Comparison Degrees of Passive Knee Flexion between Hold Relax Technique and Passive stretching Method in Patients with Fracture Shaft of Femur after Operative Treatment by Intramedullary Nail in Surin Hospital.

Abstract

Back ground: To compare degrees of passive knee flexion between hold relax technique and passive stretching method in patients with fracture shaft of femur after operative treatment by intramedullary nail at Surin Hospital.
Objective:
1. To determine the effects of hold relax technique and passive stretching method in degrees of passive knee flexion in patients with fracture shaft of femur after operative treatment by intramedullary nail when orthopedic surgeon consulted physiotherapy department and followed-up twice times.
2. To compare between of hold relax technique and passive stretching method on knee range of motion in patients with fracture shaft of femur after operative treatment by intramedullary nail when orthopedic surgeon consulted physiotherapy department and followed-up twice times
Setting: Physiotherapy Department, Surin Hospital.
Reseach design: Experimental research.
Method: 48 patients with fracture shaft of femur after operative treatment by intramedullary nail, were studied between October 2004 and September 2005 and were randomly assigned to a control (passive stretch method) group or an experimental (hold relax technique) group. Patients were measured before and after in degrees of passive knee flexion by international goniometer and recorded when orthopedic surgeon consulted physiotherapy department and followed-up twice times.
Statistics: The paired sample T test was compared with dependent data, and the independent sample T test was compared with independent data, p value < 0.05 was considered significant. The SPSS program for windows was used.
Results: Significant differences were increased in degrees of passive knee flexion when orthopedic surgeon consulted physiotherapy department, followed-up twice times in both groups. When both groups were compared the data increased significant differences in degrees of passive knee flexion when orthopedic surgeon consulted physiotherapy department.
Conclusions: Hold relax technique as a choice of treatment in patients with fracture shaft of femur after operative treatment by Intramedullary nail when orthopedic surgeon consulted physiotherapy department at Surin Hospital resulted better increase significant in degrees of passive knee flexion than passive stretching method.
Keywords: hold relax, PROM