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Friday, June 15, 2018 · 3:42 p.m. · 12m 48s
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of course yeah it's really no questions i guess unless you wanna have copy early early
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and asked some questions questions okay thank you start first put him to sleep
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it's to the in in the paper about the fact
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a bridge position after probably eh we're section
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a him you showed that there was less tension on
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on the probably when you have flexed and everest
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yeah it's yeah okay yeah yeah and you sure there's more tension in with with
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the wrist unusual that is that is that too too much pressure on there
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under and police is it necessary to have the wrist in a neutral to think
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a little typically one at least a reconstructed their hold any new to positions of
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it's tough to say because um to really answer whether wrist decision that's why set the conclusion that
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it you need that you might have to flex arrest 'cause perhaps what we should be
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doing is perhaps flexing extending the rest while we're doing attention for pulling reconstruction
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so i think most rehabilitation protocols at least within
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i cannot usually when your mobile i. c. thinkers the rest is holding
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a neutral position which i don't think is um so that's actually
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close to what it replicates the normal all the reconstruction so i don't think it's accessible whatsoever it just
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whether based on race positioning we can just increase the load just to allow that integration of the
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police to occur in poland it's i have a question to nap you think about uh_huh a synergistic response yes
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that would mean that if we go into synergistic was much into extension that would be sort of a
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bad idea based on your numbers and also the numbers actually show that when you also extend
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i also i decreases load suggest not statistically significant okay so it's just they're saying actually
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the neutral position has the greatest little but actually that code is close to normal so
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that would be okay so still with sonar inflection being relaxed is still a good
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idea yes and you can sense lays down and did you find a difference between f.
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t. s. and f. t. p. because there's a study by cursor that says
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yeah they are you familiar with this study yes that yes he says that if you're going to flexion with the rest
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then e. f. t. s. actually has much higher loads so we did not actually find the same results online than
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we actually found so i just presented what was statistically significant have t. s. actually had very minimal effect
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upon so interesting because just to articles nestled imperceptible quote again going to flash and the f. b.
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s. is in danger yeah so i i did not sure if it's based on search
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technique and we just did the pole reconstruction by um portion we didn't find the same results okay well interesting because
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we have to do a lot more studies yes that's for sure great question any other questions on this paper
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i uh yeah that one burning question i have a i have a question on the first speaker
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remote address along i'm saying that right yes thank and from turkey you're very productive country uh
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all friends okay um what kind of a structure was put in defence attorney was it a four two strand
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you can't force trends force and because you're using the passive motion yeah with the force trained
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and if you go to the i. f. s. s. h. recommendations they say with air force trying you
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really should not do passive uh protocols why did you choose to do is this just a normal
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but you always do this we're yeah actually you know could need the
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we are deciding these together with the other hand surgeon and to do
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the let's say come on the other hand yeah opinion to know your street abrasions but still you like
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yeah they say because of the bulk of the force trained you should be passive motion you don't really get any motion
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that's the whole thing actually we're we're taking to patients like that
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uh but i think there's some little limiting put this to chew material
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kentucky so that's why we're using was see i don't think
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so okay alright and did you have the rest inflection or an
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extension or neutral uh_huh no restriction demystify principally to me
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with that you did that really ran protocol with the folks a priest inflection
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yeah yes that's the standard reflection twenty degrees functional priest okay um
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now we have any questions about this would probably i yeah just one
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a the two groups that you were comparing with a and e.
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him where they the same the same when you you looked at the at the some of the engine we could compare it
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and so we could you please repeat you you were yeah yeah in the abstract you were
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eh we're saying that there are some i assumed to and
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some seven three english oh yeah yeah yeah um
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and i i couldn't senior abstract if the two yeah and groups that you were comparing if their work
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any more soon to be interesting ones yeah yeah one of the groups you're actually to
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we we to glue from one one two three
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because the most uh so that's function results
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was there and we we want to do is see there's also of these patients
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the actually to be it's not to say with the number will storms
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the in both groups okay and we are not trying to
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the equal is these numbers so random noise into the
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maybe long to maybe zoom so you in but if big group war
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in control group so uh we're not on the missing these
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yeah yeah in progress
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actually i think that using a machine or using your own brain
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actually i think that's the four or a chemo shouldn't really it's the common opinion weeds
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or surgeons so the the free ruptures channel cool so that can be
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yeah we're surgeon can call me yeah the the and gentle there's no higher rapture referred earlier we can talk later
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alright but i mean i i'm not trying to tease you but you get with just was the question i think it will match any other questions
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yeah so i think you and uh i have a question for christiane wits question do you know what
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yep okay um
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alright so um
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you were doing place hold right was that you were doing place hole
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right read it is the first yeah teaching protocol but yes good
