fingers II- V of the hand, which was used for calculation of loss of hand function in accordance with the Swanson’s methodology.
Results. A statistically significant restitution of hand function under the influence of the applied program of physiotherapy was noted. Indicators of improvement in muscle strength were important both in the grip hand and in precise ones. It was also showed a significant improvement in sensation to the ulnar and median nerve.
Conclusions. Adequate selected physiotherapy program allows a significant restoration of hand function in patients after surgical release of the ulnar nerve in the groove.

Key words:
ulnar nerve, physiotherapy, functional restitution

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