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Wrist rehabilitation splint with or without streching
EUROPEAN CONGRESS OF H A N D THERAPY
WRIST MORNING
Wrist rehabilitation splint with or without streching R. Lasserre Cabinet de rddducation des Faventines, 149 rue Faventines, 26000 Valence, France Wrist muscle reinforcement without articulate constraint, we use a frame bound to a pedestal, permits application of resistances perpendicularly to the wrist straightness position fixed with thermoformed palm glove, for the flexion, the extension, the abduction, the adduction. Resistances are made by JeanClaude Rouzaud's ganged springs. The paper concerns 19 patients' articulate check-up, who used this splint during their rehabilitation. An articulate frame is joined at this splint, which permit a wrist axis traction to make a radiocarpal joint detachment. After studying the patients using radiocarpal joint detachment check-up, we will see if we have a best articulate amplitude with traction.
The functional importance of the ulnocarpal ligaments and triangular fibrocartilage on the transmission of the pronator and supinator muscles torque towards the hand T. Marc, T-Gavdin, J-Teissien Centre de la main et du membre supOrieur, 15 A, Professor Grasset, 34000 Montpellier, France The aim of this study is to point out the functional importance of ulnocarpal ligaments and triangular fibrocartilage (TFC) on the transmission of pronator and supinator muscles torque towards the hand. Material We have tested a population of 32 patients (11 men and 21 women) with a distal radius fracture. The average age was 55 years. This population was divided in three groups. In the first group (n= 12), the patients had a Colles'fracture. In the second group (n= 7), the Colles' fracture was associated with the ulnar styloi'd base fracture. In the third group (n= 13), the ulnar stylol'd tip fracture was associated with the distal radius fracture. The TFC, not being involved, stays intact. Method We have measured the isometric torque of pronator and supinator muscles in neutral position with a constraint gauge, whilst the patients were sifting and holding a handle. Results The Colles' fracture does not produce any torque diminution of pronotion and supination strength (0.66 / 0.68) compared to the opposite side (0.63 / 0.70). However, we have observed a torque diminution for groups 2 and 3, but only the diminution
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of the torque supinator for group 2 (ulnar styloi'd base fracture) is significant. Conclusion The ulnar styloi'd tip fracture (orignating in the ulnocarpal ligaments) doesn't significantly modify the transmission of the pronator and supinator muscles torque towards the hand. But the ulnar stylo~'d base fracture affecting the cohesion of the radius and the ulna diminishes the transmission of the supinator muscles torque towards the hand.
Application of wrist traction in a program of post-traumatic mobilization M. Pieniazek, M. Pelczar-Pieniazek Institute of Rehabilitation, Academy of Physical Education and L. Rydygier Krak6w's Specialized Hospital, Krak6w, Poland Biomechanical analysis of the forces while performing the movement allows definition of its turn and joint composition. Compression of the joint surface, especially in a case of posttraumatic and illness changes, can cause pain and can be the reason for active and passive range of motion limitation. The aim of the paper is to present methods and results of wrist traction application during its active and passive mobilization and also during its splinting program on the example of the Hand Unit patients in the L. Rydygier Krak6w's Specialized Hospital. Disfunction of the wrist in a group of the patients was caused by trauma of the wrist or forearm area. The results of the investigations showed that the wrist traction was an effective way of therapy in a case of its post-traumatic disfunction.
MUSICIANS
Simultaneous use of botulinic toxin (Bo-Tox) & rehabilitation in "writer palsy" treatment J-Noel Theron, S. Soulayrol, H. Bureau Centre de Reeducation de la Main, 83 BD Sakakini, 13005 Marseilles, France The epicenter of the functional cataclysm known as writer palsy is located at hand level or at distal forearm level but effects are felt within the whole upper limb. Using rehabilitation to treat this syndrome is the preferred option but sometimes we need local injections of Bo-Tox to obtain a better decrease of analytic muscle stress. That chemical part of our treatment helps us to 'open the gate' to re-education. So far the review of our last 100 patients suffering from this pathology (which is a very similar trouble to focal dystonia among musicians) shows how this programme is long, difficult, precise but reliable.
