Diz ekstansiyon kontraktürü sonrası quadrisepsplastide fizyoterapinin etkinliği: bir olgu raporu

Yıl 2016, Cilt: 3 Sayı: 2, 72 - 76, 01.08.2016

Ceyda Sarıal Hande Guney Gizem İrem Kınıklı Sercan Önal Ömür Çağlar İnci Yüksel

Öz

Femoral kırık nedeniyle gelişen ekstansiyon kontraktürü ile birlikte diz sertliği günlük yaşam aktivitelerini zorlaştırır ve normal yürüyüş paternini bozar. Quadrisepsplasti cerrahisi fleksiyon hareketinin kaybını gidermek için kullanılan en popüler yöntemlerden biridir. Femoral kırık sonrasında diz ekstansiyon kontraktürü hikayesi olan 59 yaşında erkek hasta çalışmaya dahil edildi. Diz fleksiyon ve ekstansiyonuna ait normal eklem hareket açıklığı (NEH), ağrı seviyesi, Alt Ekstremite Fonksiyonel Skalası ve Kısa Form-36 (KF-36) quadrisepsplasti cerrahisi öncesinde ve cerrahiden sonra 8. haftada değerlendirildi. Fonksiyonel aktiviteleri geliştirmek için quadrisepsplastiye özgü bir rehabilitasyon programı uygulandı. NEH, ağrı ve fonksiyonel sonuçlar rehabilitasyonla birlikte cerrahiden sonra gelişti. Quadrisepsplasti sonrası hastada fonksiyonel sonuçları geliştirmek için, semptomlara yönelik spesifik bir fizyoterapi protokolü uygulanmalıdır.

Anahtar Kelimeler

M. Quadriceps femoris, Quadricepsplasti, Kontraktür, Fizyoterapi

Effect of physiotherapy after quadricepsplasty for knee extension contracture: a case report

Öz

Knee stiffness with extension contracture due to femoral fracture impedes the activities of daily living and impairs the normal gait pattern. Quadricepsplasty surgery is one of the most popular methods to resolve the lack of the flexion movement. A 59-year-old male patient with a history of knee extension contracture after femoral fracture was included in the study. Knee flexion and extension range of motion (ROM), pain levels, Lower Extremity Functional Scale and Short Form-36 (SF-36) were evaluated before quadricepsplasty surgery and 8th weeks after surgery. A quadricepsplasty-specific rehabilitation program was applied to improve the functional activities. The ROM, pain levels, and functional outcomes improved with the rehabilitation after surgery. A physiotherapy protocol specific to symptoms after quadricepsplasty should be applied to the patient to improve the functional outcomes.

Anahtar Kelimeler

M. Quadriceps femoris, Quadricepsplasty, Contracture, Physiotherapy

Kaynakça

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