MODIFIED MANUAL EDEMA MOBILIZATION AND KINESIOTAPING APPLICATIONS IN REDUCING POSTIMMOBILIZATSION EDEMA AFTER DISTAL RADIUS FRACTURE
Distal radius fracture (DRF) are often associated with postimmobilisation edema and the ensuing pain, stiffness, limited range of motion. Often it is a symptom of complication like complex regional pain syndrome (CRPS). Any delay in the reduction of swelling has a serious negative effect and its earliest overcoming plays an essential role.
The purpose of this report is to present and trace the impact of modified manual edema mobilization (MMMO) and kinesiotaping applications to overcome postimmobilisation edema in patients after DRF, also including patients with CRPS.Material and Methods: 74 patients with FDR were followed for a period of 4 years, divided into 4 groups – work group - WG1 (n = 35), WG2 with CRPS (n = 13), control group - CG1 (n = 18) and CG2 with CRPS (n = 10). Patients from WGs had been applied a standard physiotherapy protocol including cryotherapy, elevation, pulsed еlectromagnetic therapy and active exercises. Additionally 5-10 sessions of MMMO per 30 minutes and 3-5 kinesiotaping applications for lymph edema were added to WG patients.
Results: Data analysis from circumference around the wrist showed statistically significant better reduction of swelling in both work groups versus control groups at all measurement phases. In terms of “figure of "eight" measurerment significance is not detected only after the 10th procedure between WG2 and KG2, and in the results of circumference around the metacarpophalangeal joints (MCP) significant difference is established only in WG2 vs. KG2 after the 10th procedure and after the 1st month postimobiliation.
Conclusion: The results achieved demonstrated the need to incorporate methods for rapid alleviation of edema. This plays a major role in the possible early and maximum functional recovery of the affected hand and for the prevention of оccurring complications.
Крайджикова Л., А. Асланов, Д. Петкова. Кинезитерапевтична програма в късния следимобилизационен период след фрактура на радиуса на типично място. Спорт и наука 2/2011
Савова Б. Изследване ефекта от приложението на мануален лимфен дренаж за намаляване отока на ръката при консервативно лекувани фрактури на дисталния радиус. сп. Кинезитерапия 3-4, 2005
Artzberger S. Manuel edema mobilization: treatment for edema in the subacute hand. In: Mackin EJ, Hunter JM, Callahan AD, Skirven TM, Schneider LH, Osterman AL (eds). Rehabilitation of the Hand and Upper Extremity. 5th ed. St. Louis, MO: Mosby, 2002. pp. 899–913.
Casley-Smith JR, Casley-Smith JR. Modern Treatment for Lymphoedema. 5th ed. Adelaide Australia: The Lymphedema Association of Australia, 1997
Chikly, B. Silent waves: theory and practice of lymph drainage therapy. Scottsdale, AZ.: I.H.H. Publishing, 2001.
Dewey William, Travis L Hedman, Ted T Chapman, John B Holcomb The Reliability and Concurrent Validity of the Figure-of-Eight Method of Measuring Hand Edema in Patients with Burns Journal of burn care & research: official publication of the American Burn Association 28(1):157-62 · January 2007
F€oldi M, F€oldi E, Kubik S, Asmussen P. Textbook of Lymphology: For Physicians and Lymphedema Therapists. M€unchen, Germany: Urban & Fischer, 2004.
Guyton AC, Hall JE. Textbook of Medical Physiology. 11th ed. Philadelphia, PA: Elsevier Saunders, 2006.
Kase K., J. Wallis, Ts. Kase. Clinical therapeutic application of the Kinesio taping method, 2 nd edition
Kurz, I: Textbook of Dr. Vodder’s manual lymph drainage, Vol 2, 4th ed, Heidelberg,1997, Haug.
Lavelle Kristie, Donna Breger Stanton, Measurement of Edema in the Hand Clinic. American Society of Hand Therapists TM
Leard J.S., Breglio L., Fraga L., Elrod N.,Nadler L., Yasso M., Fay E., Ryan K. &Pellachia G.L. (2004) Reliability andconcurrent validity of the figure-of-eightmethod of measuring hand size in patientswith hand pathology. Journal of Orthopaedicand Sports Physical Therapy 34335-340
Pellecchia G.L. (2003) Figure-of-eight method of measuring hand size: reliabilityand concurrent validity. Journal ofHand Therapy 16, 300-304
Villeco JP, Mackin EJ, Hunter JM. Edema: therapists management. In: Mackin EJ (ed). Rehabilitation of the Hand and Upper Extremity. vol 1. 5th ed. St. Louis, MO: Mosby, 2002. pp. 183–93, 266e268.