Rehabilitation after fracture of the radial bone with or without displacement( LFK, etc.)
Conscientious performance of exercises in the interests of the patient
. Before starting the therapeutic gymnastics, a person must independently learn how to flex and unbend his hand. Simple exercises will help normalize blood flow and joint nutrition, accustom the muscles to work and prepare them for more complex movements and stresses.
A good effect is exercised in the water, preferably warm. The complex of exercises is developed by a specialist for each specific case and patient. In the beginning, constant control over implementation is necessary, after a person can perform everything independently.
There are many sets of exercises, but before you give preference to one or another, you need the advice of a doctor or rehabilitator. The proposed complex can also be used, but only after consultation.
At the first stages of rehabilitation, it is allowed to help with a healthy arm
You can start all with flexion-extensor movements. The patient's hand is laid on the table, and the hand is raised and lowered, the hand can be made and moved to the sides. Multiplicity of performance can be up to 10 times, after which you can start kneading your fingers.
Next, you need to lift your fingers, on a flat surface of the table. In the beginning, it is done with a healthy hand, and afterwards by yourself. Multiplicity of execution is up to 10 times.
The hand remains also on the table, only now it is necessary to reduce and dilute the fingers. Fingers slide on the table surface, and the folding performance is from 6 to 12 times. The brush is shifted palm upwards and in this position the fingers are clenched into a fist, and then they are unclenched. Multiplicity of execution is from 5 to 10 times.
Small objects, balls, cylinders, cans - all this can help during the rehabilitation of the
Fingers can sort through small objects or perform creeping movements on the surface of the table. Crawling movements can be done not only on the surface of the table, but also lying on the surface of the wall or bed, at any convenient time. After that, you can make movements that resemble the process of pickling. Everything is like trying to add a dish during its preparation. Multiplicity of repetitions is up to 10 times.
After the brush again turn the palm down and simulate the game on a stringed instrument or piano. For more fun, you can do this exercise to music, but it's strictly at the request of a person.
Exercises can take about half an hour, it is better to repeat them several times a day.
There is an exercise for which you need a cylinder with a diameter of about 4 cm. Such a cylinder can replace a can with glue. He clasps all his fingers, each finger is straightened out in turn, after which it is returned to its original position.
The duration of the gym is about 25 minutes, for a day you can perform two to three cycles of therapeutic gymnastics. Over time, it is necessary to increase the amplitude of movements, do this every two or three days. In the case of regular and correct exercise, strict adherence to recommendations, the rehabilitation period is shortened, and recovery is much faster.
This is an important stage in the rehabilitation process and is aimed at eliminating muscle spasm, resorption of the hematoma and edema.
After a fracture, a hemorrhage occurs at the injury site, which may vary in volume. Often it reaches significant proportions( with a pelvic fracture up to 3 liters, hips - up to 1.5 - 2 liters).Gradually the hematoma resolves in some cases, it can become festering or cause the development of a false joint. But there is also a positive moment, it is the initial stage of the fracture fusion.
To accelerate the process of adhesion is used:
- electrophoresis( possible with novocain, for the purpose of relieving pain);magnetotherapy;
- ultrasound with hydrocortisone or novocain, anesthetic gels;
If there is metal after the operation, warming and applying physiotherapy warming character is contraindicated.
Massage allows you to relax the muscles, give them a normal tone and restore normal nutrition. Use in the process of massage can be special gels and ointments, they contribute to the influx of blood and relieve pain.
Massage should be as cautious as possible, and pain or other unpleasant sensations should alert the
. Begin the massage from the forearm, gradually moving to the brush. At first, the movements are smooth, performed with low intensity. After the amplitude increases with the process of rehabilitation. Often, up to 10 massage sessions are prescribed, the multiplicity and quantity is set by the doctor individually, depending on the severity of the injury and the degree of displacement.
During the massage there should be no pain or discomfort.
In the rehabilitation period, an important stage is nutrition, since bones require the intake of nutrients. This is how the bone gets all the necessary resources. The diet should contain as much calcium, magnesium, these minerals contribute to the early consolidation, contributes to this and collagen. Vitamins are necessary for the body to develop immunity and strength.
