NEUROREFLEX MECHANISMS OF ACTION AS PART OF PHYSIOTHERAPY IN DISTAL HUMERUS FRACTURES IN THE EARLY POSTOPERATIVE PERIOD

Stefka Mindova, Department of Public Health and Health Care, Faculty of Public Health and Social Activity, University of Ruse Angel Kanchev - Ruse, Bulgaria, Nikolai Koev, Nikolai Koev, physiotherapist – master's degree in physical therapy, Varna, Bulgaria.
2020 Journal of IMAB  
Of the large joints in the human body, the elbow joint is the most complicated from an anatomical and functional point of view. Its structure and function are such that they make it particularly sensitive to injuries, after which in many cases there is a permanent loss of movement. Elbow fractures rate is about 5.5% of all musculoskeletal system fractures. The most common are fractures of the radial head (2.8%), followed by those of olecranon (1%) and the distal part of the humerus (0.5%).
more » ... fractures are one of the most difficult injuries to the upper limb to treat and physiotherapy. There are a number of contradictions regarding the most accurate method of treatment and model of recovery, because unlike the shoulder, in the elbow joint even the smallest incongruity in the joint surfaces lead to loss of movement, and prolonged immobilization - to joint contractures. The functional insufficiency of the elbow complex leads to the impossibility of self-service and work. One-third of the fractures of the elbow joint affect the distal humerus. The mechanism of injury is a fall on a stretched upper limb or a direct blow to the elbow.
doi:10.5272/jimab.2020264.3452 fatcat:7zu7w7yn6vavlhunqvzyvgkhve