KINESIOTHERAPY IN MEDICAL REHABILITATION OF PATIENTS WITH FOREARM FRACTURES

Aims: to study the effectiveness of kinesiotherapy in medical rehabilitation of patients with isolated fractures of the forearm bones. Material and methods. The study was conducted in 44 patients aged 19-85 years with isolated fractures of the forearm bones, who underwent surgical treatment with osteosynthesis. In the control group (n=21), a standard course of medical rehabilitation was conducted in the postoperative period, which included massage, physiotherapy exercises and magnetotherapy. In the main group (n=23), in the postoperative period, the kinesiotherapy of the shoulder and forearm was performed against the background of a standard course of medical rehabilitation. Kinesio tapes were used on the 2nd day after the operation and applied for 72 hours, after which they were changed to new ones. The duration of the study was 12 months. The severity of the pain syndrome, the amplitude of the movement of the wrist joint and the rotational movements of the forearm, the strength of the fist grasp, the function of the upper limb, the quality of life of the patients were evaluated. Results. The use of kinesiotherapy in the period from 1 month after the operation significantly reduced the subjective severity of the pain syndrome by an average of 22.7%, reduced the number of patients with persistent edema by 1.75 times and increased the number of patients without edema by 2.3 times compared with application of a standard course of medical rehabilitation. The parameters of the amplitude of motion in the wrist joint, rotational movements, and the dynamometry of the fist grasp in patients of the main group were slightly higher than those in the control group throughout the observation period. In the long-term period, the number of patients with excellent treatment outcomes in the main group was 1.5 times higher than in the control group, the number of patients with satisfactory results was 1.3 times lower than in the control group. Conclusions. Kinesiotherapy is a promising, simple, non-traumatic method with no side effects and complications, allows to significantly reduce the severity of the pain syndrome, improve the quality of life of patients, contribute to earlier relief of postoperative edema and the most complete restoration of clinical and functional parameters of the wrist joint and can be used as one of the methods in the complex rehabilitation of patients with isolated fractures of the forearm bones.

Troshkin A.Yu. Damage of the distal metaepiphysis of the radius and features of its treatment. Byulleten’ meditsinskikh internet-konferentsii. 2014; 4(5): 843. (In Russ.)

Milutinović S.M., Andjelković S.Z., Palibrk T.D., Zagorać S.G., Bumbasirević M.Z. Distal radius fractures - systematic review. Acta Chir. Iugosl. 2013; 60(2): 29-32.

Karantana A., Scammell B.E., Davis T.R., Whynes D.K. Cost-effectiveness of volar locking plate versus percutaneous fixation for distalradial fractures: Economic evaluation alongside a randomised clinical trial. Bone Joint J. 2015; 97(9): 1264-70.

Tronci V., Campochiaro G., Gazzotti G., Rebuzzi M., Tsatsis C., Catani F. Distal radius articular fractures: a comparison between ORIF with angular stability plate and percutaneous Kirschner wires. Acta Biomed. 2013; 84(1): 38-43.

Shimbaretsky A.N. The main role of kinesitherapy in rehabilitation of patients after osteosynthesis with modern structures. Travmatologiya i ortopediya Rossii. 2012; (3): 100-5. (In Russ.)

Morozova E.V., Vedyaskina S.I. Results of an experimental study of the use of therapeutic physical fitness in the physical rehabilitation of elderly people with fractures of the wrist joint. Mezhdunarodnyi zhurnal prikladnykh i fundamentalnykh issledovanii. 2014; 9(3): 55-8. (In Russ.)

Shchetkin V.A., Byalik E.I., Vorontsov Yu.A., Chukina E.A. Electrostimulation and intermittent pneumocompression in rehabilitation of patients with fractures of the upper extremities with polytrauma during the stages of inpatient treatment. Fizioterapiya, bal’neologiya i reabilitatsiya. 2012; (3): 9-12. (In Russ.)

Mamylina N.V., Belousova N.A., Chertok N.V. Influence of a complex of autorealaxing exercises (CAU) on the functional indices of the mobility of the wrist joint in women who have suffered trauma to the upper limbs. Uchenye zapiski Universiteta im. P.F. Lesgafta. 2014; 9(115): 87-91. (In Russ.)

Mostafavifar M., Wertz J., Borchers J. A systematic review of the effectiveness of kinesio taping for musculoskeletal injury. Phys. Sportsmed. 2012; 40(4): 33-40.

