Proprioceptive rehabilitation strategies in posttraumatic wrist injuries. Scoping review
Article Sidebar
Main Article Content
Background:
The proprioceptive approach can effectively improve strength, mobility, edema reduction, and pain reduction, which in turn has a positive impact on functionality.
Objective:
To identify proprioceptive rehabilitation strategies reported in the literature in adults with traumatic wrist injuries.
Methods:
A scoping review was performed following the parameters of the Prisma ScR strategy. We included research with adult patients diagnosed with posttraumatic wrist injuries who used proprioceptive rehabilitation. Pain, functionality, strength, joint mobility ranges, and edema were evaluated.
Results:
After removing duplicates and applying the exclusion criteria, a total of 123 articles were found, which left six articles, including 125 patients. Rehabilitation protocols based on proprioceptive neuromuscular facilitation and using sensorimotor tools that promote wrist recovery have been generated. In addition, other approaches have been established, such as motor imagery, which generates a work of identification and organization of movement, improving pain and manual function. However, longer follow-ups, standardization of the instruments used during proprioceptive intervention, and increasing the observed population are needed to generate a recommendation for early intervention and cost-benefit estimates.
Conclusions:
Proprioceptive rehabilitation has demonstrated benefits in the recovery of the lower limb and hip or back. However, for the rehabilitation of traumatic wrist injuries, it is a research pending. Well-described data and good quality designs are needed to routinely propose this strategy in the clinic.
- Hand injuries
- Wrist injuries
- Proprioception
- Rehabilitation
Lida Johana Sánchez, Universidad Santiago de Cali, Facultad de Salud, Programa de Fisioterapia, Cali Colombia
https://orcid.org/0000-0003-1167-1961
Diana Patricia Sanchez, Universidad Santiago de Cali
https://orcid.org/0000-0003-2672-8481
Leidy Tatiana Ordoñez-Mora, Universidad Santiago de Cali
Ferree S, van der Vliet QMJ, van Heijl M, Houwert RM, Leenen LPH, Hietbrink F. Fractures and dislocations of the hand in polytrauma patients: Incidence, injury pattern and functional outcome. Injury. 2017; 48(4): 930-935. https://doi.org/10.1016/j.injury.2017.02.034 PMid:28291522 DOI: https://doi.org/10.1016/j.injury.2017.02.034
Luo Z, Zhu W, Jiang C, He W, Zuo H. Characteristics of distal radius fractures in east China-an observational cohort study of 1954 individual fractures. BMC Musculoskelet Disord. 2023; 24(1): 627. https://doi.org/10.1186/s12891-023-06742-x PMid:37532978 PMCid:PMC10394874 DOI: https://doi.org/10.1186/s12891-023-06742-x
Karagiannopoulos C, Sitler M, Michlovitz S, Tucker C, Tierney R. Responsiveness of the active wrist joint position sense test after distal radius fracture intervention. J Hand Ther. 2016; 29(4): 474-482. https://doi.org/10.1016/j.jht.2016.06.009 PMid:27769839 DOI: https://doi.org/10.1016/j.jht.2016.06.009
Luk MLM, Chan ACM, Cho JSY, Ng DMT, Lam ICY, Yau ELK, Miller T, Pang MYC. Predictors of chronic pain and disability in patients treated conservatively after distal radius fracture: a prospective cohort study. Int Orthop. 2023; 47(6): 1535-1543. https://doi.org/10.1007/s00264-023-05785-y PMid:36973426 DOI: https://doi.org/10.1007/s00264-023-05785-y
