Physical therapy is the name commonly used in English-speaking countries for the treatment of patients with electrical currents, hot or cold applica- tions, exercises, or various waves, intended to restore functional movements that are diminished by reasons such as physiotherapy, injury, illness, trauma or aging. Physiotherapy has been recognized by doctors (physiatrists) who have received training in physical medicine and rehabilitation after medical school,
Purposes of physical therapy
Rescue of pain, restoration of functions such as strength and motion, training of the patient to make essential movements, measurement of various functions of the body. These last tests include: muscle strength, grade of joint movements, breathing capacity, measurement of heart functions.
The hands are at the top of our organs that we use the most in our daily lives. Not being able to use their hands for any reason greatly affects people’s daily life and work life. It is complementary to physical therapy and rehabilitation surgeon in the treatment of hand injuries. No matter how successful the surgeries are, if the patients do not receive physiotherapy and rehabilitation support at the right time and in a proper way, it is difficult to achieve the targeted result. The aim of rehabilitation is to improve the quality of life of the patient, thus the function of the hand. Elin postoperative rehabilitation period varies according to the type of injury and the type of surgery performed. The aim is to start treatment as soon as possible and to return the patient to work in a short time.
Major injuries to hand surgery include: – Tendon injuries – Nerve injuries – Fractures and crushes on hand – Severe hand injuries affected by all the structures in hand – Replantations – Brachial plexus injuries – Nerve compression (carpal tunnel etc.) – Occupations such as sportsmen, musicians, experienced hand problems due to use – Congenital hand anomalies – Burns on hand Tendon injuries: injuries that lead to loss of movement, especially on the hands. Physiotherapy and rehabilitation are required after surgical repair. Starting treatment early is important in terms of controlling the adhesions in the surgical area and possible joint stiffness. Nerve injuries: injuries that lead to numbness and loss of strength. After nerve repair with microsurgical methods, follow physiotherapy is necessary. The nerves are long-lasting healing processes after surgery. Physiotherapy and rehabilitation are also important for nerve injuries. Regular physiotherapy followed during the healing period, making necessary tests, the use of various hand wands according to the need of the hand, and electrical stimulation of weak muscles are necessary to achieve the desired result. Fractures and crushes on hand: Such injuries that disrupt the integrity and appearance of the hand require a long post-operative period of immobility. When fracture healing is completed and edema is controlled, the physical therapy period begins. A variety of electrotherapy methods and hand punctures should be used in addition to exercises to relieve joint stiffness and adhesions due to damage to the bones and prolonged immobility. Heavy hand injuries: In cases of heavy hand injuries, which usually involve all structures on hand 1/3
What is Physiotherapy?
post-surgical fixation period. Physiotherapy should be followed as soon as possible. In such injuries, the period of rehabilitation is long and the results are good for the patients who are regularly going on treatment. Replantations: If any part of the hand is disconnected from the body and can be surgically repaired, the next target is to be able to move again. Post-operative physical therapy and rehabilitation are important and necessary so that replanted arms, hands, feet or fingers can function. The best results are patients who follow regular physiotherapy, with factors affecting the shape and level of injury. Brachial plexus injuries: The nerves that come out of the neck region of the spine form a neural network in the shoulder region and then spread to the arms. If this neural network, called Brakial Plexus, is damaged for various reasons (birth trauma, traffic accidents etc.), related arm and hand paralysis are seen. The importance of physiotherapy in the post traumatic period in brachial plexus injuries is great. Surgical treatment may be needed in patients who do not show adequate improvement in a given period. In these patients who require a long period of physiotherapy after surgery, it is important to educate the patient about the treatment attendance and compliance, especially the treatment of the baby in the case of the baby. Nerve constrictions: Arm nerves, neck