EFFECT OF OCCUPATIONAL THERAPY REHABILITATION ON AN ESTABLISHED VOLKMANN ISCHEMIC CONTRACTURE: A CASE REPORT.

Dr. Vanashree Chandrashekhar Nalawade

Abstract


Volkmann Ischemic Contracture (VIC) is the end result of prolonged ischemia and associated with irreversible tissue necrosis. Objectives of this study were to improve range of motion (ROM), muscle strength, sensations and hand functions in the affected extremity. A 26 year old male right dominant, developed VIC (severe type) over left forearm and hand following tight plaster post-surgery for radial head and proximal ulna fracture. When he reported to occupational therapy department 3 months post injury, vigorous rehabilitation in the form of splinting (static progressive), stretching, light massage, hand function activities and sensory re-education therapy was started. A long term follow up evaluation was taken after 18 months which showed significant improvement in ROM, muscle strength, sensations and hand functions in the left upper extremity. This case study reflects importance of vigorous rehabilitation for improving hand functions and eliminating need for surgical management in a patient with severe type of VIC responding well to conservative management.

Keywords


Occupational therapy, Vigorous rehabilitation, Volkmann Ischemic Contracture

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References


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