Effect of customized hand rehabilitation tool to improve functional outcome of hand in subjects with hand injuries.

  • Akanksha A. Nalawade Intern, Department of Physiotherapy, Department of Physiotherapy, Krishna Institute of Medical Sciences Deemed to Be University, Karad, Maharashtra, India.
  • Smita B. Kanase Assistant Professor, Department of Physiotherapy
  • Khushboo J. Bathia Assistant Professor, Department of Physiotherapy
  • Chanrakant Babaso Patil Assistant Professor, Department of Physiotherapy
Keywords: Customized hand rehabilitation tool, functional outcome, hand injuries, hand rehabilitation.

Abstract

Objective: To determine the effect of customized hand rehabilitation tool to improve functional outcome of hand in subjects with hand injuries.

Materials and Methods: 10 post operative hand injury subjects were included in this study as per inclusion and exclusion criteria. The subjects were treated with paraffin wax bath, Maitland Mobilization and customized hand rehabilitation tool for 4 days per week for 6 weeks. The outcomes measures were goniometry(ROM), Manual muscle testing(MUSCLE STRENGTH) and Michigan hand outcome questionnaire (FUNCTIONAL OUTCOME).

Result: The statistical analysis showed extremely significant improvement in range of motion, muscle strength and functional outcomes with p value <0.0001.

Conclusion: The use of customized hand rehabilitation tool showed improvement in functional outcome of hand in subjects with hand injuries.

References

1. Maheshwari and Mhaskar: Essential Orthopaedics:5th Edition.
2. Trybus M, Lorkowski J, Brongel K, et al. Causes and consequences of hand injuries. Am J Surg; 2006; 192:52-7.
3. Mock C, Quansah R, Kobusingye O, etal.Trauma care in Africa, the way forward. African J Truma; 2004; 2:53-8.
4. RosbergHE,Dahlin LB, Epidemiology of hand injuries in the middlesized city in southern Sweden: a retrospective comparision of 1989 and 1997.Scand J PlastReconnstrSurg ;2004;38347-55.
5. SaxenaP,CutlerL,Feldberg L. Assessment of the severity of hand injuries using “Hand Injury Severity Score” and its correlation with functional outcome.Injury 2004;35:511-6.
6. Ahmed E, Chaka T. Prospective study of patients with hand injuries: TikurAnbessa University Teaching Hospital, Addis Abba. Etbiop Med J: 2006; 44:175-81.
7. Wong JMW. Management of stiff hand: an occupational therapy perspective. Hand Surgery.2002; 7(2):261-269.
8. Paul Zavala :A dowel exercise tool to improve finger range of motion: Journal of Hand Therapy ;2014.Vol 27,No 1
9. Kisner.C.Colby: Therapeutic exercise: 6th edition.
10. Jagmohan Singh: Textbook of Electrotherapy: 2nd edition; pg 237.
11. Gajdosik R.L. and Bohannon R .W: Clinical Measurement of Range of Motion. Review of Goniometry Emphasizing Reliability and Validity.
12. Kendall F.P., McCreary K.E., Provance P.G., Rodgers M.M., and Ronani W.A.: Muscles Testing and Function with Posture and Pain: 4th edition.
13. Chung KC, Pillsburg MS, Walter MR, et al: Reliability and Validity testing of the Michigan hand outcomes questionnaire: The journal of hand surgery.
14. Hannafin J, Dicarlo E, Wickiewicz T, Warren R, Adhesive capsulitis: capsular fibroplasias of the Glenohumeral joint. J shoulder Elbow Surg 1994; 3(S):5.
15. Welch V,Brosseau L, Casimiro L, Judd M, Shea B, Tugwell P, et al. Thermotherapy for treating rheumatoid arthritis. Cochrane Database SystRev.2002 ;( 2):CD002826.
16. Harris R, Millard J.Parrafin wax baths in the treatment of rheumatoid arthritis: Annals of the rheumatic Diseases.1955;14(3)278-283.
Published
2019-04-27
Section
Articles