Hand and wrist strengthening exercise during rehabilitation of a patient with hereditary distal myopathy

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Deutscher übersetzter Titel:Hand- und Handgelenkkraeftigungsuebungen waehrend der Rehabilitation eines Patienten mit vererbter distaler Myopathie
Autor:Erwin, James H.; Keller, Cheryl; Anderson, Sandra; Costa, Jonathan
Erschienen in:Archives of physical medicine and rehabilitation
Veröffentlicht:72 (1991), 9, S. 701-702, Lit.
Format: Literatur (SPOLIT)
Publikationstyp: Zeitschriftenartikel
Medienart: Gedruckte Ressource
Sprache:Englisch
ISSN:0003-9993, 1532-821X
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Erfassungsnummer:PU199405054331
Quelle:BISp

Abstract

The effects of isometric and resistive strengthening exercise on myopathic distal muscles were examined by implementing a program of hand and wrist exercises during the rehabilitation of a patient with adult-onset hereditary distal myopathy. A 78-year-old man with this diagnosis for 18 years entered the hospital after a lumbar laminectomy and complete bedrest for seven weeks. After a three-week course of twice-daily Velcro board, therapeutic putty, and table-side isometric exercises, his hand and wrist manual muscle testing score, hand grasp and pinch strength, and nine-hole peg test times had all improved. In addition, the patient had moved from minimum-moderate assist in dressing and hygiene, and maximum assist in homemaking, to stand-by assist in both areas. The outcome demonstrates the feasibility and functional value of isometric and resistive strengthening exercises in muscles severely affected by a myopathic process. Verf.-Referat