Effect of Early Mobilisation on Grip Strength, Pinch Strength and Work of Hand Muscles in Cases of Closed Diaphyseal Fracture Radius-Ulna Treated With Dynamic Compression Plating

• Published in: Journal of postgraduate medicine (Bombay) Vol. 46; no. 2
• Main Author: Solanki PV, Mulgaonkar KP, Rao SA
• Format: Journal Article
• Language: English
• Published: Medknow Publications and Staff Society of Seth GS Medical College and KEM Hospital, Mumbai, India 07-03-2003
• Subjects: Fracture, Immobilisation, Early mobilisation, Pinch, Grip, Work, Hand muscles, Dynamometers, Ergograph
• ISSN: 0022-3859

AIMS: The purpose of the study was to objectively determine the effects
of early mobilisation in terms of grip strength and work of hand
muscles in cases of closed diaphyseal fracture radius - ulna treated
with dynamic compression plating. SUBJECTS AND METHODS: Fifty normal
subjects and Twenty-one patients, (Eleven patients treated with early
active and resistive goal directed mobilisation and Ten control group)
were assessed for pinch strength and grip strength on Pinch Dynamometer
and Jamar Dynamometer and work of hand muscles on Ergograph.
Standardised positions of the equipments and patients were maintained
throughout the study. RESULTS: Results showed highly significant
reduction in performance in patients treated with early mobilisation as
compared to normal subjects in their first assessment (Fourth week post
operatively). These patients showed significant improvement in
successive assessments (sixth & eighth post operative week) on
exercising in between these assessments. CONCLUSIONS: There are
significant effects on grip strength and work of hand muscles in
patients treated with that early active and resistive goal directed
mobilisation.