[The role of laser therapy in the combined rehabilitation of the patients presenting with abdominal adhesions].

This article presents a brief description of the applications low-level laser therapy as an instrument for the treatment and early rehabilitation of the patients presenting with abdominal adhesions at the stage of their hospital stay. The data obtained give reason to recommend laser therapy as a method for the treatment and earlier rehabilitation of the patients with abdominal adhesions.

Postoperative management of extensor pollicis longus repairs within close vicinity to or within the extensor retinaculum.

Therapists are continually modifying tendon protocols as part of the quest to create the perfect balance between tendon protection and tendon glide. Although much literature exists on the rehabilitation of the long flexor and extensor tendons to the digits, little literature exists on the rehabilitation of the extensor pollicis longus (EPL) tendon. This author used concepts related to tendon glide, tendon tethering, and early active mobilization to create a new splint and subsequent protocol for patients after an EPL laceration near the extensor retinaculum.

Rehabilitation after flexor tendon repair, reconstruction, and tenolysis.

Flexor tendon rehabilitation after injury and surgical intervention has progressed over the last several decades. This evolution has left a vast amount of information for the hand therapy clinician. The hand therapist treating a primary flexor tendon repair can easily feel daunted, confused, and apprehensive because of the sheer amount of information before him or her, which may lead to patient treatment with a textbook or cookbook approach. This article outlines the history of flexor tendon programs and their evidenced-based development so that the clinician can approach each patient individually and progress them with a personalized, tailored approach in close communication with the surgeon. Successful flexor tendon rehabilitation's end-result is functional hand motion and strength. As experimental studies on improved surgical techniques continue to develop, more clinical research to support rehabilitation techniques that lead to good hand function results are necessary.

Postoperative management of functionally restrictive muscular adherence, a corollary to surgical tenolysis: a case report.

After a surgical release of adhered nongliding tendons, early active mobilization is encouraged to prevent the reformation of unfavorable adhesions that would limit functional tendon excursion. These restricting adhesions can also occur in non-synovial regions, such as within the flexor mass in the forearm. A "myolysis," or release of muscle fibers from tethering adhesions, can be performed surgically to restore the muscle's gliding and lengthening properties. Postoperative management consists of treatment techniques that include low-load prolonged stress, differential tendon gliding, and active-resistive exercises, all of which are effective in restoring and maximizing a patient's active and passive range of motion to allow optimal mobility and performance. This case study demonstrates the successful management of a patient following a surgical myolysis, utilizing treatment techniques conceptually derived from postoperative tenolysis rehabilitation.

Releasing severe adhesions around the eminence and the synovial portion of the TMJ: a clinical study of combined treatment using hydraulic lavage, arthroscopic surgery and rehabilitative therapy.

This paper evaluates the effects of treatment with a pumping technique and arthroscopic lysis and lavage, followed by rehabilitative training, on condylar head mobility of the temporomandibular joint (TMJ). We studied 32 TMJs in 19 patients suffering from chronic closed lock with severe adhesion. The results were compared between cases with adhesions concentrated in two areas: mostly in the posterior and/or the anterior synovial portion of the upper TMJ compartment (11 joints) and mostly around the eminence (21 joints). The results showed a statistically significant improvement in condylar head movement for both groups between the initial and final stages of treatment. However, the results also suggested that patients with adhesion concentrated around the eminence are less likely to recover condylar head mobility to the same extent as those in the other group.

[Vaginal cryotherapy procedures in the treatment of patients with chronic salpingo-oophoritis]. / Vaginal'nye krioprotsedury v lechenii bol'nykh khronicheskim sal'pingooforitom.

Vaginal cryotherapy has been performed in 37 females of reproductive age with chronic salpingo-oophoritis. Positive results were achieved: clinical improvement, better uterine tubes contractility and regional hemodynamics.

[Use of an implanted electrode for rehabilitation after tenolysis of the flexor tendons]. / Utilisation d'une électrode implantable pour la rééducation des ténolyses de tendons fléchisseurs.

The electric stimulation is widely used in flexor tenolysis rehabilitation by the authors. Since 1983 implantable electrodes were used during the operative procedure. Actually they gave better access to the deep muscles (Flexor Profundus of the index), better specificity, less dysesthesia of the skin. Further more they allowed to tests the quality of the tenolysis without wrist incision. This procedure gave 76% of good or very good results over 25 finders in 20 patients. The results were especially good for the index finger which is usually unable to be stimulated by the surface electrodes and for the fingers badly damaged. In this type of situation prognostic was getting better (70% of good and very good results).