Bedömning av inverkan av FDM på de postoperativa läkningsprocesserna vid distal radiusfraktur

Introduction: Distal radius fractures are among the most common types of fractures. Irrespective of the choice of therapy (whether conservative or surgical), these fractures may entail negative consequences in the form of limited range of motion and diminished muscle strength. Such sequelae cause limited hand performance, which, considering the important function of the hand, may negatively aff ect the quality of life and impair patient’s independence in performing everyday activities Despite a considerable progress in medicine and physical therapy over the last several years, distal radial fracture outcomes seem to be unsatisfactory. Conventional mobilization methods do not increase the number of very good and good outcomes. Nevertheless, the eff ects of a therapist’s eff orts concentrated on specifi c tissues of the musculoskeletal system, such as fasciae, seem to be an eff ective treatment method rapidly restoring the normal range of motion and muscle strength and consequently – full hand function. Aims: To present the Fascial Distortion Model (FDM) as a potentially eff ective treatment of musculoskeletal dysfunctions aft er distal radius fractures. Methods: A total of 65 patients (12 men, 53 women, 22 to 81 yerars of age) suff ering a distal radial fracture were randomized into a study group (n = 33) and control group (n = 32). Apart from the standard recommendations and exercise instructions, the study group underwent three sessions with the use of FDM techniques. Th ese therapeutic sessions were conducted once a month. Th e therapy was adjusted to individual limitations and patient feedback related to pain. The utilized therapeutic techniques included triggerbands, herniated triggerpoints, continuum distortion, folding distortion, cylinder distortions, and tectonic fi xation. An effi ciacy analysis of the FDM techniques was done by pre- and posttherapeutic measurements of grip strength, the range of motion (extension, fl exion, adduction and abduction) at the radiocarpal joint, of the ability to perform daily tasks (DASH 100 scale) and the level of pain (100 mm VAS). Results: Single FDM therapy sessions conducted in the evaluation group resulted in immediate improvement in the range of motion and grip strength and a signifi cant improvement in all studied parameters (p < 0.005). In comparison with the control group, patients treated with the use of the FDM techniques achieved better results in grip strength and range-of-motion assessment.Th e eff ects achieved aft er each session were maintained or improved in the period before the next session. No negative eff ects of therapy, such as a decrease in strength or limited range of motion, were observed in any patient. Conclusion: Th e results indicate very high effi cacy of the FDM as a therapeutic technique rapidly improving the muscle strength and the range of motion in the aff ected joint.