Trial on the efficiency of the recovery treatment for patients with distal radius fractures

Abstract

The hand is considered to be one of the most important structures of the human body, with the help of which we can do different kinds of activities. A lesion of the hand can destabilise the patient from a physical point of view but also from a psycho-social one. The distal radius fractures are the cause of morbidity for patients and determine the decrease of the workforce, despite the restoration of the bone alignment and even if the fracture is cured from an anatomical point of view. The hand traumatisms, especially the fractures, may have as causes osteoporosis, age, medication by corticoids, repeated traumatisms and physical deficiences. The objective of this trial is the evaluation of parameters (the movement amplitude, the muscular force, the prehension, the functional coefficient, the quality of life) which enable the clinical - functional recovery of patients who had hand traumatisms and their social- professional reinsertion. The study was conducted for a period of 6 months in the ambulatory and included 20 patients diagnosed with post-fracture sequelae at the distal radius level. The evaluation of the patients was made at the beginning and at the end of the treatment, as well as at the examination 6 weeks after the end of the treatment. For this purpose, electrotherapy, lymphatic drainage massage and the kinesiotherapy program were applied. After making the joint balance sheet, it is found the favorable evolution in the recovery on all the mobilisation directions, but also the functional coefficient, in all the evaluation moments: initial, final and control. By applying the evaluation methods and scales to the 3 moments of assessing the patients, the efficiency of the complex recovery program can be seen. Key words: clinical - functional recovery, hand traumatisms, the distal radius fractures,