Elbow rehabilitation in traumatic pathology

Fusaro, Isabella; Orsini, Stefania; Kantar, Susanna Stignani; Sforza, T.; Benedetti, Maria Grazia; Bettelli, G.; Rotini, Roberto

doi:10.1007/s12306-014-0328-x

Cited by 28 publications

(28 citation statements)

References 16 publications

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“…The rehabilitation of the elbow following trauma is an inherently challenging process due to the complexity of the elbow joint [4]. Inadequate rehabilitation leads to the development of stiff elbow and a loss of range of motion (ROM) [5]. Rehabilitation following elbow trauma should involve passive and active ROM exercises to ensure that the ensuing collagen remodeling and elongation of the tendinous and capsular tissues allow for joint motion.…”

Section: Introductionmentioning

confidence: 99%

Development of an EMG-Based Muscle Health Model for Elbow Trauma Patients

Farago

Chinchalkar

Lizotte

et al. 2019

Sensors

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Wearable robotic braces have the potential to improve rehabilitative therapies for patients suffering from musculoskeletal (MSK) conditions. Ideally, a quantitative assessment of health would be incorporated into rehabilitative devices to monitor patient recovery. The purpose of this work is to develop a model to distinguish between the healthy and injured arms of elbow trauma patients based on electromyography (EMG) data. Surface EMG recordings were collected from the healthy and injured limbs of 30 elbow trauma patients while performing 10 upper-limb motions. Forty-two features and five feature sets were extracted from the data. Feature selection was performed to improve the class separation and to reduce the computational complexity of the feature sets. The following classifiers were tested: linear discriminant analysis (LDA), support vector machine (SVM), and random forest (RF). The classifiers were used to distinguish between two levels of health: healthy and injured (50% baseline accuracy rate). Maximum fractal length (MFL), myopulse percentage rate (MYOP), power spectrum ratio (PSR) and spike shape analysis features were identified as the best features for classifying elbow muscle health. A majority vote of the LDA classification models provided a cross-validation accuracy of 82.1%. The work described in this paper indicates that it is possible to discern between healthy and injured limbs of patients with MSK elbow injuries. Further assessment and optimization could improve the consistency and accuracy of the classification models. This work is the first of its kind to identify EMG metrics for muscle health assessment by wearable rehabilitative devices.

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Section: Introductionmentioning

confidence: 99%

Development of an EMG-Based Muscle Health Model for Elbow Trauma Patients

Farago

Chinchalkar

Lizotte

et al. 2019

Sensors

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“…Existing literature recommends starting strength training exercises at 6–10 weeks after surgery [ 10 , 24 ]. Taking this suggestion into account, in this study, strength training began at 6 weeks and was conducted with flexion and extension.…”

Section: Discussionmentioning

confidence: 99%

“…Neuromuscular training serves to increase joint stability and performance in dynamic sports and decrease the risk of re-injury [ 31 ]. In general, neuromuscular training includes proprioceptive exercise and plyometric, functional, and balance training, using an unstable tool or the position-reposition method [ 24 ]. Previous studies suggested that strength training was to be performed at 6 weeks and plyometric training at 6 or 10 weeks [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Early Rehabilitation after Surgical Repair of Medial and Lateral Collateral Elbow Ligaments: A Report of Three Cases

Kim

Choi

Lee

2020

IJERPH

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Elbow ligament injuries are commonly caused by overuse; degeneration; and trauma; such as from a fall or collision. The purpose of this study was to present the results of three cases involving patients undergoing early rehabilitation after surgical treatment for complex injury of the elbow medial collateral ligament (MCL) and lateral collateral ligament (LCL). Two patients were non-athlete middle-aged women and one was a recreational judo player. Surgery was performed through open incision or arthroscopically. Rehabilitation consisted of range of motion (ROM) exercise; muscle strength restoration; and neuromuscular training. Passive ROM exercise and isometric strength exercise began at 7 days; isotonic strength training at 6 weeks; and neuromuscular training at 3 months after operation. Center- and home-based methods of exercise participation were combined. Center-based exercises were performed 1–2 times per week for the first 6 months and 1–2 times per month for the next 6 months. Patients also performed home-based and self-monitoring exercise. Examinations included ROM using a goniometer; muscle strength test using isokinetic equipment; and Oxford elbow score. In the six months after surgery; flexion ROM was 130° for Case A (health side 145°), 110° for Case B (health side 145°), and 135° for Case C (health side 135°); grip strength was restored to 13 kg (health side 28 kg), 16 kg (health side 25 kg), and 38 kg (health side 52 kg); and isokinetic flexion strength was improved to 30 Nm (health side 58 Nm), 21 Nm (health side 50 Nm), and 72 Nm (health side 80 Nm), respectively. In conclusion; patients who underwent early rehabilitation recovered ROM and muscle strength and returned to daily activity without any side effects. This study showed that patients with elbow MCL and LCL injuries took approximately 3 months to recover meaningful ROM; approximately 6 months to recover muscle strength; and 4–8 months to play light recreational sports. In addition; it took patients 6 weeks to return to their daily activities and 6 months to improve questionnaire scores in their function and pain during daily activity. In follow-up two years after surgery; all three patients had full ROM and muscle strength within 10% of the healthy side

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“…When an elbow or forearm surgery is a need, in the initial phase of rehabilitation the objectives are to contain the effects of immobilization, and to avoid excessive stress on the scar tissue, thus satisfying specific clinical criteria before moving to the next phase of rehabilitation. The rehabilitation plan should be based on up-to-date clinical and scientific evidence that must be adapted to each patient, according to specific needs (FUSARO et al, 2014). CPM devices are tools used in the elbow and forearm rehabilitation process.…”

Section: Background: Continuous Passive Motion (Cpm) Devicesmentioning

confidence: 99%

“…The elbow rehabilitation plays an important role in functional recovery of the normal activity. To rehabilitation professionals such objective may be challenging, since treatment has to be continuously planned and adapted to the needs of each patient, often in the same cycle of rehabilitation (FUSARO et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

Healthcare Technology for Social Change: Development of an Innovative Rehabilitation Device

Callegaro¹,

Caten²,

Jung³

et al. 2019

DeT

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This research aimed to develop an affordable device for the elbow and forearm rehabilitation to be used in Brazilian hospitals, clinics, physician’s offices, and residences. The Brazilian government made investments in technology development for social change, demanding innovative rehabilitation products manufactured with lower cost, compared to the current imported alternatives. Using research through design, we present the development of a module that allows continuous passive motion (CPM), which is a physical therapy resource indicated mainly for post-traumatic and post-surgical rehabilitation. This paper describes all design phases that resulted in this technological device with an important social impact on health care, making CPM treatment accessible to a broader range of patients. The module’s design fully contemplated Stakeholders’ needs, resulting in a working prototype. It was validated with users, producing the intended effects. The product is fully manufactured in Brazil and costs a fraction of the equipment currently used. The design presented in this paper opens a number of future research possibilities in the field of social innovation through health technology.

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Elbow rehabilitation in traumatic pathology

Cited by 28 publications

References 16 publications

Development of an EMG-Based Muscle Health Model for Elbow Trauma Patients

Development of an EMG-Based Muscle Health Model for Elbow Trauma Patients

Early Rehabilitation after Surgical Repair of Medial and Lateral Collateral Elbow Ligaments: A Report of Three Cases

Healthcare Technology for Social Change: Development of an Innovative Rehabilitation Device

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