International Journal of Health Sciences and Research

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Case Report

Year: 2017 | Month: October | Volume: 7 | Issue: 10 | Pages: 278-282

Effect of Physiotherapy on Pain, Range Of Motion, Grip Strength and Function of Hand in Distal Radius Fracture with Volkmann’s Ischemic Contracture, Grade II - A Case Report

Farzana Alam, Subhadeep Roy Choudhury

BPT, Physiotherapist at Almedica Clinic, Kolkata, West Bengal, India,

Corresponding Author: Farzana Alam


Objective: To find the effect of physiotherapy on Pain, Range of Motion, Grip strength and Function of hand in case of distal radius fracture with Volkmann’s Ischemic Contracture, Grade II Seddon Classification.
Design: A case report.
Setting: Physiotherapy department at Almedica Clinic, Kolkata, India
Subject: A female aged 43yrs had right distal radius fracture following road traffic accident and later developed Volkmann’s Ischemic Contracture, Grade II, presented with pain, weakness and contracture of the right hand.
Intervention: A 6 weeks schedule of physiotherapy containing wax bath, passive movement, stretching and strengthening exercises of the hand (1) to decrease pain (2) to increase ROM and (3) to increase grip strength thus improving function of the hand.
Outcome measures: Pain, Range Of Motion, Grip strength and Function of the affected hand.
Result: There was significant decrease of pain following two weeks of treatment with moderate improvement in range of motion and grip strength at the end of six weeks of treatment, thus improving functional status of the hand.
Conclusion: Significant improvement of the function of the hand was seen in this case following physiotherapy. Further study is required to establish generalisation.

Key words: Distal radius fracture, Volkmann’s ischaemic contracture, Physiotherapy, Hand function.

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