Effects of physical exercise on the motility of hands in patients operated because of Dupuytren's contracture in own material
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The purpose of this study was to evaluate the effect of physical exercise on limited locomotion in the hands of patients who underwent surgery to correct Dupuytren's contracture. We studied the hands of 84 patients with Dupuytren's contracture aged from 30 to 84 years. In all patients, the contracture was removed by performing a partial fasciectomy. Physical exercises were carried out a week prior to surgery and during the postoperative period. Patients were divided into group I, in which the exercise was carried out under the supervision of the authors of this study and group II, in which exercises were performed sporadically and without professional supervision. Measurements were performed on all patients one week before surgery (A), 1 week after surgery (B) and 6 weeks after (C). The range of movement of fingers was measured using a goniometer. The average total loss of finger extension was evaluated, taking due account of the extension loss in the MCP, PIP and DIP joints of all fingers of the treated hand. Rehabilitation treatment included active and passive exercises; in more severe cases the treatment of choice was massage and special equipment to help bear flexion contracture. Test results were statistically analyzed. In all patients, there was an increase in mobility of the fingers. Patients taking part in physical exercise had significantly greater range of finger movement.
- Faculty of Physical Culture and Health Promotion, University of Szczecin, Poland, firstname.lastname@example.org
- Pomeranian Medical University, Department of Physical Education and Sport, Szczecin, Poland
- Faculty of Physical Culture and Health Promotion, University of Szczecin, Poland
- 1. Crean S.M., Gerber R.A., Le Graverand M.P. The efficacy and safety of fasciectomy and fasciotomy for Dupuytren’s contracture in European patients: a structured review of published studies. J Hand Surg Eur. 2011; 36(5): 396-407.
- 2. Dias J., Bainbridge C., Leclercq C. Surgical management of Dupuytre’s contracture in Europe: regional analysis of a surgeon survey and patient chart review. Jnt J Clin Pract. 2013;67(3): 271-81.
- 3. Karabek R., Jakirlic M., Arslanagic S., Obradovic G., Zeco A. Results of surgery treatment of Dupuytren’s contracture in 115 patients. Med Arh. 2012; 66(5): 329-31.
- 4. Kobus K, Wójcicki P, Dydymski T. Ocena wyników leczenia chorych z przykurczem Dupuytrena w oparciu o analizę materiału własnego. Ortop Traumatol Rehabil. 2007; 9(2): 134-140.
- 5. Kużdżał A. Atlas rehabilitacji ruchowej. Forum 2009.
- 6. Larocerie-Salgate J., Davidson J. Nonoperative treatment of PIP flexion contractures associated with Dupuytren’s disease. J Hand Surg Eur Vol. 2012; 37(8): 722-7.
- 7. Manikowski W. Przykurcz Dupuytrena. [W:] Marciniak W., Szulc A.: Wiktora Degi Ortopedia i rehabilitacja. PZWL 2006.
- 8. Nagay B., Deskur Z., Prowans P., Bednarski M. (1998): 30 lat operacyjnego leczenia przykurczu Dupuytrena. Pol. Hand Surg. 1998; 24(2): 37 – 40.
- 9. Sobierajska-Rek A., Dobosz M.(2010): Wczesne i odległe wyniki leczenia operacyjnego przykurczu Dupuytrena. Pol Przeg Chir. 2010; 82(9): 881-893.
- 10. Van Dijk D., Finigan P., Gerber RA.,Szczypa PP., Werker PM. Recognition, diagnosis and referral of patients with Dupuytren’s disease: a review of current concepts for general practitioners in Europe. Curr Med. Res Opin. 2013; 29(3): 269-77.
- 11. Worrell M. Dupuytren’s disease. Orthroppedics. 2012; 35(1): 52-60
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