WRIST MORNING
Wrist rehabilitation splint with or without streching R. Lasserre Cabinet de rddducation des Faventines, 149 rue Faventines, 26000 Valence, France Wrist muscle reinforcement without articulate constraint, we use a frame bound to a pedestal, permits application of resistances perpendicularly to the wrist straightness position fixed with thermoformed palm glove, for the flexion, the extension, the abduction, the adduction. Resistances are made by JeanClaude Rouzaud's ganged springs. The paper concerns 19 patients' articulate check-up, who used this splint during their rehabilitation. An articulate frame is joined at this splint, which permit a wrist axis traction to make a radiocarpal joint detachment. After studying the patients using radiocarpal joint detachment check-up, we will see if we have a best articulate amplitude with traction.
The functional importance of the ulnocarpal ligaments and triangular fibrocartilage on the transmission of the pronator and supinator muscles torque towards the hand T. Marc, T-Gavdin, J-Teissien Centre de la main et du membre supOrieur, 15 A, Professor Grasset, 34000 Montpellier, France The aim of this study is to point out the functional importance of ulnocarpal ligaments and triangular fibrocartilage (TFC) on the transmission of pronator and supinator muscles torque towards the hand. Material We have tested a population of 32 patients (11 men and 21 women) with a distal radius fracture. The average age was 55 years. This population was divided in three groups. In the first group (n= 12), the patients had a Colles'fracture. In the second group (n= 7), the Colles' fracture was associated with the ulnar styloi'd base fracture. In the third group (n= 13), the ulnar stylol'd tip fracture was associated with the distal radius fracture. The TFC, not being involved, stays intact. Method We have measured the isometric torque of pronator and supinator muscles in neutral position with a constraint gauge, whilst the patients were sifting and holding a handle. Results The Colles' fracture does not produce any torque diminution of pronotion and supination strength (0.66 / 0.68) compared to the opposite side (0.63 / 0.70). However, we have observed a torque diminution for groups 2 and 3, but only the diminution
47
of the torque supinator for group 2 (ulnar styloi'd base fracture) is significant. Conclusion The ulnar styloi'd tip fracture (orignating in the ulnocarpal ligaments) doesn't significantly modify the transmission of the pronator and supinator muscles torque towards the hand. But the ulnar stylo~'d base fracture affecting the cohesion of the radius and the ulna diminishes the transmission of the supinator muscles torque towards the hand.
Application of wrist traction in a program of post-traumatic mobilization M. Pieniazek, M. Pelczar-Pieniazek Institute of Rehabilitation, Academy of Physical Education and L. Rydygier Krak6w's Specialized Hospital, Krak6w, Poland Biomechanical analysis of the forces while performing the movement allows definition of its turn and joint composition. Compression of the joint surface, especially in a case of posttraumatic and illness changes, can cause pain and can be the reason for active and passive range of motion limitation. The aim of the paper is to present methods and results of wrist traction application during its active and passive mobilization and also during its splinting program on the example of the Hand Unit patients in the L. Rydygier Krak6w's Specialized Hospital. Disfunction of the wrist in a group of the patients was caused by trauma of the wrist or forearm area. The results of the investigations showed that the wrist traction was an effective way of therapy in a case of its post-traumatic disfunction.
MUSICIANS
Simultaneous use of botulinic toxin (Bo-Tox) & rehabilitation in "writer palsy" treatment J-Noel Theron, S. Soulayrol, H. Bureau Centre de Reeducation de la Main, 83 BD Sakakini, 13005 Marseilles, France The epicenter of the functional cataclysm known as writer palsy is located at hand level or at distal forearm level but effects are felt within the whole upper limb. Using rehabilitation to treat this syndrome is the preferred option but sometimes we need local injections of Bo-Tox to obtain a better decrease of analytic muscle stress. That chemical part of our treatment helps us to 'open the gate' to re-education. So far the review of our last 100 patients suffering from this pathology (which is a very similar trouble to focal dystonia among musicians) shows how this programme is long, difficult, precise but reliable.