首页> 外文期刊>Journal of hand therapy: Official journal of the American Society of Hand Therapists >Pyramid of progressive force exercises to the injured flexor tendon.
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Pyramid of progressive force exercises to the injured flexor tendon.

机译:渐进式力量金字塔对受伤的屈肌腱进行锻炼。

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Postoperative rehabilitation for patients who have sustained a laceration to their flexor tendon apparatus is an important factor in maximizing functional outcome. Quality rehabilitation is characterized by the development of a tailored exercise regimen. There is currently no model available to tailor an exercise regimen for a person with an atypical physiologic response pattern. If rehabilitation protocols were classified according to the criteria of forces applied across a tendon juncture and/or excursion, and a clinical method were available to assist in the identification of optimal tendon loading and/or excursion application, then those individuals with atypical response patterns could be treated more efficiently and effectively. The author conducted a literature review and case study. A model for systematic application of progressive loading exercises to the intrasynovial flexor tendon injury and repair is conceptually developed. The model consists of a pyramidal series of eight specific rehabilitation exercises in the following sequence: passive protected extension, place and hold, active composite fist, hook and straight fist, isolated joint motion, resistive composite fist, resistive hook and straight fist, and resistive isolated joint motion. Concepts are developed to implement a three-point clinical adhesion-grading system. Clinical application of the system is highlighted. An excellent outcome was considered 112% total active motion. A model for systematic application of progressive loading exercises has been conceptually developed in concert with a method for determination of optimal tendon loading. Further substantiation is necessary to validate the proposed theory.
机译:对于屈伸肌腱撕裂持续的患者,术后康复是最大程度地提高功能预后的重要因素。高质量康复的特点是制定了量身定制的运动方案。当前,尚无模型可为具有非典型生理反应模式的人量身定制锻炼方案。如果根据跨腱连接和/或偏移施加的力的标准对康复方案进行分类,并且可以使用临床方法来帮助确定最佳的腱加载和/或偏移应用,则那些具有非典型反应模式的个体可以得到更有效和有效的对待。作者进行了文献综述和案例研究。在概念上开发了一种系统地将渐进式负荷锻炼应用于滑膜内屈肌腱损伤和修复的模型。该模型由以下八种具体的康复练习组成的金字塔系列组成,其顺序如下:被动保护的伸展,放置和保持,主动复合拳头,钩和直拳,孤立的关节运动,抵抗性复合拳,抵抗性钩和直拳以及抵抗性孤立的关节运动。制定了实施三点临床粘连分级系统的概念。该系统的临床应用突出。极好的结果被认为是总主动运动的112%。与渐进式载荷练习的系统应用模型已在概念上与确定最佳肌腱载荷的方法相结合而开发。要验证所提出的理论,还需要进一步的证实。

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