Lluch A, Salvà G, Esplugas M, Llusá M, Hagert E, Garcia-Elias M. El papel de la propiocepción y el control neuromuscular en las inestabilidades del carpo. Rev Iberoam Cir Mano. 2015; 43(1): 70-8. https://doi.org/10.1016/j.ricma.2015.06.012 DOI: https://doi.org/10.1016/j.ricma.2015.06.012
Sánchez L, Osorio D, Quiñones Y. Guía de tratamiento terapéutico en fracturas de tercio distal de radio. Santiago de Cali: Universidad Santiago De Cali, Sello Editorial; 2022. 54 p. disponible https://libros.usc.edu.co/index.php/usc/catalog/book/452
Karagiannopoulos C, Michlovitz S. Rehabilitation strategies for wrist sensorimotor control impairment: From theory to practice. J Hand Ther. 2016; 29(2):154-65. https://doi.org/10.1016/j.jht.2015.12.003 PMid:26774958 DOI: https://doi.org/10.1016/j.jht.2015.12.003
Hagert E. Proprioception of the wrist joint: a review of current concepts and possible implications on the rehabilitation of the wrist. J Hand Ther. 2010; 23(1): 2-17. https://doi.org/10.1016/j.jht.2009.09.008 PMid:19963343 DOI: https://doi.org/10.1016/j.jht.2009.09.008
Hagert E, Susanne R. Wrist proprioception-An update on scientific insights and clinical implications in rehabilitation of the wrist. J Hand Ther. 2023; https://doi.org/10.1016/j.jht.2023.09.010 PMid:37866985 DOI: https://doi.org/10.1016/j.jht.2023.09.010
Ucuzoglu ME, Unver B, Sarac DC, Cilga G. Similar effects of two different external supports on wrist joint position sense in healthy subjects: A randomized clinical trial. Hand Surg Rehabil. 2020; 39(2):96-101. https://doi.org/10.1016/j.hansur.2019.11.006 PMid:31846745 DOI: https://doi.org/10.1016/j.hansur.2019.11.006
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021; 372: n71. https://doi.org/10.1136/bmj.n71 PMid:33782057 PMCid:PMC8005924 DOI: https://doi.org/10.1136/bmj.n71
Aromataris E, Munn Z (Editors). JBI Manual for Evidence Synthesis. JBI, 2020. Available from https://synthesismanual.jbi.global. https://doi.org/10.46658/JBIMES-20-01 DOI: https://doi.org/10.46658/JBIMES-20-01
Dilek B, Ayhan C, Yagci G, Yakut Y. Effectiveness of the graded motor imagery to improve hand function in patients with distal radius fracture: A randomized controlled trial. J Hand Ther. 2018; 31(1): 2-9.e1. https://doi.org/10.1016/j.jht.2017.09.004 PMid:29122370 DOI: https://doi.org/10.1016/j.jht.2017.09.004
Wollstein R, Harel H, Lavi I, Allon R, Michael D. Postoperative treatment of distal radius fractures using sensorimotor rehabilitation. J Wrist Surg. 2019; 8(1): 2-9. https://doi.org/10.1055/s-0038-1672151 PMid:30723595 PMCid:PMC6358444 DOI: https://doi.org/10.1055/s-0038-1672151
Chen Z. A novel staged wrist sensorimotor rehabilitation program for a patient with triangular fibrocartilage complex injury: A case report. J Hand Ther. 2019; 32(4): 525-534. https://doi.org/10.1016/j.jht.2018.04.003 PMid:30017412 DOI: https://doi.org/10.1016/j.jht.2018.04.003
Chen Z. Clinical evaluation of a wrist sensorimotor rehabilitation program for triangular fibrocartilage complex injuries. Hand Ther. 2021; 26(4): 123-133. https://doi.org/10.1177/17589983211033313 PMid:37904835 PMCid:PMC10584051 DOI: https://doi.org/10.1177/17589983211033313
