Original Research Article
Year: 2019 | Month: July | Volume: 9 | Issue: 7 | Pages: 183-189
Comparison of Bilateral Approach versus Mirror Therapy on Hand Function in Post-Operative Wrist Complex Injuries
Yogita A. Pawar1, Pranjali M. Gosavi2
1Intern, Faculty of Physiotherapy, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India.
2Assistant Professor, Faculty of Physiotherapy, Krishna Institute of Medical Sciences Deemed To Be University, Karad, Maharashtra, India.
Corresponding Author: Pranjali M. Gosavi
ABSTRACT
Background: The hand is an important functional unit of the upper limb without which the whole of the upper limb become almost useless. Injuries to hand affect hand function which limits the activities of daily living. Hence, early rehabilitation should be provided to the person suffering from hand injuries.
Objective: To determine the effect of bilateral approach on wrist and fingers range of motion and pain status. To determine the effect of mirror therapy on wrist and fingers range of motion and pain status. To compare the effect of bilateral approach versus mirror therapy on wrist and fingers range of motion and pain status.
Materials and Methods: Total 40 subjects were selected aged between 30 to 40 years according inclusion and exclusion criteria. Prior consent was taken. They were divided into two groups: group A and group B. Group A received bilateral approach and group B received mirror therapy. Pre assessment was taken for pain status, disabilities of wrist and hand function, mobility of wrist and hand prior to the treatment. These subjects were treated for 5 days per week for 3 weeks. After 3 weeks the post treatment assessment was taken. The outcome measures were visual analogue scale, range of motion, Michigan hand outcome questionnaire.
Conclusion: The study concluded that there was no significant difference between bilateral approach and mirror therapy. Both the treatment methods showed significant improvement equally on pain status, disabilities of wrist and hand function, mobility of wrist and hand in post operative wrist complex injuries.
Key words: wrist, hand function, bilateral approach, mirror therapy, fractures, motor control, pain status.