Tag: stabilizacja wewnętrzna

Medical rehabilitation of spinal injury patients without central nervous system damage

Piotr Majcher, M. Fatyga, A. Skwarcz

Piotr Majcher, M. Fatyga, A. Skwarcz – Medical rehabilitation of spinal injury patients without central nervous system damage. Fizjoterapia Polska 2002; 2(1); 61-64

Abstract
Based on the experience of the authors’ rehabilitation center is Lublin, the authors present the model of medical rehabilitation they have developed for patients with spinal injuries not involving damage to the central nervous system. The model is dependent on the type of treatment used for spinal injury (surgical or non-surgical). In the case of patients requiring surgery using internal fixation, medical rehabilitation includes preparation of the patient for surgery (over and above nursing activities) by means of respiration exercises, followed by kinesitherapy and physicotherapy after surgery in order to restore physical fitness as quickly as possible. In non-surgical procedures, medical rehabilitation includes physiotherapy, broadly conceived, involving one of three schemes: functional treatment without internal fixation, functional treatment after the application of internal fixation (young persons), and functional treatment for persons with cervical spinal injuries, using direct cranial traction. The authors point out the necessity for cooperation in the entire treatment team in proper rehabilitation procedure.

Key words:
internal fixation, kinesitherapy, physicotherapy

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Effect of Early Weight-bearing Versus Late Weight on Ankle Range of Motion after Internal Fixation of Ankle Fracture: A Randomized Clinical Trial

Nagy Mohamed Awad Alazaly, Nadia Abd El Azeem Fayaz, Hamed Mohamed Elkhozamy, Ali Osman Almofty

Nagy Mohamed Awad Alazaly, Nadia Abd El Azeem Fayaz, Hamed Mohamed Elkhozamy, Ali Osman Almofty – Effect of Early Weight-bearing Versus Late Weight on Ankle Range of Motion after Internal Fixation of Ankle Fracture: A Randomized Clinical Trial. Fizjoterapia Polska 2020; 20(1); 144-148

Abstract
Purpose. The aim of this study was to investigate the effect of early weight-bearing versus late weight on ankle range of motion after internal fixation of ankle fracture. Materials and Methods. Thirty patients participated in this study and assigned randomly into two groups; Group (A) received early weight-bearing protocol of rehabilitation (15 patients), and Group (B) received late weight-bearing protocol of rehabilitation (15 patients). Results. Within groups: there were significant reduction (P < 0.05) in pain severity and significant increase (P < 0.05) in range of motion (dorsi and planter flexion) at post treatment in compared to pre-treatment at both groups. While between groups; there was significant improvement (P < 0.05) in favour to group A in compared to group B for all outcome measures. Conclusion. This study proved that early weight-bearing rehabilitation program is more effective than late weight-bearing rehabilitation program after internal fixation of ankle fracture regarding pain and stiffness of ankle joint.

Key words:
Early Weight and Late Weight-bearing, Ankle Fracture, Internal Fixation

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