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Publication of the Medical Rehabilitation is under the auspices of the Committee on Rehabilitation, Physical Education and Social Integration of the Polish Academy of Science
Article
Medical Rehabilitation - quarterly journal
Volume 12 year 2008, Issue number 3
The Programme and Results of Rehabilitation Treatment after Surgical Anastomosis of the Tendon of the Flexor Pollicis Longus
Authors: Agnieszka Wańczyk, Marek Pieniążek
Medical Rehabilitation 2008; 12(3): 9-14
The Programme and Results of Rehabilitation Treatment after Surgical Anastomosis of the Tendon of the Flexor Pollicis Longus
Program oraz wyniki rehabilitacji po operacyjnym zespoleniu ścięgna zginacza długiego kciuka
Agnieszka Wańczyk, Marek Pieniążek
Małopolskie Hand Rehabilitation Center – Regional Specialistic Rydygier Hospital in Cracow, Poland
Key words
hand injury, surgical treatment, physiotherapy, results
Abstract
Introduction: Damage to the tendon of the flexor pollicis longus (FPL) is a very frequent sequel of injuries in the region of the thumb. Themechanism of injuries can be very different; most often, these are cuts by sharp tools. Damage to other tissues frequently accompanies these injuries. In such cases, surgical junction of a lesioned tendon is the treatment of choice followed by specialistic rehabilitation.
Aim of paper: The aim of this study is to present a therapy program and the results of rehabilitation treatment in patients after surgical FPL junction.Material and methods: The study involved patients with damage to FPL tendon, who were treated in the Malopolskie Hand Rehabilitation Centre of the L. Rydygier Hospital in Krakow. The investigation method included physiotherapeutic diagnostic studies comprising measurements of the range of movements, dynamometric measurements of muscle strength, examination of sensation and the NHP test of manipulative capacity. For the assessment of hand function, Swanson’s methodology was applied.
Results: Based on twice repeated assessments (at the beginning and at the end of rehabilitation) and their analysis, effectiveness and correctness of applied rehabilitation program were confirmed.Conclusions: Surgical treatment FPL damage requires the immediate introduction of rehabilitation. A broad selection of resources and physiotherapeutic methods applied during such therapy increase the effectiveness of treatment.