Article

OBJECTIVES: We investigated the effects of the illusion of motion through tendon
vibration on hand function in patients with distal radius fractures. SETTING:
Kawachi General Hospital, Japan. SUBJECTS: A total of 22 patients with distal
radius fractures were divided into either an illusory kinesthesia group ( n = 11)
or a control group ( n = 11). INTERVENTION: We performed the intervention for
seven consecutive days after surgery. Evaluations were performed at one day,
seven days, one month, and two months postsurgery. MAIN MEASURES: Data were
collected on pain at rest and pain during movement. The Patient-Rated Wrist
Evaluation and Pain Catastrophizing Scale were also used. RESULTS: The illusory
kinesthesia group showed significantly better scores on Patient-Rated Wrist
Evaluation ( p < 0.01) compared with the control group at seven days, one month,
and two months postsurgery. The mean (SD) of the Patient-Rated Wrist Evaluation
total score was 97.6 (2.2) at one day postsurgery and 9.1 (5.3) at seven days
postsurgery in the illusory kinesthesia group, while the Patient-Rated Wrist
Evaluation total score was 96.3 (4.4) at one day postsurgery and 20.1 (17.0) at
seven days postsurgery in the control group. CONCLUSION: Our results indicate
that illusory kinesthesia is an effective postsurgery management strategy not
only for pain alleviation, but also hand function in patients with distal radius
fractures. Furthermore, the significant improvements persisted for up to two
months after intervention in the illusory kinesthesia group, but not in the
control group. In addition, patients in the kinesthetic illusions group showed
increased use of the affected limb in daily living.

Langue : ANGLAIS