Hincapie OL, Elkins JS, Vasquez-Welsh L. Proprioception retraining for a patient with chronic wrist pain secondary to ligament injury with no structural instability. J Hand Ther. 2016; 29(2): 183-90. https://doi.org/10.1016/j.jht.2016.03.008 PMid:27264903 DOI: https://doi.org/10.1016/j.jht.2016.03.008
Laskowski ER, Newcomer-Aney K, Smith J. Proprioception. Phys Med Rehabil Clin N Am. 2000; 11(2): 323-40. https://doi.org/10.1016/S1047-9651(18)30132-3 PMid:10810764 DOI: https://doi.org/10.1016/S1047-9651(18)30132-3
Gurudut P, Godse AN. Effectiveness of graded motor imagery in subjects with frozen shoulder: a pilot randomized controlled trial. Korean J Pain. 2022; 35(2): 152-159. https://doi.org/10.3344/kjp.2022.35.2.152 PMid:35354678 PMCid:PMC8977197 DOI: https://doi.org/10.3344/kjp.2022.35.2.152
Johnson S, Hall J, Barnett S, Draper M, Derbyshire G, Haynes L, et al. Using graded motor imagery for complex regional pain syndrome in clinical practice: failure to improve pain. Eur J Pain. 2012; 16(4): 550-61. https://doi.org/10.1002/j.1532-2149.2011.00064.x PMid:22337591 DOI: https://doi.org/10.1002/j.1532-2149.2011.00064.x
Hagert E, Persson JK, Werner M, Ljung BO. Evidence of wrist proprioceptive reflexes elicited after stimulation of the scapholunate interosseous ligament. J Hand Surg Am. 2009; 34(4): 642-51. https://doi.org/10.1016/j.jhsa.2008.12.001 PMid:19249163 DOI: https://doi.org/10.1016/j.jhsa.2008.12.001
León-López MM, García-Elías M, Salvà-Coll G, Llusá-Perez M, Lluch-Bergadà A. Control muscular de la inestabilidad escafolunar. Estudio experimental. Rev Esp Cir Ortopédica Traumatol. 2013;57(2):11-8. https://doi.org/10.1016/j.recot.2013.10.002 PMid:24360400 DOI: https://doi.org/10.1016/j.recot.2013.10.002
Baldursdottir B, Whitney SL, Ramel A, Jonsson PV, Mogensen B, Petersen H, et al. Multi-sensory training and wrist fractures: a randomized, controlled trial. Aging Clin Exp Res. 2020; 32(1): 29-40. https://doi.org/10.1007/s40520-019-01143-4 PMid:30756250 PMCid:PMC6974498 DOI: https://doi.org/10.1007/s40520-019-01143-4
Byl N, Wilson F, Merzenich M, Melnick M, Scott P, Oakes A, McKenzie A. Sensory dysfunction associated with repetitive strain injuries of tendinitis and focal hand dystonia: a comparative study. J Orthop Sports Phys Ther. 1996; 23(4): 234-44. https://doi.org/10.2519/jospt.1996.23.4.234 PMid:8775368 DOI: https://doi.org/10.2519/jospt.1996.23.4.234
Khamwong P, Pirunsan U, Paungmali A. A prophylactic effect of proprioceptive neuromuscular facilitation (PNF) stretching on symptoms of muscle damage induced by eccentric exercise of the wrist extensors. J Bodyw Mov Ther. 2011; 15(4):507-16 https://doi.org/10.1016/j.jbmt.2010.07.006 PMid:21943625 DOI: https://doi.org/10.1016/j.jbmt.2010.07.006
Marini F, Ferrantino M, Zenzeri J. Proprioceptive identification of joint position versus kinaesthetic movement reproduction. Hum Mov Sci. 2018; 62: 1-13. https://doi.org/10.1016/j.humov.2018.08.006 PMid:30172030 DOI: https://doi.org/10.1016/j.humov.2018.08.006
Gay A, Parratte S, Salazard B, Guinard D, Pham T, Legré R, et al. Proprioceptive feedback enhancement induced by vibratory stimulation in complex regional pain syndrome type I: an open comparative pilot study in 11 patients. Joint Bone Spine. 2007; 74(5):461-6 https://doi.org/10.1016/j.jbspin.2006.10.010 PMid:17693114 DOI: https://doi.org/10.1016/j.jbspin.2006.10.010