Vegetable purees and soups should be eaten, sour-milk products are useful, soft porridges contain a large amount of fiber. The diet itself should be varied.
What is useful after fracture of the radius( photo)Vegetable puree Kefir Kasha
The rehabilitation process takes a certain time and requires the maximum expenditure of the forces of the injured. A doctor or a rehabilitologist only directs or advises, and it depends on the person how quickly he will get rid of the consequences of a fracture or performed surgical intervention.
Symptomatic damage in a typical place is similar to a wrist injury. During the appearance of the pathology,
- is noted for sudden intense pain at the time of the injury and immediately after it;
- peculiar crunch;
- for a fracture with a large displacement there is a bulge or dent in the region of the wrist;
- if the bone fragment damaged the vessel, then a hematoma develops;
- skin redness on the affected area;
- numbness, tingling, sensation of cold, impaired mobility and sensitivity, if nerve endings are injured;
- pain when trying to move a hand or brush;
The absence of pain after a short time after injury does not indicate that the hand is not damaged.
First aid and treatment of
Before the examination of the victim, specialists must provide him with first aid. It consists in the implementation of such procedures:
- Fixing the injured limb with a tire or improvised means.
- Mandatory wound treatment with antiseptic solution with open fracture.
- Cold compress in the fracture area for 20 minutes.
- Seeking professional help.
In a medical institution, before the treatment( to assess the nature of the damage) do X-rays. If the image shows a fracture with an offset, then it is unmistakable to dock the damaged fragments of bones. To implement reposition, the debris is corrected with the aid of special apparatuses.
This is done necessarily with local anesthesia. On the forearm, after the procedure, a long dressing is applied.
Sometimes it is not possible to do repositioning manually. In such cases, an operation or closed reposition of fragments through the skin with the use of spokes is performed. In other cases, external fixing devices( plates and screws) are used. If the displacement does not occur, then simply impose a cast. It is worn for several weeks.
The methods of conservative treatment are most appropriate for traumatizing children. To prevent displacement, it is necessary to control the growth of bone tissue with the help of regular fluoroscopy.Return to the table of contents
How is the recovery after injury
After removal of gypsum, the patient should adjust the mobility of the upper limb to normal. Rehabilitation after a fracture of the radius should be under the constant supervision of the doctor. This is due to the fact that trauma can give rise to quite serious complications, up to the loss of motor ability.
The recovery period takes at least 21 days. It includes physical exercises, massage, physiotherapy procedures, diet.Back to the table of contents
Features of exercise therapy
In case of a fracture in a typical place, LFC is prescribed immediately after liberation from gypsum. Experts advise a few days before the beginning of the course of physical therapy to conduct a small warm-up( bend and unbend the hand).This will make it possible to prepare atrophied muscles for a greater load.
For the restoration of motor function, hands use a specially selected set of exercises.
The first week it is recommended to spend in warm water. This makes it easier to do exercises, relieves stress and reduces the load.
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Place your arm on the elbow in a container of water. In this case, the wrists are flexibly performed with the help of the wrist joint and make it move up and down. This water gymnastics is a good way to develop an injured limb. Its application brings a faster result. Physiotherapy exercises are performed independently at home or at the exercises of exercise therapy under the guidance of an instructor.
Be sure to perform exercises aimed at restoring fine motor skills. Experts recommend collecting matches, mosaic, puzzles, stringing beads.
Exercises are performed in such a way that the load on the injured joint is uniform. It is impossible to restore the normal motor function of the hand in a short time. This must be done, gradually increasing the force and duration of the load. Otherwise, the consequences can be negative.
It is better that the charge is under the supervision of a specialist who will explain how to do the exercises correctly and make sure they are safely performed. For a greater effect, gymnastics should be dealt with systematically. Occupational therapy and active games will be a great help in restoring the motor function of the upper limb.
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Massage, physiotherapy and procedures after fracture
In order to increase blood circulation and relieve pain in a bruised area, a therapeutic massage is prescribed. In this case, analgesic gels and essential oils are used.
The massage begins with the shoulder, then descends to the muscles of the elbow joint. And only after that, gently begin to rub the site near the injury. Massage procedures should be performed only by a specialist.
Physiotherapy procedures are appointed by the treating doctor in accordance with the type and degree of damage.
At first, to restore lymph and blood circulation, to remove swelling, recommend electromagnetic therapy. It is capable in a short time to return the damaged hand sensitivity and ability to perform complex actions. Warm compresses and mud applications are also useful for the rehabilitation of the hand.
Medical treatment favors the rapid recovery of an injured hand. Usually apply mummies. It can be taken in the form of tablets. Excellent ointments based on mummies.
It should be realized that belated and incorrect therapy leads to terrible consequences in the future, which consist in limiting mobility and the appearance of pain syndrome.
LFK after a fracture of a radial bone
At fractures of a hand the radial bone suffers more often. First, it has a thin lower part, located near the wrist. Secondly, when a person falls, he instinctively puts forward his arm for insurance, and the main burden is on it.
Completely working capacity of the hand is restored after 1-1.5 months after the removal of gypsum, but the rehabilitation period is necessary. It includes the provision of therapeutic massage and physiotherapy procedures that improve blood circulation and reduce muscle atrophy. These same tasks are performed and therapeutic exercises, which can be done already 3-4 days after the removal of plaster from a sick hand.
Gymnastics in water after a fracture of a radial bone
It helps to relieve pain and swelling, during water exercises, the load on the hand is minimized. To complete the complex, fill the pelvis with water and immerse the hand in it with the palm of the hand down. Bend and unbend the palms, then lower them to the bottom of the pelvis and turn up and down.
If you do not use the elbow joint, lean your palms on the bottom of the pelvis, lift up and lower down the hands, make them circular motions. A healthy hand should wrap the patient around the wrist joint for insurance.
Exercises are repeated 4-6 times, it will be enough to do them 2 times a day.
When this complex is mastered, it's time to move on to the next stage.
Exercises LFK at the table
- Sit at the table, place your elbows on it, place a small flat litter under the brush. Brushes bend and unbend, then lead and remove, perform a circular rotation.
- Place the hand on the table with the edge, gradually tilt the arm outward so that the first finger first lay on the table, then the unnamed one, then all the next fingers of the
- . The starting position is the same - the edge on the desk. Turn it inward until all the fingers are on a flat surface.
- The elbows rest against the table, the palms are in tight contact with one another, tilt them first to the left, then to the right( the movements go to the right wrist, then to the left one).
Warm-up of fingers after a fracture of a radial bone
It allows to include in a muscle muscles of a forearm. Put your palms on the table and alternately lift each finger of the hand 5-10 times. Then remove the brush from the table( 5-10 times).
Spread your fingers without lifting them from the surface
The back of your hands touches the table, and your fingers are clenched into a fist.
Hands have an edge, wipe in a circular motion of the thumb of all the others( as if sprinkling a dish with salt).
Turn your hand over with your hand. Simulate your fingers playing the piano, it looks like this: squeeze the hands of a pencil and, in turn, tear off each finger from it, if it's hard to do, help yourself with a healthy hand.
The good news is that the radius can quickly recover from injury. You just have to be patient, and do exercises every day for half an hour. They should be done gently so as not to injure the hand.
LFK in fracture of radius - Medlab
Among all known fractures of the bones of the forearm, the fracture of the radius in a typical place and the fracture of the distal metaepiphysis are the most common ones. The cause of the fracture, as a rule, is a fall on an outstretched hand. Clinical signs of fracture of radial bone in a typical place: edema, pain, forearm deformity bayonet. To clarify the diagnosis must be performed radiography. The first aid for fractures of this type is in transport immobilization. The main goal of treatment of fractures of the radius is to achieve stable fixation of fragments, anatomical reposition, restoration of painless movements of the hand and fingers. If the fracture does not move the fragments, then for a period of 4 weeks, a plaster cast is applied. Workability, as a rule, is restored for 6 weeks. After the termination of the basic treatment to the patient appoint therapeutic gymnastics, massage, exercises in warm water.
Methods of impact for fracture of radius
The essence consists in an integrated approach to rehabilitation, which includes: physical therapy, massage, physiotherapy. These funds are appointed taking into account the location of the fracture, the chosen method of treatment, the motor regime, the period of traumatic illness, the general condition of the victim. The means of rehabilitation are appointed for three periods: immobilization, postimmobilization, restorative.
