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

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The review of rehabilitation methods following Distal Radius Fractures

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  • presenting/speaker Arezoo Shirzadi - University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Maryam Farzad - University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  • Amir Reza Farhoud - Tehran University of Medical Sciences, Department of Orthopedics, Imam Hospital Complex, Tehran, Iran

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. DocIFSHT19-1066

doi: 10.3205/19ifssh1552, urn:nbn:de:0183-19ifssh15520

Published: February 6, 2020

© 2020 Shirzadi et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Clinical issue/s: Distal radius fracture is one of the most common fractures in many older populations. Most of the fractures in this area are resulted result from low-energy trauma, such as a falling with, out stretched hand. In younger adults, these injuries are usually sustained through high energy trauma, such as a traffic accident.

These fractures are generally closed and usually involve displacement of fracture fragments. They may be either extra-articular or intra-articular. Management of these fractures ranges from the application of a plaster cast with or without pins through to external or internal fixation.

The goal of rehabilitative management of fractures is to achieve complete and rapid recovery of range of motion, strength, and function and reduce pain.

Clinical reasoning: Between 2000 to 2017 all the article written in English with their full text available included in this study. Google scholar, PubMed/Medline and web of science databases were the used data bases. Searches were done by coming key words: distal radius fracture, colles/smith fractures, rehabilitation, mobilization, passive motion

Innovative, analytical or new approach: Base on inclusion and exclusion criteria's, 19 articles were included.

Contribution to advancing HT practice: A variety of rehabilitation interventions are available. Occupational/ physical or other hand therapy, advice, patient education and supervision for active and passive mobilization exercises, therapist-applied mobilization techniques, continuous passive motion machine, strengthening exercises, supportive splints, methods of pain management such as transcutaneous electrical nerve stimulation (TENS), heat/ice treatment, massage, wound care, Whirlpool, Compression Gloves, manual aids and occupational/home assessment are some of the more common therapeutic methods used to maximize the patient's functional recovery.