Tag: ręka

Constraint-induced movement therapy in the rehabilitation of stroke patients

Janusz Otfinowski, Bożena Jasiak-Tyrkalska, Agnieszka Bogunia, Beata Buda

Janusz Otfinowski, Bożena Jasiak-Tyrkalska, Agnieszka Bogunia, Beata Buda – Constraint-induced movement therapy in the rehabilitation of stroke patients. Fizjoterapia Polska 2004; 4(1); 19-24

Abstract

Background. This article presents some preliminary results from the rehabilitation of patients with impaired hand function after stroke. The basis for therapy was the method introduced by Taub, known as Constraint-Induced Movement Therapy (CIMT), which involves the temporary constraint of the healthy upper limb, with simultaneous intensive motor rehabilitation of the dysfunctional limb. Material and methods. Our research involved 10 patients treated in the Rehabilitation Clinic at the Jagiellonian University College of Medicine for post-stroke hemiparesis. There were 5 men and 5 women in this group, ranging in age from 57 to 77 years (ave. 66.5). The time since onset ranged from 1 to 50 months (ave. 11.4 months). CIMT was used in all patients. Results. After 2 weeks of rehabilitation all the patients required less time to perform manual tests, and showed marked functional improvement in the affected hand. Conclusions. The CIMT method is effective in the rehabilitation of patients with post-stroke hemiparesis.

Key words:
Stroke, rehabilitation of the hand, CIMT
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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