The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Combination Effects of Self-Volar Gliding Using a Strap and Wrist Distraction on Pain and Wrist Extension Range of Motion in Subjects with Dorsal Wrist Pain

  • Kim, Ki-Song (Department of Physical Therapy, College of Life and Health Science, Hoseo University) ;
  • Jeon, In-Cheol (Department of Physical Therapy, College of Life and Health Science, Hoseo University)
  • Received : 2019.09.04
  • Accepted : 2019.10.22
  • Published : 2019.10.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study examined the effects of self-volar gliding combined with a strap and wrist distraction on pain and the active and passive wrist extension range of motion (ROM) in subjects with dorsal wrist pain during partial weight bearing of the hand. Methods: Thirty subjects (14 males and 16 females) with dorsal wrist pain during partial weight bearing through the hand participated in this study. The two different self-volar gliding techniques were performed for each group. Self-volar gliding using a strap (SVGS) and SVGS and wrist distraction (SVGSD) were performed five times for one week for each group. The active and passive ROM of wrist extension and the peak pressure pushed by the hand at pain (PPHP) were measured. An independent t-test was used to compare the improvements of these elements between the two different self-volar gliding techniques. The level of statistical significance was at ${\alpha}=0.05$. Results: The active and passive ROM of wrist extension and PPHP were greater in both self-volar gliding groups after the one week intervention. On the other hand, these parameters were greater in the SVGSD group than in the SVGS group (p<0.05) Conclusion: SVGSD is recommended to improve the active and passive ROM of wrist extension and PPHP in subjects with dorsal wrist pain during partial weight bearing of the hand.

Keywords

References

  1. Sahrmann SA. Movement system impairment syndromes of the extremities, cervical and thoracic spines-e-book. Elsevier Health Sciences. 2010.
  2. Neumann DA. Kinesiology of the musculoskeletal system-e-book: foundations for rehabilitation. Elsevier Health Sciences. 2013.
  3. Kisner C, Colby LA. Therapeutic exercise: foundations and techniques. 6th ed. Philadelphia. Fa Davis. 2012.
  4. Kendall FP, McCreary EK, Provance PG, et al. Muscles: testing and function, with posture and pain, 5th ed. Philadelphia, Lippincott Williams & Wilkins. 2005.
  5. Maughan RJ, Watson JS, Weir J. Strength and cross-sectional area of human skeletal muscle. J Physiol, 1983;338:37-49. https://doi.org/10.1113/jphysiol.1983.sp014658
  6. Rettig AC. Athletic injuries of the wrist and hand: part II: overuse injuries of the wrist and traumatic injuries to the hand. Am J Sports Med. 2004;32(1):262-73. https://doi.org/10.1177/0363546503261422
  7. Clarkson HM. Musculoskeletal assessment: joint range of motion and manual muscle strength. 2 nd ed. Philadelphia. Lippincott Williams & Wilkins. 2000.
  8. Choung SD, Kwon OY, Park KN et al. Short-term effects of self-mobilization with a strap on pain and range of motion of the wrist joint in patients with dorsal wrist pain when weight bearing through the hand: a case series. Man Ther. 2013;18(6):568-72. https://doi.org/10.1016/j.math.2013.06.001
  9. Park SJ, Youn PS. The immediate effect of wrist joint mobilization with taping on range of motion, grip strength, spasticity in stroke patients. J Phys Ther Sci. 2017;29(4):187-93. https://doi.org/10.1589/jpts.29.187
  10. Tal-Akabi A, Rushton A. An investigation to compare the effectiveness of carpal bone mobilisation and neurodynamic mobilisation as methods of treatment for carpal tunnel syndrome. Man Ther 2000;5(4):214-22. https://doi.org/10.1054/math.2000.0355
  11. Walker MJ. Manual physical therapy examination and intervention of a patient with radial wrist pain: a case report. J Orthop Sports Phys Ther. 2004;34(12):761-9. https://doi.org/10.2519/jospt.2004.34.12.761
  12. Hengeveld E, Banks K. Maitland's peripheral manipulation. 4th ed. Oxford, United Kingdom: Butterworth-Heinemann. 2005.
  13. Vicenzino B, Paungmali A, Teys P. Mulligan's mobilization-with-movement, positional faults and pain relief: current concepts from a critical review of literature. Man Ther. 2007;12(2):98-108. https://doi.org/10.1016/j.math.2006.07.012
  14. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates. 1988;20-40.
  15. Herrero GP, Tricas Moreno JM, Lopez OL et al. Indirect influence of specific Kalternborn glide mobilizations of the carpal joint on a subject with neurological impairments. Journal of Bodywork and Movement Therapies. 2007;11(4):275-84. https://doi.org/10.1016/j.jbmt.2006.11.004
  16. Donatelli RA. Orthopaedic physical therapy. 4th ed. St. Louis: Churchill Livingstone. 2010.