الفهرس 
Title : Proprioceptive neuromuscular facilitation and virtual reality for improving hand functions post reconstructive surgeries
AbstractOnly 14 pages are availabe for public view
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Abstract
Background. Tendon transfers are reconstructive surgeries that restore motion or balance to the hand that has impaired or absent function of its extrinsic or intrinsic muscle-tendon units at the level of forearm and hand. