Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures

INTRODUCTION: Metacarpal fractures are one of the most common fractures. The primary goal in the post-operative rehabilitation of surgically treated metacarpal fractures is to bring the locomotor function of the relevant region closer to its pre-injury function. The aim of our study was to examine t...

Full description

Bibliographic Details
Main Authors: Celaleddin Bildik, Barış Yılmaz
Format: Article
Language:English
Published: Kare Publishing 2023-06-01
Series:Boğaziçi Tıp Dergisi
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-05658
_version_ 1797649757440573440
author Celaleddin Bildik
Barış Yılmaz
author_facet Celaleddin Bildik
Barış Yılmaz
author_sort Celaleddin Bildik
collection DOAJ
description INTRODUCTION: Metacarpal fractures are one of the most common fractures. The primary goal in the post-operative rehabilitation of surgically treated metacarpal fractures is to bring the locomotor function of the relevant region closer to its pre-injury function. The aim of our study was to examine the effects of physical therapy and ergotherapy applications, which are initiated after the early period of plate osteosynthesis in metacarpal fractures, on the activity levels of daily life. METHODS: A post-operative rehabilitation program was started with 20 volunteers who had undergone an operation due to a metacarpal fracture. In the first stage, after pain control was achieved on the same post-operative day, patients were started with finger and wrist range of motion exercises. In the second stage, physical therapy exercises were given. In the third stage, the ergotherapy program was implemented. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, Milliken Daily Living Activity, Assessment, and Hand Grip Strength Measurement Test were performed 3 times for each patient in the early post-operative period, after physical therapy, and after ergotherapy. RESULTS: In the evaluation of the DASH scores which were performed after the operation, after physical therapy, and after ergotherapy, the scores after ergotherapy were found to be statistically significant (p<0.001). In addition, when comparing the results of Milliken scoring and Hand Grip Strength Measurement Tests, the scores after ergotherapy were found to be statistically significant (p<0.001). DISCUSSION AND CONCLUSION: Three weeks of combined physical therapy and ergotherapy for surgically treated metacarpal fractures within 8–16 weeks post-operatively have been shown to have better functional outcomes, better grip strength, and higher efficacy compared to physiotherapy alone.
first_indexed 2024-03-11T15:51:35Z
format Article
id doaj.art-180bee55a7eb4798b719e6f0837d607f
institution Directory Open Access Journal
issn 2149-0287
language English
last_indexed 2024-03-11T15:51:35Z
publishDate 2023-06-01
publisher Kare Publishing
record_format Article
series Boğaziçi Tıp Dergisi
spelling doaj.art-180bee55a7eb4798b719e6f0837d607f2023-10-25T18:46:29ZengKare PublishingBoğaziçi Tıp Dergisi2149-02872023-06-0110211111610.14744/bmj.2023.05658BMJ-05658Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal FracturesCelaleddin Bildik0Barış Yılmaz1Department of Orthopaedics and Traumatology, Ataşehir Florance Nightingale Hospital, Istanbul, TürkiyeDepartment of Orthopaedics and Traumatology, University of Health Sciences, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, TürkiyeINTRODUCTION: Metacarpal fractures are one of the most common fractures. The primary goal in the post-operative rehabilitation of surgically treated metacarpal fractures is to bring the locomotor function of the relevant region closer to its pre-injury function. The aim of our study was to examine the effects of physical therapy and ergotherapy applications, which are initiated after the early period of plate osteosynthesis in metacarpal fractures, on the activity levels of daily life. METHODS: A post-operative rehabilitation program was started with 20 volunteers who had undergone an operation due to a metacarpal fracture. In the first stage, after pain control was achieved on the same post-operative day, patients were started with finger and wrist range of motion exercises. In the second stage, physical therapy exercises were given. In the third stage, the ergotherapy program was implemented. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, Milliken Daily Living Activity, Assessment, and Hand Grip Strength Measurement Test were performed 3 times for each patient in the early post-operative period, after physical therapy, and after ergotherapy. RESULTS: In the evaluation of the DASH scores which were performed after the operation, after physical therapy, and after ergotherapy, the scores after ergotherapy were found to be statistically significant (p<0.001). In addition, when comparing the results of Milliken scoring and Hand Grip Strength Measurement Tests, the scores after ergotherapy were found to be statistically significant (p<0.001). DISCUSSION AND CONCLUSION: Three weeks of combined physical therapy and ergotherapy for surgically treated metacarpal fractures within 8–16 weeks post-operatively have been shown to have better functional outcomes, better grip strength, and higher efficacy compared to physiotherapy alone.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-05658ergotherapymetacarpal fracturesphysical therapy.
spellingShingle Celaleddin Bildik
Barış Yılmaz
Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures
Boğaziçi Tıp Dergisi
ergotherapy
metacarpal fractures
physical therapy.
title Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures
title_full Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures
title_fullStr Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures
title_full_unstemmed Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures
title_short Effects of Early Period Physical Therapy and Ergotherapy Applications on Daily Activity Levels After Open Reduction and Internal Fixation in Metacarpal Fractures
title_sort effects of early period physical therapy and ergotherapy applications on daily activity levels after open reduction and internal fixation in metacarpal fractures
topic ergotherapy
metacarpal fractures
physical therapy.
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=bmj&un=BMJ-05658
work_keys_str_mv AT celaleddinbildik effectsofearlyperiodphysicaltherapyandergotherapyapplicationsondailyactivitylevelsafteropenreductionandinternalfixationinmetacarpalfractures
AT barısyılmaz effectsofearlyperiodphysicaltherapyandergotherapyapplicationsondailyactivitylevelsafteropenreductionandinternalfixationinmetacarpalfractures