Journal of hand therapy : official journal of the American Society of Hand Therapists · 2014
Rehabilitation of a patient following hand replantation after near-complete distal forearm amputation.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Sturm Sarah M, Oxley Sally B, Van Zant R Scott
Аннотация
STUDY DESIGN: Case report.
INTRODUCTION: Reports of comprehensive rehabilitation following hand replantation are limited.
PURPOSE OF THE STUDY: To describe hand therapy of a patient following hand replantation.
METHODS: Right hand dominant 55 year-old male assessed 9 days following left hand replantation to treat distal forearm amputation. Patient presented with dorsal blocking orthotic. Initial status: AROM digits and thumb 0-20° extension, 0-40° flexion; absent light touch sensation; 0-1/5 hand strength. Patient underwent 70 hand therapy sessions over 13 months focusing on A/PROM, therapeutic exercise, neuromuscular re-education, and modalities to address functional limitations.
RESULTS: Hand therapy discharge status: AROM digits and thumb form composite fist, thumb opposition to digit 3, light touch sensation (monofilament) 4.03 (digits 2, 4) and 4.17 (digits 1, 3, 5); 3- to 4-/5 hand strength.
DISCUSSION: Hand therapy allowed for near complete functional return of the hand following replantation.
CONCLUSION: Comprehensive Hand therapy aided restoration of adequate sensation and strength for functional use of the replanted hand.
LEVEL OF EVIDENCE: 4.
INTRODUCTION: Reports of comprehensive rehabilitation following hand replantation are limited.
PURPOSE OF THE STUDY: To describe hand therapy of a patient following hand replantation.
METHODS: Right hand dominant 55 year-old male assessed 9 days following left hand replantation to treat distal forearm amputation. Patient presented with dorsal blocking orthotic. Initial status: AROM digits and thumb 0-20° extension, 0-40° flexion; absent light touch sensation; 0-1/5 hand strength. Patient underwent 70 hand therapy sessions over 13 months focusing on A/PROM, therapeutic exercise, neuromuscular re-education, and modalities to address functional limitations.
RESULTS: Hand therapy discharge status: AROM digits and thumb form composite fist, thumb opposition to digit 3, light touch sensation (monofilament) 4.03 (digits 2, 4) and 4.17 (digits 1, 3, 5); 3- to 4-/5 hand strength.
DISCUSSION: Hand therapy allowed for near complete functional return of the hand following replantation.
CONCLUSION: Comprehensive Hand therapy aided restoration of adequate sensation and strength for functional use of the replanted hand.
LEVEL OF EVIDENCE: 4.