Injuries Restored to ROM Using PSWD and Mobilizations

Abstract

The purpose of this paper is to report the cases of 7 subjects who lacked full range of motion (ROM) in the elbow, and my treatment regimen of PSWD and joint mobilizations. 7 subjects presented with decreased elbow (ROM) due to extensive fractures and or dislocations from traumatic injuries. All subjects were post-surgical, 2 with internal fixation devices. Initial active extension for each patient was 17°, 23°, 28°, 25°, 45°, 30°, 26° respectively (range of 17–45 degrees). Treatment regimen consisted of PSWD to the anterior elbow for 20 min at 48 watts. Immediately after PSWD, mobilizations were administered to the elbow. Extension improved 19°, 21°, 25°, 23°, 20°, 30°, and 26°, respectively, after 6 or less treatments (range of 19–30 degrees). All but 1 patient returned to normal activities with functional ROM in all planes. Follow-up 4 weeks later indicated that all of the subjects maintained 85–100% of their extension. No negative effects were reported during the short-term follow-up. When precautions are taken, I propose PSWD (48 W) may be an appropriate adjunct to joint mobilizations to increase ROM in peripheral joints despite implanted metal.

Key words

thermotherapy - internal fixation - physical agents - heat

Publication History

Received: 2010

Accepted after revision: 22 November 2010

Publication Date:
04 March 2011 (online)

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