ABSTRACT
The authors performed a survey of the treatment of fracture and the prognosis and described about the importance of rehabilitation for improving the result of treatment of fracture.<br>Eight hundred and forty-six cases of fractures (included 324 cases of open fracture and 181 cases of pseudoarthrosis) were observed in this report. The main point of treatment of fracture is to avoid the sequels and to reduce a period of therapy.<br>The systematic treatment fo fracture should include a detailed plan of treatment a proper therapy and an appropriate after-treatment with the concept of rehabilitation. Namely, it has to keep a principle of treatment of fracture and needs to carry out autokinesis, the subject of after-treatment, constructively.<br>In 233 cases of fractures 17% of them showed dysfunction after treatment and the average period of admission was 4 months. At this point the authors realized an impostance of rehabilitation in cure of fracture.<br>On the after-treatment of fracture patients enforced to do isotonic muscular contraction and cross-education even in the time of fixation.<br>After removal of fixation, they received physical therapy, such as supported active movement, autokinesis and duplicated motion (or movement against resistance.) The hydrotherapy was more effective in the early muscular training.
ABSTRACT
The therapeutic use of ultrasound has been investigated in a series of 427 patients with pain, such as rheumatoid arthritis, osteoarthritis, neuralgia (primary or secondary), myalgia, traumatic and skin diseases.<br>1) Methods:<br>US-intensity; 2w/cm, 1Mc/s<br>Moving method, 10 treatments in each patient.<br>Exposure; 10min.<br>2) Therapeutic effect in different disease:<br>In 88 patients with skin disease, sprain, contusion and back myalgia, over 30% of them were cured or improved 100%, In patients with rheumatoid arthritis, cervical spondylosis, neuralgia and tenovaginitis the two third of them were improved excellently. In four patients with acute gouty arthritis, the net result of US-therapy was spectacularly good.<br>3) Synergistic therapy:<br>In a series of 128 patients with rheumatoid arthritis, synergistic therapy of intra-articular injection of steroid hormone and US-treatment were given. The effect of intra-articular injection of steroid hormone have shown to be lasted longer than single intra-articular injection, In a series of 50 patients with skin disease, the phonophoretic trial of cream or ointment containing steroid hormone with US-treatment were performed. The therapeutic effect was good to excellent in patients with eczema or dermatitis.<br>In a series of 28 patients with sprain and contusion, the synergistic therapy of ointment containing heparinoid preparation with US-treatment have been studied in 17 patients. The swelling, pain and subcutaneous hemorrhage in those patients were improved earlier.<br>4) No appreciable side effect of US-therapy was observed in our study. The US-therapy appears to be important addition to the existing therapeutic armamentarium for diseases we have studied.