Tasks of exercise therapy in the first period
The main objectives of therapeutic physical culture in the immobilization period are: prevention of difficulty in mobility in joints, acceleration of bone regeneration processes, muscle atrophy, restorative and psychoregulatory effects, training in self-service skills. LFK in this period assumes the use of 75% of respiratory, general developmental exercises aimed at joints free from immobilization, as well as 25% of special exercises aimed at the damaged surface. Exercises for the injured upper limb include: exercises for the fingers of the hand, shoulder, elbow joints of the injured arm, exercises for the muscles of the shoulder and forearm, ideomotor exercises. Exercises are performed from the starting position: lying, sitting, standing. The following forms of therapeutic physical education stand out: medical gymnastics, morning hygienic gymnastics, independent occupations.
The tasks of exercise therapy in the second and third period
LFK in the second postimmobilization period is aimed at restoring impaired motor functions, eliminating muscle atrophy and difficult mobility in the joints. In this period, is 25% of general development and breathing exercises, 75% of special exercises for a damaged arm. The list of exercises includes the following: exercises for wrist and fingers, exercises for all joints of the upper limb, exercises with resistance, in warm water, with a small burden and in block devices. Therapeutic physical training in the second period is carried out in the form of therapeutic gymnastics, independent exercises, morning hygienic gymnastics. The duration of the lessons is from 25 to 45 minutes.
LFK in the third recovery period pursues the following goals: elimination of residual post-traumatic complications, restoration of impaired functions, labor rehabilitation, general body training. Essence ЛФК consists in purpose общеобравиющих and respiratory exercises, and against their background additional exercises with weighting, resistance and exercises on stretching are recommended. Sports elements are added: aerobics, swimming, sports games. A significant role in the final recovery period is given to occupational therapy, mechanotherapy, games with different mobility. LFK in the recovery period includes: morning and therapeutic gymnastics, sports games. Along with physiotherapy as a means of rehabilitation for fractures of the radius, massage and physiotherapy procedures are used. In the first period, segmental-reflex massage is prescribed. Particular attention is paid to the massage of the fingers of the injured limb. From physiotherapeutic procedures are used: UV irradiation, calcium electrophoresis. In the second period, the massage has a slightly different character: the segments are massaged higher, and also below the fracture site using all known massage techniques, the very place of the fracture is massaged by easy stroking, rubbing. Physiotherapeutic procedures: UHF-therapy, calcium electrophoresis, paraffin, ozocerite applications, magnetotherapy, laser therapy, incoherent polarized radiation from the "Bioptron" lamp. The methods of massage in the third period depend on the complications after the injury, their degree. From phytotherapeutic procedures should be allocated: mud treatment, balneotherapy, electro-magnetic-laser therapy.
Exercise of exercises
The complex of exercises is performed sitting at the table.
Starting position - hands to put on the table, palms down. Fingers clench in fists, then unclench. Repeat the same, but hands palms up.
The starting position is the same. Forearms do not come off the surface of the table, raise the hand, carry out the rear bending. Turn the forearm palm up, lift the brush, the forearm does not come off the table, make the palm bend.
The starting position is the same. The forearm does not come off the table, turn the hand palm up and down. Repeat several times.
The starting position is to lean the elbows on the table, to place the forearms vertically. Alternately bend and unbend fingers, then together.
The starting position is the same. Bend and unbend the arm in the wrist joint: back and palm flexion.
The starting position is elbows on the table, the palms turn to each other, put the forearms vertically. Move in the wrist joint to yourself, and then from yourself.
The starting position is the same, hands to turn palms to themselves, to return to the starting position, to turn hands with the palms of oneself, to return to the starting position.
The starting position is an elongated, aching arm placed on the table. Do not tear off fingers from the palm table, raise your elbow.
The starting position - the elbows of both hands lean on the table on the width of the shoulders, forearm put vertically. Press your palms against each other, your fingers are straight, perform movements from the beginning to yourself, then from yourself.
Starting position: Performing the movements of the hands alternately to the right, to the left.
Comments+ 5 # 1Marina06.02.2015 09: 46 A month ago there was a fracture of the radial bone with an offset. The edema did not pass and it becomes larger. Gips does not press. What should I do?
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