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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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Wrist proprioceptive and stability training in Ehlers-Danlos Syndrome

Meeting Abstract

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  • presenting/speaker Marta Jokiel - Hand Surgery Department Poznan, Poznan, Poland
  • Ewa Breborowicz - Hand Surgery Department Poznan, Poznan, Poland
  • Wawrzyniak Anna - Poznan University of Medical Sciences, Poznan, Poland
  • Piotr Czarnecki - Hand Surgery Department Poznan, Poznan, Poland
  • Leszek Romanowski - Hand Surgery Department Poznan, Poznan, Poland

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. DocIFSHT19-1212

doi: 10.3205/19ifssh1554, urn:nbn:de:0183-19ifssh15540

Published: February 6, 2020

© 2020 Jokiel 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: Ehlers-Danlos Syndrome (EDS) is a genetic mutation which is responsible for protein coding which provides to changes in soft tissues structure. Nowadays it is divided into 10 different types which are connected with joints, ligaments, tendons, cardiac and skin symptoms. Patients are suffering because of high developed pain ailments, deformities, congenital anomalies of the circulatory and digestive systems. One of the greatest problem is high muscle fatigue and imbalance which leads to the joint instability.

Materials and methods: 15 patients (average age 25 y.o., all women) with the EDS type VII suffering from high developed wrist pain (VAS: 7) and clicking during everyday living activities. Additional symptom was the subjective impression of the instability of wrists and fingers. During three month therapy the Kinesiology Taping applications were applied and upper limb proprioceptive training was conducted. To assess patients condition global grip strength and wrist biomechanical examination was provided.

Results: High decrease of the pain ailments was observed after first month of the therapy (VAS: 4). In second week the continue decrease of the pain ailments was observed. After one month of the therapy the patient obtained wrists stability improvement and high decrease of the pain (VAS: 1,5). Significant increase (p<0,05) of global grip strength and improvement of wrist extensors biomechanical parameters was observed.

Clinical reasoning: The aim of the study was to present the method of treatment the patients with the EDS with the proprioceptive, stability training due to wrist disorders.

Innovative, analytical or new approach: new approach

Contribution to advancing HT practice: Ehlers-Danlos Syndorme is complicated disease which leads to high number of problems concerned mostly with pain and joint instability. Because of the lack of soft tissue tension the proprioceptive and core stability exercises are the therapy methods of "choice". During the traing patients pain is decreasing and the stability is improving.