Tag: Krzysztof Jamka

Restitution of hand function as a result of the applied physical therapy in patients with de Quervain’s disease treated conservatively or surgically

Marek Pieniążek, Krzysztof Jamka, Jakub Szczechowicz

M. Pieniążek, K. Jamka, J. Szczechowicz – Restytucja funkcji ręki w następstwie zastosowanej fizjoterapii u pacjentów z chorobą de Quervaina leczonych zachowawczo lub operacyjnie. FP 2013; 13(3); 42-46

Abstract

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 disease
treated 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.

Key words:
hand, de Quervain’s disease, physiotherapy, APL, EPB

Restoration of hand function as a result of physiotherapy program used in patients after surgical decompression of the ulnar nerve in the groove

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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