The role of physical therapy in the treatment of post-traumatic contracture of the elbow in children

Introduction. Elbow fractures account for 7-9% of all fractures in children, while supracondylar humeral fractures are the most common fractures in the elbow joint region. Most of these fractures are seen in children between 5 and 8 years of age. Management of elbow injuries. Orthopedic treatment of elbow injuries includes conservative and/or surgical treatment, and outcomes are much better in children than in adults. The main contributing factors to the development of elbow contractures include the severity of the trauma, intra-articular damage, and length of immobilization. The literature is still limited in terms of the time required for regaining good elbow range of motion after contracture. Complication of elbow injuries. Neurological deficits may be treated conservatively, by electrical stimulation, vitamin therapy and intensive exercises. Physical therapy of elbow contracture. Some authors showed that, in uncomplicated cases of supracondylar elbow fractures, physical therapy is not necessary in order to regain adequate range of motion. On the other hand, according to guide recommendations, after post-traumatic elbow immobilisation and reduced mobility, patients should undergo occupational and physical therapy as soon as possible after the period of immobilization. It has been proven that combined active and passive therapeutic programs significantly improve the range of motion of the elbow joint. Conclusion. The therapeutic approach to post-traumatic contracture of the elbow should be individual, patiently and properly dosed, with follow-up of pathogenesis and kinesiology disorders. However, physicians should be aware of the fact that particular attention should primarily be paid to the prevention of contractures. This article has been corrected. Link to the correction <a href="http://dx.doi.org/10.2298/MPNS1708202E">10.2298/MPNS1708202E</a>

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Therapeutically effect of the physical procedures on the elbow contractures in children with supracondylar humerus fractures

Acta chirurgica iugoslavica ◽

10.2298/aci0702039j ◽

2007 ◽

Vol 54 (2) ◽

pp. 39-43 ◽

Cited By ~ 1

Author(s):

S.Dj. Jandric

Keyword(s):

Physical Therapy ◽

Range Of Motion ◽

Elbow Joint ◽

Pediatric Population ◽

Excellent Result ◽

Supracondylar Fractures ◽

Functional Disturbance ◽

Fractures In Children ◽

Supracondylar Humerus Fractures ◽

Humerus Fractures

Supracondylar humerus fractures are the most common fracture around the elbow in the pediatric population. These fractures in children may lead to functional disturbance with loss or reduction of range of motion in the elbow joint. The aim of this study was to investigate the effect of the physical therapy on the range of the motion of the elbow joint in the post-traumatic elbow contractures in the childhood after supracondylar fractures. We analyzed in this research 34 children (average age 8.57+2.94 years) with elbow contractures that were treated by physical therapy after orthopedic treatment. Functional outcome was presented in degree from 1 to 3 (Flynn). The difference in the grade at the beginning and the end of the therapy is statistically significant (t=16.38, p<0.001). 91.18 %, of the children had excellent result. Complex of various therapeutically physical procedures can significant improve range of motion of the elbow joint. .

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Angiotensin Converting Enzyme Activity and Nitric Oxide Level in Serum of Patients with Dehydration

Bosnian Journal of Basic Medical Sciences ◽

10.17305/bjbms.2007.3086 ◽

2008 ◽

Vol 7 (1) ◽

pp. 33-36 ◽

Cited By ~ 1

Author(s):

Jasminko Huskić ◽

Filip Čulo ◽

Sajma Dautović ◽

Nedžad Mulabegović

Keyword(s):

Nitric Oxide ◽

Physical Therapy ◽

Elbow Joint ◽

Excellent Result ◽

Converting Enzyme ◽

Angiotensin Converting Enzyme Activity ◽

Nitric Oxide Level ◽

Post Traumatic ◽

The Difference ◽

Elbow Contracture

Pediatric post-traumatic elbow contracture can occur as result of the various injuries of area of the elbow joint. The aim of the study was to investigate the effect of the physical therapy and rehabilitation on the range of the motion of the elbow joint in the post-traumatic elbowcontractures in the childhood. We analyzed in this research 54 children (average age 9,4+/-3,15 years) that were treated because of posttraumatic elbow contractures. Kinesitherapy, occupational therapy and other procedures physical therapy are used in the management. Range of the motion of the elbow was measured at the beginning and the end of the therapy for every child. Functional outcome was presented in degree from 1 to 3 (Flynn). Satisfied result of the therapy at the discharge was in the 94, 45% of the children and 74, 07 % of the children had excellent result The difference in the grade at the beginning and the end of the therapy is statistically significant (t= 13,72, p<0,001). Significant improvement of the range of the motion in the elbow joint in the children with post-traumatic elbow contracture is attained by physical therapy.

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Treatment of Elbow Fractures in Children and Adolescents

N.N. Priorov Journal of Traumatology and Orthopedics ◽

10.17816/vto201118238-45 ◽

2011 ◽

Vol 18 (2) ◽

pp. 38-45

Author(s):

V N Merkulov ◽

A I Dorokhin ◽

V T Stuzhina ◽

A G El'tsin ◽

D S Mininkov ◽

...

