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A post-surgical rehabilitation program for women over 60 years old who underwent surgery in trauma and orthopedic hospital after distal radius fracture.
Aguilera-Godoy, Alejandra; Antúnez-Riveros, Marcela Andrea; Carrasco-Penna, Gabriel; Núñez-Cortés, Rodrigo.
Afiliação
  • Aguilera-Godoy A; Physiotherapy and Occupational Therapy Unit, Instituto Traumatológico, Santiago, Chile.
  • Antúnez-Riveros MA; Department of Health Sciences Education, Faculty of Medicine, University of Chile, Santiago, Chile.
  • Carrasco-Penna G; Hand Surgery Unit, Instituto Traumatológico, Santiago, Chile.
  • Núñez-Cortés R; Department of Physical Therapy, Faculty of Medicine, University of Chile, Santiago, Chile. Electronic address: r_nunez@uchile.cl.
J Bodyw Mov Ther ; 28: 362-368, 2021 10.
Article em En | MEDLINE | ID: mdl-34776165
INTRODUCTION: Distal radius fractures (DRFs) are associated with a high economic burden and an impact on quality of life on these patients. Its high prevalence demonstrates the importance of registering functional results, with emphasis on vulnerable population such as elderly females. METHODS: Thirty-six patients were admitted to a multimodal rehabilitation program. Exercise progressions combined with manual therapy and electrophysical agents were provided, taking into account bone and soft tissues healing stages, protection of surgical intervention and symptoms of each patient. The primary outcome was the Patient Rated Wrist Evaluation (PRWE) questionnaire. The secondary outcomes were wrist and forearm range of motion (ROM), grip strength and lateral and tripod pinch strength. The paired t-test was used to compare mean PRWE, ROM, and strength between 6 and 12 weeks. RESULTS: An improvement of functionality was observed with a decreased of -20.9 (CI 95%: 25.9 to -15.9) points in the PRWE questionnaire (p < 0.001) between 6 and 12 weeks after DRF surgery. In addition, an increase in the ROM of the wrist (p < 0.001), grip strength (p < 0.001), lateral pinch (p < 0.001) and tripod pinch (p < 0.001) were observed between 6 and 12 weeks after surgery. CONCLUSIONS: These findings showed a clinically and statistically significant improvement in function, ROM, and strength assessed at weeks 6 and 12 after surgery. However, this study design cannot establish a cause-and-effect relationship. Future randomized controlled clinical trials should investigate the effectivity of similar rehabilitation programs.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas do Rádio Tipo de estudo: Clinical_trials / Guideline / Risk_factors_studies Aspecto: Patient_preference Limite: Aged / Female / Humans / Middle aged Idioma: En Revista: J Bodyw Mov Ther Assunto da revista: MEDICINA FISICA / TERAPEUTICA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fraturas do Rádio Tipo de estudo: Clinical_trials / Guideline / Risk_factors_studies Aspecto: Patient_preference Limite: Aged / Female / Humans / Middle aged Idioma: En Revista: J Bodyw Mov Ther Assunto da revista: MEDICINA FISICA / TERAPEUTICA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Chile País de publicação: Estados Unidos