Serious games therapy associated with conventional physical therapy intervention accelerated hand muscles strengthening and hand functioning after complex fracture of the wrist: A case report

Case report. A severe wrist fracture can cause permanent physical disabilities and deformities, leading to limit patients in their occupation and social environment. We aim at presenting a treatment protocol and the functional outcome of a patient with severe clinical state after a rare wrist fractu...

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Bibliographic Details
Published in:Journal of hand therapy 2020-10, Vol.33 (4), p.580-586
Main Authors: Zago, Najara Nader, Sande de Souza, Luciane Aparecida Pascucci, Kimura, Bruno Goto, Bertoncello, Dernival, Grecco, Marco Aurélio Sertório, Fernandes, Luciane Fernanda Rodrigues Martinho
Format: Article
Language:English
Subjects:
Activities of daily living
Arm
Case report
Case reports
Computer & video games
Disabilities
Edema
Educational software
Fractures
Games
Hand
International classification of functioning
Muscle strength
Muscles
Pain
Patients
Physical therapy
Radius fractures
Recovery
Rehabilitation
Social environment
Strengthening
Surgery
Transcutaneous electrical nerve stimulation-TENS
Ulna fractures
Wrist
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Summary:Case report. A severe wrist fracture can cause permanent physical disabilities and deformities, leading to limit patients in their occupation and social environment. We aim at presenting a treatment protocol and the functional outcome of a patient with severe clinical state after a rare wrist fracture. We provided physical therapy intervention associated with serious games for muscle strengthening. There was an increase in strengthening and a decrease in Disability of the Arm, Shoulder and Hand score and Patient Rated Wrist Evaluation scores. The International Classification of Functioning scores have changed from severe to light or to absent in many of the domains. The use of serious games combined with a conventional physical therapy intervention played a fundamental role in recovery and return to work activities, and there was also an important recovery of general health condition. •A case report of a rare wrist fracture submitted to serious games protocol.•Serious games use provides different sensations to those experienced in conventional therapy.•The uniqueness is serious games use to reduce recovery and lost from work time.
ISSN:0894-1130
1545-004X
DOI:10.1016/j.jht.2018.11.003