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'cause we don't do this anymore you don't do it anymore and your wrist position i had a question about that you had a
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just really with the old one with right wrist flexion right node partisan extensions so
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what what are your ideas now what are you gonna do now and praxis
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have you changed i'm gonna go to extension and that what function
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has it changed your ideas about we we we uh we
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doing that sort of thing has to do with will still eh the procedure for lowering our problem
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because i mean the the lot of rehabilitation protocols about object motion right one of this is the new ones bring those
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there's an extension because everybody going for flecks of them yes that's
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one of the only actually leave the rest free now sometimes
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although painters had both flexion and extension yes but the thing that will that's
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main problem of the laws influx of term problem there's so many different
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points and it's really hard to to find out which of problems with that
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would we can influence the just one or two publications with heidi
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the number of nations that could be really cripples and so for this problem so at the moment i mean
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the only thing that we can do we can compare to my rooms with exactly the loading one problem
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and i don't you think that maybe a protocol is not
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uh it's it's too limiting that we should do more a custom made
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per patient per injury protocols because it's it's turning out to be really hard to write one problems all through
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it sounds different for the the type of injury to type of patient extent of winning they have so
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do you feel like you we have to write a protocol we think we should
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have a protocol the agree with us like with this idea it's those
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that that's true we think also we don't have to have one protocol for
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all patients think it seems to me that we need thank you
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no i mean it's just that this is the source of your problem and the presentation i made
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i think you know it's interesting to see the patient but we don't have an
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explanation from the movement they have to we have to find out the problem
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why they do so yeah and i think they'll miss when exactly and then
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we have to find new and so for this maybe to have different
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different protocols yeah i i don't as as as an explanation for what you're talking about i had
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this patient came to me after ruptured and that it was a top athlete
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and they told him to exercise every hour ten times and you had it perfect lighting
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tended we did this and he was a top athletes of course to get his
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oh sure best and you get way too much and he actually hold the suture
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through it in and out of the tent and not because it wasn't structured well because he was just doing too much of a therapist
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might have done better by saying well this is the top i think maybe
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we should say that it's gliding through the down and if you follow
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up article by letter every hour ten times you do that for every patient i mean might be in trouble and that might be exactly
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because during our numbers so have i also the same patients
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with the tour of big into is not compliance and use perfect function i know so you have to sometimes maybe
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forget about getting a protocol that place hold all is that uh that i was not able
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to talk here about a place holder but uh we do feel that place whole might
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uh be bad for attending you found that to place holders not
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ideal yes i agree i mean somewhat it uh uh
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so there's a whole curve for some of them for ages
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ago you could mostly sit the uh and demonstrated
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what's happening if the developer you but this rating of the turn
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the moment with replaceable yeah tonight that you don't like
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don along yeah yeah so yeah exactly this and that's a good if in fact that was it i was
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i asked him to do that served that video because i was i was thinking about how you tell the car you know when you
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you know the course problem i have to tell the card you know when you start driving the rope sort of like doing
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because like it with big jolt and then once you get the tension nicely there you can drive when everything is fine
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and that's what i was saying like can you look that up and he founded on the idea i don't listen to such a open surgery so if you
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you put down the finger then it the ten hangs loose and i mean you start calling it didn't just go so just like the card you're telling
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so i think you're right i think the place hold should not be very it's it's uh it's too risky
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i think we should get away from that well very interesting actually make it
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right so do you have another one
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yeah
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oh well i can go on forever oh this will be to these ah
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and actually the i'm really really sorry it's about the possible
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tool doing to cheat it's gonna noises as only
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because it would be really nice to see the conventional the muscles the the one that can't do
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did we got duties of the nineties divisions chance move onto planning to
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link if the muscles yeah we're not planning these it but today workers
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began with that it's so it's possible to to the kinetic analysis
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and it really like to new graffiti need elected him you can
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feed combining what we will do in the future yeas
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to to simultaneously you for some reason measurements no that would be really useful for us as well okay thank you
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yes i think that would be great you're right uh well
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you wanna go for coffee i can go on forever questions but you probably wanna have copyright
Conference Program
A-0830 The effect of electromyographic (EMG) biofeedback training on electrical muscle activity and functional status in zone I-III flexor tendon injuries: preliminary results
Umut Eraslan 1, Ali Kitis 1, Ahmet Fahir Demirkan 2, 1 Pamukkale University, School of Physical Therapy and Rehabilitation, Denizli, Turkey; 2 Pamukkale University, Medical Faculty, Department of Orthopaedics and Traumatology, Denizli, Turkey
June 15, 2018 · 3:03 p.m.
113 views
A-0257 Comparison of functional outcome following two rehabilitation protocols after flexor tendon repair
Christian Wirtz, Elisabeth Oberfeld, Rahel Meier, Esther Vögelin, Department of Plastic and Hand Surgery, Inselspital, University of Bern, Switzerland
June 15, 2018 · 3:09 p.m.
A-0417 The Effect of Wrist Position on Tendon Loads Following Pulley Sectioning and Operative Reconstruction
Mohammad Haddara 1,2, Brett Byers 2, Louis Ferreira 1,2, Nina Suh 2, 1 Department of Biomedical Engineering, University of Western Ontario, London, ON, Canada; 2 Roth|McFarlane Hand and Upper Limb Centre, St. Joseph's Hospital, London, ON, Canada
June 15, 2018 · 3:15 p.m.
154 views
