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Rehabilitation for scapholunate injury : Application of scientific and clinical evidence to practice

WOLFF AL; WOLFE SW
J HAND THER , 2016, vol. 29, n° 2, p. 146-153
Doc n°: 181980
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.jht.2016.03.010
Descripteurs : DD762 - TRAITEMENT DE REEDUCATION - POIGNET-CARPE

In this article, the development of a rehabilitation approach is describe using
scapholunate injury as a model. We demonstrate how scientific and clinical
evidence is applied to a treatment paradigm and modified based on emerging
evidence. Role of the scapholunate interosseous ligament within the
pathomechanics of the carpus, along with the progression of pathology, and
specific rehabilitation algorithms tailored to the stage of injury.
We review the
recent and current evidence on the kinematics of wrist motion during functional
activity, role of the muscles in providing dynamic stability of the carpus, and
basic science of proprioception. Key relevant findings in each of these
inter-related areas are highlighted to demonstrate how together they form the
basis for current wrist rehabilitation. Finally, we make recommendations for
future research to further test the efficacy of these approaches in improving
functional outcomes.
CI - Copyright (c) 2016 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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