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After the arm is broken, it is generally not necessary to move, but this is not right. The early stages of an arm fracture are a very important period of recovery. Allow the muscles of the fractured arm to apply force to relax and contract. At the same time, a longitudinal squeezing force should be applied to the fracture site.
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On the side of the fracture, do the flexion of the fingers, palms, and wrist joints, and do not rotate the upper arm to avoid further displacement. These maneuvers are performed during the first week of fracture.
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In the second to third week after the injury, in addition to continuing the functional exercises of the first week, you should gradually increase the activities of the shoulder and elbow joints, extend and flex the shoulder and elbow joints, rotate the shoulder joints to make a circle, and raise the arms.
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After the fracture heals, it is not enough to be completely healed, but also to increase shoulder abduction and external rotation activities, arm rotation and other exercises to exercise the whole body.
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If the ulnar and radius fracture of the forearm is reduced and fixed within two weeks, the forearm and upper arm can be contracted, fists and other movements can be done, and after the swelling is reduced, the shoulder and elbow joints can be moved, but no rotation activities can be done.
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After four weeks, increase forearm rotation and hand pushing against the wall to generate longitudinal axis compression force at the upper and lower fracture ends.
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If the arm is broken, it is red, swollen, hot and painful, if you train, first reset first, and then slowly carry out passive activities after laying the deck, and then carry out active activities slowly, and then some weight-bearing activities.
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Broken arm, this feeling is very painful, first of all, it will be very painful, it may be swollen, and it will not be able to move for a long time, so it is very painful, but if you want to pass training, there should be no good way for the time being, you have to wait for about it.
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It hurts, what else can you feel, just use it to see the 100-fold special arm **, and the recovery is very fast.
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A broken arm will feel very painful, and there will be a lot of inconvenience in life, so you can recuperate and eat more nutritious food.
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Elbow fracture** Before exercising, you need to know the healing of the fracture, generally when the patient is healing well, you can start to do ** exercise, and it is recommended that the patient can do elbow joint relaxation training. And when doing relaxation training, you should take it step by step and don't move too roughly.
Tension exercise is actually essential for children with elbow fractures** during exercise, and patients can actually contract their muscles without moving the joints. However, it is necessary for the patient to start the exercise after a few days when the pain has subsided.
In the early stage of arm fracture, it is recommended that the patient needs the help of a sling, and that the injured broken arm needs to be properly elevated, and once the patient with the broken arm has any symptoms of infection and edema, it is recommended that the patient take anti-inflammatory drugs and not be jealous during the period.
Elbow fracture** Before exercising, it is necessary to pay attention not to take medicine indiscriminately, and the patient does not have a fixed shoulder joint, so it is necessary to pay attention to the abduction and external rotation of the shoulder joint, and the flexion of the metacarpophalangeal joint. Exercise needs to be done slowly.
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Step 1: Stretch out your fingers and make a fist
Action essentials: Stretch and grip hard, insist on 5 seconds for each action, stretch and grip as a group, 20 groups are appropriate.
ps: Due to the lack of activity for a long time, there will be a situation where the fist is not grasped or clenched tightly at the beginning, which is very normal, and you have to take your time.
Step 2: Finger movement
Essentials of the movement: Pair your thumb with other fingers one by one, and touch the base of your little finger with your thumb. If you feel that any movement is difficult, you should try to persist in this movement for 5 seconds and repeat it 20 times.
PS: It's about practicing the dexterity of your fingers.
Step 3: Exercise your wrist up and down
Step 4: Exercise your wrist inside and out
Action essentials: Wrist movement inward or outward right, each action insists on 5 seconds, one inside and one outside as a group, 20 groups are appropriate.
Step 5: Arm rotation exercise
Essentials of movement: Elbow joints do not move, hands clenched into fists or palms extended. Arm force clockwise or counterclockwise movement, the arc of the movement to achieve the maximum, each action for 5 seconds, one forward and one reverse for a group, 20 groups is appropriate.
ps: This one is very painful to do at first, but you must stick to it, because arm rotation is very important in daily life. Think about it, if you can't lift your palm and someone gives you something, how do you pick it up?
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Wrist fracture, ** stage, what kind of exercise can I choose?
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It has been two years since the comminuted fracture of the wrist, and now the wrist is deformed, and the location of the fracture is swollen again, and the doctor who went to the hospital said that it was normal, and this will be the case in the future, I am speechless. I wanted to ask the doctor for some advice, but I don't know if he doesn't understand it or not.
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Under the premise that the joints do not move, the muscles do rhythmic contraction and relaxation, that is, muscle tension and relaxation, and muscle atrophy or adhesion can be prevented through isometric contraction of muscles. 4 5 times a day, about 5 minutes each time, in order not to make the patient feel tired legs.
