Rehabilitation of distal radius fractures with robotic orthosis
DOI:
https://doi.org/10.28957/rcmfr.v29n2a2Keywords:
Radius Fractures, Exoskeleton Device, Robotics, Visual Analog Scale (MeSH).Abstract
Introduction. The present case series study describes the results in the treatment of distal radius fractures, carried out by the F-CIBER-HAND research group in Manizales - Colombia; integrates the surgical management of the fracture, conventional rehabilitation and robotic orthosis rehabilitation.
Objetive. The purpose of the study is to generate clinical evidence (level III) to the advantages of early passive mobilization with robotic orthosis in the rehabilitation of postoperative patients with distal radius fractures.Materials and methods. Ten (10) patients with distal radius fractures who presented wrist functional limitation after two (2) weeks postoperatively were selected, they underwent physical therapy and passive mobilization with the PRO-Wix robotic orthosis.
Results. All patients had functional improvement of the wrist according to the DASH score, decreased pain intensity according to VAS, and recovery the joint mobility arch according to goniometry; In addition, after three weeks of rehabilitation they returned to the activities of daily life that they performed before to the fracture.
Discusion. Randomized clinical trials are required to determine the advantages of early mobilization with robotic orthosis versus conventional therapy exclusively.
Conclusions. Passive mobilization with robotic orthosis is an effective complement of physical therapy in postsurgical patients of radius distal fractures; it favors pain reduction, recovery the articular mobility arches and the functionality improvement.
References
2. Meena S, Sharma P, Sambharia AK, Dawar A. Fractures of Distal Radius: An Overview. J Family Med Prim Care. 2014;3(4):325-32.
3. Nellans KW, Kowalski E, Chung KC. The Epidemiology of Distal Radius Fractures. Hand Clinics. 2012;28(2):113-25. Disponible en: https://doi.org/10.1016 / j.hcl.2012.02.001.
4. Chung KC, Spilson SV. The frequency and epidemiology of hand and forearm fractu- res in the United States. J Hand Surg Am. 2001;26(5):908-15. Disponible en: https://doi.org/10.1053/jhsu.2001.26322.
5. Handoll HH, Madhok R. Conser vative interventions for treating distal radial frac- tures in adults. Cochrane Database Sist Rev, 2003;(2):CD000314. Disponible en: https://doi.org/10.1002/14651858.CD000314.
6. Muller ME, Nazarian S, Koch P, Schatzker J. The comprehensive classification of frac- tures of long bones. Berlin: Springer Verlag; 1990.
7. Fernández DL. Fractures of the distal radius: operative treatment. Instr Course Lect. 1993;42:73-88.
8. Liporace FA, Adams MR, Capo JT, Koval KJ. Distal Radius Fractures. J Orthop Trau- ma. 2009;23(10):739-48. Disponible en: https://doi.org/10.1097/BOT.0b013e3181 ba46d3.
9. Cherubino P, Bini A, Marcolli D. Manage- ment of distal radius fractures: Treatment protocol and functional results. Injur y. 2010;41(11):1120-6. Disponible en: https://doi.org/10.1016/j.injury.2010.09.016.
10. Zenke Y, Sakai A, Oshige T, Moritani S, Fuse Y, Maehara T, et al. Clinical Results of Vo- lar Locking Plate for Distal Radius Fractu- res: Conventional versus Minimally Invasive Plate Osteosynthesis. J Orthop Trauma. 2011;25(7):425-31. Disponible en: https://doi.org/10.1097/BOT.0b013e3182008c83.
11. Chen AC, Chou YC, Cheng CY. Distal radius fractures: Minimally invasive plate osteosynthesis with dorsal bicolumnar locking plates fixation. Indian J Orthop. 2017;51(1):93-8. Disponible en: https://doi.org/10.4103/0019-5413.197555.
12. McKay SD, MacDermid JC, Roth JH, Richards RS. Assessment of Complications of Distal Radius Fractures and Development of a Complication Checklist. J Hand Surg Am. 2001;26(5):916-22. Disponible en: https://doi.org/10.1053/jhsu.2001.26662.
13. Mathews AL, Chung KC. Management of Complications of Distal Radius Fractures. Hand Clinic. 2015;31(2):205-15. Disponible en: https://doi.org/10.1016/j.hcl.2014.12.002.
14. Albaladejo-Mora F, Chavarria-Herrera G, Sánchez-Garre J. Fracturas de la extremidad distal del radio.?Enfoque actualizado. Fisioterapia. 2004;26(2):78-97. Disponible en: https://doi.org/10.1016/S0211-5638(04)73087-4.
15. Magnus CR, Arnold CM, Johnston G, Dal- Bello Haas V, Basran J, Krentz JR, et al. Cross- education for improving strength and mobility after distal radius fractures: a randomized controlled trial. Arch Phys Med Rehabil. 2013;94(7):1247-55. Disponible en: https://doi.org/10.1016/j.apmr.2013.03.005.
16. Souza-da Luz L, Raffone AM, Kaempf-de Oliveira R, Delgado-Serrano PJ. Evaluación de la fisioterapia precoz en las fracturas de la extremidad distal del radio tratadas me- diante placa volar de ángulo fijo. Trauma. 2008;20(1):29-37.
17. UnitedHealthcare. Mecanical Stretching Devices, Oxford: UnitedHealthcare; 2019.
18. Moreno-Arango J, Moreno-Arango J. Robots para rehabilitación y asistencia de mano y muñeca. Congreso Iberoamericano de Tecnologías de Apoyo a la Discapacidad Bogotá D.C.: Memorias de la noverna versión; 2017. p. 250-257.
How to Cite
Downloads
Downloads
Published
Issue
Section
