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EN
The aim of the study was to evaluate the effect of rehabilitation treatment to improve the treatment results of patients operated for ganglions of the wrist. We studied the hands of 77 patients with ganglions of the wrist. 43 women and 34 men aged between 16 and 98 years participated in the study. The open method was used in the surgical treatment to remove the wrist ganglions in all the patients. In the post-operative treatment 46 patients (group I) underwent hand rehabilitation treatment under the supervision of the authors and 31 patients (group II) did not undergo such a treatment. The examination was carried out on all the patients before surgery and at weeks 1 and 4 after surgery. The patients with ganglions of the wrist and pain, impaired hand mobility and impaired hand efficiency were qualified for the surgical treatment. In the rehabilitation treatment stretching exercises were performed as well as loosening and stabilizing the hand and teaching the patients the correct positioning of the upper limb during work and physical activity. The results were statistically analyzed using non-parametric tests such as the chi-square test, signs test and Mann-Whitney test. It was found that in patients after surgical removal of the wrist ganglion rehabilitation treatment has led to the resolution of pain syndromes, movement disorders and efficiency of hand.
EN
The purpose of this study was to evaluate the influence of selected physical exercises on the improved results of treatment of patients operated for carpal tunnel syndrome. Hands were examined in 112 patients treated for carpal tunnel syndrome, aged 33 to 80 years. All individuals underwent open surgery procedure. Patients were divided into group I, in which the exercise was carried out under the supervision of the authors of this study and group II, in which exercises were not performed. Measurements were performed on all patients before surgery (initial) and 6 weeks after (final). Symptoms were studied according to Whitley and Mc Donnell, and they included night pain, sensory disturbance, thenar muscle weakness, Tinel’s sign and Phalen’s maneuver, the bottle syndrome and the opponens pollicis muscle activity. In the treatment of enhancing gliding exercise (automobilization) and neuromobilization. Stabilizing exercises included automobilization (nerve gliding) and neuromobilization. Wrist and hand stabilizing exercises were used and the correct settings in the carpo-metacarpal joints during work and physical activity were taught. The results were statistically analyzed using Chi-squared test. It was found that in patients with carpal tunnel syndrome the best way to eliminate or reduce symptoms of hands mobility disorders comes primarily with surgical treatment, followed by rehabilitation treatment using gliding and neuromobilization exercises.
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