Cantero-Téllez R, Medina Porqueres I. Practical exercises for thumb proprioception. J Hand Ther. 2021; 34(3): 488-492. https://doi.org/10.1016/j.jht.2020.03.005 PMid:32312613 DOI: https://doi.org/10.1016/j.jht.2020.03.005
Wolff AL, Wolfe SW. Rehabilitation for scapholunate injury: Application of scientific and clinical evidence to practice. J Hand Ther. 2016; 29(2): 146-53. https://doi.org/10.1016/j.jht.2016.03.010 PMid:27264900 DOI: https://doi.org/10.1016/j.jht.2016.03.010
Hartzell TL, Rubinstein R, Herman M. Therapeutic modalities--an updated review for the hand surgeon. J Hand Surg Am. 2012; 37(3): 597-621. https://doi.org/10.1016/j.jhsa.2011.12.042 PMid:22305724 DOI: https://doi.org/10.1016/j.jhsa.2011.12.042
Guisasola LE, Carratalá BV, Calduch SF, Lucas GF. El papel de la rehabilitación tras las reparaciones de las inestabilidades de muñeca. Rev Iberoam Cir Mano. 2016; 44(2): 131-42. https://doi.org/10.1016/j.ricma.2016.09.001 DOI: https://doi.org/10.1016/j.ricma.2016.09.001
Valdes K, Naughton N, Algar L. Sensorimotor interventions and assessments for the hand and wrist: a scoping review. J Hand Ther. 2014; 27(4): 272-85; https://doi.org/10.1016/j.jht.2014.07.002 PMid:25193532 DOI: https://doi.org/10.1016/j.jht.2014.07.002
Miyahara Y, Naito H, Ogura Y, Katamoto S, Aoki J. Effects of proprioceptive neuromuscular facilitation stretching and static stretching on maximal voluntary contraction. J Strength Cond Res. 2013; 27(1): 195-201. https://doi.org/10.1519/JSC.0b013e3182510856 PMid:22395281 DOI: https://doi.org/10.1519/JSC.0b013e3182510856
Pelletier R, Paquette É, Bourbonnais D, Higgins J, Harris PG, Danino MA. Bilateral sensory and motor as well as cognitive differences between persons with and without musculoskeletal disorders of the wrist and hand. Musculoskelet Sci Pract. 2019; 44: 102058. https://doi.org/10.1016/j.msksp.2019.102058 PMid:31542683 DOI: https://doi.org/10.1016/j.msksp.2019.102058
Babaei-Mobarakeh M, Letafatkar A, Barati AH, Khosrokiani Z. Effects of eight-week "gyroscopic device" mediated resistance training exercise on participants with impingement syndrome or tennis elbow. J Bodyw Mov Ther. 2018; 22(4): 1013-1021. https://doi.org/10.1016/j.jbmt.2017.12.002 PMid:30368325 DOI: https://doi.org/10.1016/j.jbmt.2017.12.002
Clark NC, Röijezon U, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 2: Clinical assessment and intervention. Man Ther. 2015; 20(3): 378-87. https://doi.org/10.1016/j.math.2015.01.009 PMid:25787919 DOI: https://doi.org/10.1016/j.math.2015.01.009
McCormick K, Zalucki N, Hudson M, Moseley GL. Faulty proprioceptive information disrupts motor imagery: an experimental study. Aust J Physiother. 2007; 53(1): 41-5. https://doi.org/10.1016/S0004-9514(07)70060-0 PMid:17326737 DOI: https://doi.org/10.1016/S0004-9514(07)70060-0
Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching : mechanisms and clinical implications. Sports Med. 2006; 36(11): 929-39. https://doi.org/10.2165/00007256-200636110-00002 PMid:17052131 DOI: https://doi.org/10.2165/00007256-200636110-00002
Downloads
Accepted 2024-02-16
Published 2024-08-30
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use