P-3-05-21
Postoperative rehabilitation of Dupuytren's contracture
Masuo Sasa, Makoto Yamasaki, Hisaya Nakajima, Mayumi Hatakeyama, (St. Marianna University School of Medicine Yokohama City Seibu Hospital. Yokohama, Japan)
Moroe Beppu, Haruhito Aoki (St. Marianna University School of Medicine)
We herein present a role of the immediate post surgical application of continuous passive motion (CPM) for the treatment of Dupuytren's contracture.
Subjects were ten male patients (12 hands in total) ranging in age from 59 to 77 years old (average: 66.8). Affected hands were both in two patients, right in four and left in four.
The CPM was attached to patients postoperative day 2, and continued for two to three weeks. Total active motion (TAM), total extension loss (TEL), edema and power grip were investigated. Approximately three weeks after surgery when the CPM was removed, TAM and TEL improved compared to preoperative evaluations. Six months after surgery, TAM improved 31.0%; TEL 69.3%; and power grip 9.8%, all on average compared to preoperative evaluations.
P-3-06-01
THE EFFICACY OF THE CALCITONIN THERAPY, PHYSICAL ACTIVITY, CALCIUM AND DIET IN PATIENTS WITH POSTMENOPAUSAL OSTEOPOROSIS
N. Eskiyurt*. M.D., S. Aki*,M.D., A. Balik*, Phy., A. Oncel*, M.D., G. Akyuz**,M.D.
* Istanbul University Medical Faculty, Department of Physical Medicine and Rehabilitation, ** Marmara University Medical Faculty, Department of Physical Medicine and Rehabilitation
Osteoporosis is a systemic skeletal disease characterized by low bone mass and microarchitectural deterioration of bone tissue, with a consequent increase in bone fragility and susceptibility to fractures. The aim of this study is to investigate the efficacy of the calcitonin therapy, physical activity, calcium intake and diet in patients with postmenopausal osteoporosis.
Sixty women who have been diagnosed postmenopausal established osteoporosis were selected randomly.Physical activity, therapeutic exercises, calcium intake and diet were started to the patients in the first group during 1 year. In addition to this protocol, calcitonin nasal spray 100 IU per day was given to the second group. Bone mineral density evaluations were made from lumbar spine and proximal femur neck before and after treatment. Student-t test were used for statistical analysis. There was no statistically significant difference between age, menopause duration, and bone mineral density measurements when compared two groups before treatment. One year after treatment, we found a significant increase in bone mineral density measurements in both two groups statistically (p<0.05). This increase was higher in calcitonin added group (p<0.05).
As a result; we suggest that this therapy protocol causes the increase in bone mineral density of lumbar spine and proximal femur neck and this increase is more significant when added calcitonin therapy.
