Lyashenko V. P., Vynogradov O. O., Turytska T. G., Shumeiko O. V.

PECULIARITIES OF PHYSICAL THERAPY FOR FRACTURES OF THE BONES OF THE FOREARM IN MIDDLE-AGED PEOPLE AT THE AMBULATORY STAGE

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About the author:

Lyashenko V. P., Vynogradov O. O., Turytska T. G., Shumeiko O. V.

Heading:

CLINICAL AND EXPERIMENTAL MEDICINE

Type of article:

Scientific article

Annotation:

The increase in the number of injuries related to limb fractures and amputations is a result of factors such as the increase in the number of motor vehicle users, the expansion of technological processes in industrial production, increased traffic volumes and the frequency of domestic injuries among the population. There is also a global prevalence of the "trauma epidemic", which has been particularly noticeable in Ukraine over the past year due to the full-scale military conflict. The study aims to test the effectiveness of the developed physical therapy programme for middle-aged people with a forearm fracture on an outpatient basis. We examined 40 middle-aged patients who were undergoing outpatient treatment after a forearm fracture. An individual rehabilitation programme (IRP) was developed for each participant, considering the characteristics of pain in the upper extremity and associated pain signs considering the patient's initial condition. A rehabilitation plan for each patient was developed in a SMART format. The following methods were chosen to study the effectiveness of the developed programme: Visual Analogue Scale (VAS) for assessing pain levels; Disability Questionnaire for the Arm, Shoulder and Hand (DASH); Patient-Reported Wrist Evaluation (PRWE); Goniometry (assessment of the amplitude of active movement); Dynamometry (evaluation of grip strength); MMT by Lovett (assessment of muscle strength). Patients were examined at the beginning of the study and three weeks after the rehabilitation course at the outpatient stage of recovery. Studies have shown that forearm bone fractures were more common in men (35 people), which in our study was more related to the type of occupation and heavy physical activity (87%). A successful individual rehabilitation programme contributed to the restoration of strength, flexibility, range of motion and functionality of the arm and wrist, which led to a reduction in pain and limitations associated with traumatic forearm bone injury and improved the patient's overall physical condition.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», 2023 Issue 4, 171, 217-228 pages, index UDC 616.717.5/.6: 616.72-008.1-071.3:615.8

DOI:

10.29254/2077-4214-2023-4-171-217-228