Advanced Physiotherapy Rehabilitation Approach For Post-Crush Injury Stiffness Patient– A Case Report On Palliative Physiotherapy

Purva Gulrandhe, Mithushi Deshmukh, Neha Chitale, Sakshi P. Arora, Pratik Phansopkar

Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India

ABSTRACT

A tensile force, normally caused by a high-energy force, including an automobile or industrial accident, crushes and elevates the pressure within the hand abruptly. To achieve good results in its recovery, mutilated arm and its treatment require a thorough knowledge of rehabilitative methods and a thorough knowledge of hand anatomy. Early wound excision, aggressive hand rehabilitation for perioperative care, low reconstructive surgery threshold and rehabilitative care is recommended Patient’s main concerned was stiffness in wrist and elbow joint, reduced range of motion with difficulty in doing daily activities. She was diagnosed with crush injury over right forearm back while working on a machine. Main clinical findings were reduced range of motion over elbow and wrist joint. Joint stiffness over elbow joint with reduced muscle strength. Diagnosis of this case was crush injury over right forearm which resulted into scar adhesion and joint stiffness. For six weeks, the patient received physiotherapy treatment. Session included range of motion exercises, strengthening exercises, patient education, scar mobilization, joint mobilization, gripping exercises and home program. Alexios Pitsillides and Dimitrios Stasinopoulos suggested that every third day, tendons and ligaments are treated to maintain a balance between collagen synthesis and degradation and also because type I collagen's response to high load in a normal tendon peaks around 3 days after intense loading in a normal tendon. Treatment plan made proved beneficial to the patient we were able to increase the range of motion and patient was able to perform daily activities.

Keywords:

Crush Injury, Joint Stiffness, Rehabilitation