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Don't forget to apply external medicine when training (in addition to helping to relieve pain as soon as possible**) Pay attention to the intensity of training, and do not let the injured part bear too much exercise, such as playing badminton, tennis and other sports, the injured hand should not be too hard.
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In addition to continuing the isometric contraction of the muscles of the affected limb and the extension and flexion of the unfixed joint, the training method of this stage can gradually start the intra-plaster activities of the upper and lower joints of the fracture site, as well as the activities in the opposite direction to the displacement of the fracture, and can be organized to start sports. Above.
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Between 9 and 12 weeks after surgery, the main objectives are to eliminate residual swollen, softened and stretching contracture fibrous tissue, increase range of motion and muscle strength, and restore muscle coordination and dexterity. Although the callus forms at the end of the fracture, the fracture site is relatively stable, and the muscle pit at the fracture site may or may show significant muscle atrophy and decreased muscle strength. Therefore, in this stage of training, it is necessary to pay attention to the action from simple to complex, not too hasty, the intensity of the action should be gentle, the range of motion should gradually increase, and the activity of the joints should be carried out under the control of muscle strength.
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The human hands are extremely dexterous, and the other structures of the upper limbs are all assistive devices for hand movement, the complex connections of the shoulders, elbows, wrists and joints of the hand, the strength and sensitivity of each muscle group are highly coordinated, and the length of the entire upper limb is to enable the hands to give full play to their functions. Therefore, the main goal of post-fracture function of the upper limb is to restore the range of motion of the upper limb joints, enhance muscle strength, maintain and restore flexibility and coordination of hand movements, and thus restore the ability to perform daily living and work.
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Local immobilization within 24 to 48 hours after injury is performed in a positive pressure cycle sequence** to prevent secondary dysfunction, and manual lymphatic diversion can be replicated,** refractory edema. When in the subacute phase (72 hours to 6 to 8 weeks postoperatively), the goal is to gradually restore the corresponding range of motion of the joint, restore or increase muscle strength, rebuild neuro-muscular control, and perform basic exercises for the whole body cardiopulmonary function. Isometric contraction exercises, various active movements of the proximal and distal joints of the injured limb that are not immobilized, active exercises without weight, normal exercises and breathing exercises, and elevation of the affected limb can be used.
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After the wrist flexion and extension and support movements are painless, the wrist and forearm rotation can be gradually added, and a protective support belt must be worn during the exercise. When the chronically injured person is exercising, the protective belt should be worn to limit the back extension and rotation of the wrist joint, such as wearing a wrist brace or adding an elastic bandage to the wrist brace to prevent re-injury.
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It usually lasts from 2-3 months to more than 1 year after injury. At this stage, the fractured end has been stabilized and can withstand a certain amount of stress, the external fixation has been removed, and the muscles and joints of the affected limb can be trained in a wider range. The training method is mainly to resist activities and strengthen the range of motion of the joints, plus muscle recovery training, of which exercise ** is the most important method, supplemented by appropriate physiotherapy, and can also be equipped with braces, crutches, canes, wheelchairs, etc. as necessary functional alternatives.
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Step by step, increase the flexion, extension, and rotation function exercises!
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First of all, it is necessary to explain the purpose of training, for patients with arm fractures, whether conservative or surgical, they need to pay strict attention to rest and protection for a period of time. Due to prolonged inactivity, there will definitely be stiffness in the joints.
The purpose of post-exercise is to restore the range of motion of the normal joints, so that normal function can be restored. Generally, the time for exercising is also limited, and you can only exercise until there is a significant growth of callus.
If the activity is too early, it will affect the healing of the fracture, and it will take about a month and a half for a re-examination of the radiograph. If there is a callus growth, you can exercise, you can scald it when exercising, strengthen the flexion and extension activities of the joints, it is best to let the family help, and insist on the pain of joint flexion and extension activities for a while.
In general, if the patient works hard and returns to normal function, I think there is no problem.
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Advice: You have a fracture around the wrist joint, and the fracture near the joint will have varying degrees of joint stiffness after being immobilized with a cast for more than a month. Therefore, the limitation of your wrist movement and sliding should be caused by joint stiffness.
Guidance: Joint stiffness needs to be corrected through functional exercises in the later stage, and it is also the only way. Since the fracture is in a good position, you can now remove the cast and slowly do the flexion and extension of the wrist joint, but you can't bear weight, the swelling and pain may increase at the beginning of the exercise, but as the exercise progresses, it will slowly subside.
Follow-up after one month**, if the fracture heals well, you can slowly exercise with weights. I hope my New Year's Wax will be helpful to you, and if you have any questions, you can continue to ask and wish you good health.
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