Kryuchok V.G., Vasilevskiy S.S. Mechanisms of the action of the original kinesiotypes “K-active”. Meditsinskaya reabilitatsiya, kurortologiya, fizioterapiya. 2012; (3): 56-9. (In Russ.)

Słupik A., Dwornik M., Białoszewski D., Zych E. Effect of kinesio taping on bioelectrical activity of vastus medialis muscle. Preliminary report. Ortop. Traumatol. Rehabil. 2007; 9(6): 644-51.

Galov M.V., Ar’kov V.V. Urgency of use of non-drug treatment of pain syndrome in the cervicothoracic spine of athletes. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul’tury. 2016; 93(2-2): 57. (In Russ.)

Kaya E., Zinnuroglu M., Tugcu I. Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome. Clin. Rheumatol. 2011; 30(2): 201-7.

Şimşek H.H., Balki S., Keklik S.S., Öztürk H., Elden H. Does kinesio taping in addition to exercise therapy improve the outcomes in subacromial impingement syndrome? A randomized, double-blind, controlled clinical trial. Acta Orthop. Traumatol. Turc. 2013; 47(2): 104-10.

Shakeri H., Keshavarz R., Arab A.M. et al. Clinical effectiveness of kinesiological taping on pain and pain-free shoulder range of motion in patients with shoulder impingement syndrome: a randomized, double blinded, placebo-controlled trial. Int. J. Sports Phys. Ther. 2013; 8(6): 800-10.

Paoloni M., Bernetti A., Fratocchi G. et al. Kinesio taping applied to lumbar muscles influences clinical and electromyographic characteristics in chronic low back pain patients. Eur. J. Phys. Rehabil. Med. 2011; 47(2): 237-44.

Thelen M.D., Dauber J.A., Stoneman P.D. The clinical efficacy of kinesio tape for shoulder pain: a randomized, double-blinded, clinical trial. J. Orthop. Sports Phys. Ther. 2008; 38(7): 389-95.

Gerasimenko M.Yu., Knyazeva T.A., Apkhanova T.V. et al. Application of the kinesiotherapy method in the non-medicated complex rehabilitation of patients with lymphedema of the lower limbs. Voprosy kurortologii, fizioterapii i lechebnoy fizicheskoy kul’tury. 2015; 92(5): 22-7. (In Russ.)]

Williams S., Whatman C., Hume P.A., Sheerin K. Kinesio taping in treatment and prevention of sports injuries: a meta-analysis of the evidence for its effectiveness. Sports Med. 2012; 42(2): 153-64.

Montalvo A.M., Cara E.L., Myer G.D. Effect of kinesiology taping on pain in individuals with musculoskeletal injuries: systematic review and meta-analysis. Phys. Sportsmed. 2014; 42(2): 48-57.

Kalron A., Bar-Sela S. A systematic review of the effectiveness of Kinesio Taping - fact or fashion? Eur. J. Phys. Rehabil. Med. 2013; 9(5): 699-709.

Nelson N.L. Kinesio taping for chronic low back pain: A systematic review. J. Bodyw. Mov. Ther. 2016; 20(3): 672-81.

Parreira Pdo C., Costa Lda C., Hespanhol L.C.Jr. et al. Current evidence does not support the use of Kinesio Taping in clinical practice: a systematic review. J. Physiother. 2014; 60(1): 31-9.

Freedman S.R., Brody L.T., Rosenthal M. et al. Short-term effects of patellar kinesio taping on pain and hop function in patients with patellofemoral pain syndrome. Sports Health. 2014; 6(4): 294-300.

Lim E.C., Tay M.G. Kinesio taping in musculoskeletal pain and disability that lasts for more than 4 weeks: is it time to peel off the tape and throw it out with the sweat? A systematic review with meta-analysis focused on pain and also methods of tape application. Br. J. Sports Med. 2015; 49(24): 1558-66.

Ristow O., Hohlweg-Majert B., Kehl V., Koerdt S. et al. Does elastic therapeutic tape reduce postoperative swelling, pain, and trismus after open reduction and internal fixation of mandibular fractures? J. Oral Maxillofac. Surg. 2013; 71(8): 1387-96.

González-Iglesias J., Fernández-de-Las-Peñas C., Cleland J.A. et al. Short-term effects of cervical kinesio taping on pain and cervical range of motion in patients with acute whiplash injury: a randomized clinical trial. J. Orthop. Sports Phys. Ther. 2009; 39(7): 515-21.