gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

Artikel

Artikel empfehlen

Mild SL instability treated with Proprioception and Neuromuscular control enhanced by taping

Meeting Abstract

Suche in Medline nach

  • presenting/speaker Saba Kamal - Hands-On-Care, San Jose, United States
  • Samir Sharma - South Bay Orthopedic and Sports Medicine, Campbell, United States

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSHT19-1015

doi: 10.3205/19ifssh1620, urn:nbn:de:0183-19ifssh16201

Veröffentlicht: 6. Februar 2020

© 2020 Kamal et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objective: New researches have theorized the wrist to have more control than previously imagined. The work of Hagert, Garcia-Elias have inspired a new way of thinking & designing treatment.

Proprioception & stability to SL is provided through the Piso Triquetral joint, thus allowing the proximal carpal row to align.

Proprioceptive input provided via taping when combined with NM training provides a better functional outcome in mild dynamic SL instability cases.

Materials and Methods: Dynamic or Leuko tape

Hypothesis: Taping helps reduce the misalignment by reducing the gap thus decreasing the pain & allowing for NM str exercises to ensue sooner & with functional activities.

Stability of SL assessed under fluoroscopy
Static Images taken with writ in
neutral & RD without support
with taping neutral & RD
with taping & Isometric ECRL
without taping & Isometric ECRL

Results: Under fluoroscope there was a .9cm SL gap which reduced with taping to .6mm in RD &.4-.5 with Isometric strengthening with taping

Isometric strengthening WO taping also decreased the gap to .4 -.5mm.

Grip Strength increased by 15 lbs with taping.

VAS pain stayed at a 3/10 (immediately after taping) best: 0-1.

Subjective: My hand feels normal with tape, when i dont have it on then i feel some popping in the wrist.

Conclusions: Taping can be used to reduce pain & expedite the process to initiate NM re-ed in mild SL instability.

It assists in reducing the gap, thus decreasing the stress on the mechanoreceptors that cause pain & allow for NM strengthening to ensue as an Ex & with activities.

Immobilization decreases strength of the secondary stabilizers that are responsible for the stability when the primary stabilizers are redundant.

To regain smooth & balanced motion after injury, add dynamic muscle stabilization to compensate for poor ligament support & promote muscles that are joint protective with taping to combine conscious & unconscious, providing stability while performing ADLs thus providing long lasting results & avoid surgery.