THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM ON THE UPPER LIMB FUNCTIONING INDICATORS IN ELDERLY ADULTS WITH SARCOPENIA AND EXTRAPYRAMIDAL DISORDERS IN THE POST-IMMOBILIZATION PERIOD AFTER THE DISTAL RADIUS METAPHYSEAL FRACTURE
ARTICLE PDF (Українська)

Keywords

physical therapy, rehabilitation, frailty, Parkinson's disease, bone fracture, trauma

How to Cite

Ostapyak, Z. (2020). THE INFLUENCE OF THE PHYSICAL THERAPY PROGRAM ON THE UPPER LIMB FUNCTIONING INDICATORS IN ELDERLY ADULTS WITH SARCOPENIA AND EXTRAPYRAMIDAL DISORDERS IN THE POST-IMMOBILIZATION PERIOD AFTER THE DISTAL RADIUS METAPHYSEAL FRACTURE. Clinical and Preventive Medicine, (4), 88-96. https://doi.org/10.31612/2616-4868.4(14).2020.08

Abstract

Aim: to evaluate the impact of a comprehensive program of physical therapy on the functioning of the upper extremity in the elderly adults with sarcopenia and extrapyramidal disorders (due to Parkinson's disease) in the postimmobilization period after fracture of the distal metaphysis of the radial bone.

Material and methods. Twenty seven elderly people with sarcopenia and extrapyramidal disorders in the early post-immobilization period after fracture of the distal metaphysis of the radial bone were examined. They were divided into two groups: 1 (practiced according to the principles of outpatient rehabilitation with a predominance of preformed physical factors) and 2 (engaged in the developed physical therapy program, which was created in terms of patient-centered model of rehabilitation taking into account the specifics of each polymorbid condition with functional training, massage, kinesio taping, nutrition correction). The effectiveness of the program was evaluated by comparing the condition of healthy and injured hands according to the results of goniometry, wrist dynamometry, standard tests and questionnaires Nine-hole peg test, Action Research Arm Test, French Arm Test, ABILIHAND, DASH.

Results. Subjects found significant dysfunction of the upper extremity in all domains of the International Classification of Functioning, as determined by goniometry of the radial-carpal joint, wrist dynamometry, functional tests Nine-hole peg test, Action Research Arm Test, French Research Arm Test, questionnaires and DASH. The developed pathogenetically substantiated complex program of physical therapy showed a statistically significantly better effect on the indicators of functional capabilities of the forearm and wrist compared to the general outpatient rehabilitation program for all studied indicators (p <0.05).

Conclusion. Elderly patients with complex pathology need to compile pathogenetically substantiated physical therapy programs taking into account and correcting the specifics of each disease, which increases the overall effectiveness of rehabilitation.

https://doi.org/10.31612/2616-4868.4(14).2020.08
ARTICLE PDF (Українська)

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