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- Title
The role of exercise in the postoperative rehabilitation of patients with Dupuytren's disease.
- Authors
Nicula, Valeriu; Bârsan, Simona Maria
- Abstract
Background. Dupuytren's disease is a chronic idiopathic benign and proliferative disorder of the palmar and digital aponeurosis of the upper limbs, with progressive evolution, causing flexion contracture of the fingers. The disease predominantly manifests in the male sex, particularly after the age of 40. Early onset is an aggressive evolution marker, except for nonDupuytren's disease, which can occur at any age and has a stationary evolution, depending on the action of the trauma. A number of sports branches such as rock climbing and athletics are predominantly affected, but the disease may also develop in other repetitive palmoplantar contact sports. Treatment can be topical, injectable or surgical for advanced cases with functional impotence. Rehabilitation has a demonstrated role in sports reintegration. Aims. The aim of the study is to evidence risk groups for Dupuytren's disease, as well as prophylaxis, treatment and the role of post-treatment rehabilitation. Methods. The article will attempt to delineate the cases occurring in patients; compared to Dupuytren's disease, which develops after the fourth decade of life, minimally invasive topical or injectable treatment is most frequently sufficient for stationary non-Dupuytren's disease cases. Results. Physical overstrain of the hand was present in all patients showing disease extension, after surgical treatment. The only impact variables were the presence of family loading and advanced patient age, regarding the evolution towards recurrence of Dupuytren's disease. Conclusions. Postoperative results concerning the functional recovery of patients with more severe forms of Dupuytren's disease are more favorable when physiokinesitherapy is associated.
- Subjects
EXERCISE therapy; TREATMENT of Dupuytren's contracture; OCCUPATIONAL therapy
- Publication
Palestrica of the Third Millennium Civilization & Sport, 2016, Vol 17, Issue 2, p103
- ISSN
1582-1943
- Publication type
Academic Journal