COMPLEX KINESITHERAPY PROGRAM FOR POLYFRAGMENT FRACTURE OF THE HUMERUS AND PERIPHERAL NERVE INJURY

Abstract

Introduction: Humerus fractures are common injuries of the musculoskeletal system. In most cases, no complications are registered and recovery is faster. In some cases, complications such as luxation, vascular and neurological damage are observed. The treatment of these cases requires the participation of a multidisciplinary team and the application of a comprehensive physiotherapy program, including a variety of specialized tools.
Objectives: The aim is to present a comprehensive kinesitherapy program for humerus fracture and peripheral nerve damage and to monitor the effect of its application.
Methods: We present a case of a 56-year-old man with a polyfragmentary fracture of the humerus and damage to the n. radialis and n. ulnaris. We assessed the state of research before and after the end of the follow-up period with goniometry, centimetry, manual muscle testing, grips, 9 Hole Peg Test and the tests included in the X-cogni device. The complex program includes pendulum exercises, exercises to improve the range of motion, manual lymph drainage and training on the X-cogni neurocognitive rehabilitation device.

Results: We report an improvement in the results of the measured indicators at the end of the one-month follow-up period. The range of motion improves, the swelling decreases, and the dexterity in the injured limb improves. The patient begins to use his injured hand in performing some activities of daily living. However, the subject is not fully recovered, which necessitates the continuation of kinesitherapy with other means in order to achieve a full recovery.
Conclusions: The complex application of kinesitherapy procedures in combination with modern therapeutic methods such as the impact of virtual reality, lead to better results. The variety of testing and training tasks and the quick feedback make them preferred for use by therapists and patients.