Keyword(s):

Children And Adolescents ◽

Postoperative Management ◽

Diagnosis And Treatment ◽

Treatment Results ◽

Fractures In Children ◽

Elbow Fractures ◽

Elbow Injuries

Treatment results of 1353 children and adolescents with acute elbow injuries were performed. The main difficulties for diagnosis and treatment of those injuries were shown. Using stored experience the methods of diagnosis and treatment for all types of injuries were optimized. Potential complications and mistakes were described; the ways of their prevention were presented. Tactics of postoperative management of patients was elaborated. Differentiated approach to the treatment of every type of injuries enabled to obtain good and excellent results in 93.2% of patients.

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Effects of Physical Therapy in the Treatment of the Posttraumatic Elbow Contractures in the Children

Bosnian Journal of Basic Medical Sciences ◽

10.17305/bjbms.2007.3085 ◽

2007 ◽

Vol 7 (1) ◽

pp. 29-32 ◽

Cited By ~ 1

Author(s):

Slavica Jandrić

Keyword(s):

Physical Therapy ◽

Occupational Therapy ◽

Functional Outcome ◽

Elbow Joint ◽

Excellent Result ◽

Post Traumatic ◽

The Difference ◽

Elbow Contracture

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Effects of Mirror Therapy Combined With EMG-triggered Functional Electrical Stimulation to Improve on Upper Extremity Function in Patient with Chronic Stroke

Physikalische Medizin Rehabilitationsmedizin Kurortmedizin ◽

10.1055/a-1210-2930 ◽

2020 ◽

Author(s):

Joo Yeol Jung ◽

Pong Sub Youn ◽

Dong Hoon Kim

Keyword(s):

Electrical Stimulation ◽

Physical Therapy ◽

Muscle Strength ◽

Range Of Motion ◽

Upper Extremity ◽

Functional Electrical Stimulation ◽

Chronic Stroke ◽

Mirror Therapy ◽

Extremity Function ◽

Upper Extremity Function

AbstractThis study was performed to evaluate the effects of Mirror therapy combined with EMG-triggered Functional Electrical Stimulation on upper extremity function in patient with Chronic Stroke. A total of 24 chronic stroke patients were divided into 3 groups. Group I (n=8) was given with traditional physical therapy (TPT), group II (n=7) was given with traditional physical therapy and mirror therapy (MT), and group III (n=9) was given with traditional physical therapy and mirror therapy in conjunction with EMG-triggered Functional Electrical Stimulation (EMGFES-MT). Each group performed one hour a day 5 times a week for 6 weeks.We obtained the following result between before and after treatments about changes of elbow flexion muscle strength (EFMS), elbow extension muscle strength (EEMS), wrist flexion muscle strength (WFMS), wrist extension muscle strength (WEMS), elbow flexion range of motion (EFROM), elbow extension range of motion (EEROM), wrist flexion range of motion (WFROM), wrist extension range of motion (WEROM), grip strength (GS) and upper extremity function.Each group showed a significant difference in EFMS, EEMS, WFMS, WEMS, EFROM, EEROM, WFROM, WEROM, GS and upper extremity function (p<0.05) EMFES-MT group revealed significant differences in EEMS, WEROM, grip strength and upper extremity function as compared to the other groups (p<0.05). No difference was found in the change of spasticity among the 3 groups.Our results showed that EMFES-MT was more effective on elbow, WFMS, WEMS, AROM, grip strength and upper extremity function in patients with chronic stroke. We suggest that this study will be able to be used as an intervention data for recovering upper extremity function in chronic stroke patients

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Combined Ipsilateral Humeral Shaft and Galeazzi Fractures Creating a Floating Elbow Variant

Case Reports in Orthopedics ◽

10.1155/2018/7430297 ◽

2018 ◽

Vol 2018 ◽

pp. 1-5

Author(s):

Patrick Lee ◽

Allison Z. Piatek ◽

Michael J. DeRogatis ◽

Paul S. Issack

Keyword(s):

Internal Fixation ◽

Range Of Motion ◽

Open Reduction ◽

Humeral Fracture ◽

Humeral Shaft ◽

Proximal Ulna ◽

Elbow Injury ◽

Anatomic Reduction ◽

Elbow Injuries ◽

Floating Elbow

“Floating elbow” injuries of the arm traditionally represent a combination of humeral shaft and forearm fractures which require anatomic rigid open reduction and internal fixation of all fractures to allow for early range of motion exercises of the elbow. There are published variants of the floating elbow injury which include ipsilateral diaphyseal humeral fracture, proximal ulna fracture with proximal radioulnar joint disruption, and ipsilateral diaphyseal humeral fracture with elbow dislocation and both bones forearm fracture. We present the case of a 21-year-old woman whose left arm became caught between the side of a waterslide and adjacent rocks at a park. She sustained a torsional and axial loading injury to her left upper extremity resulting in ipsilateral humeral shaft and Galeazzi fractures. The combination of ipsilateral humeral shaft and Galeazzi fractures resulted in a rare floating elbow variant. Prompt open reduction and internal fixation of both fractures and early range of motion of the elbow and wrist resulted in an excellent clinical and radiographic result. Floating elbow injuries and their variants should be promptly recognized as early anatomic reduction, and rigid internal fixation can allow for good elbow function with minimization of stiffness.

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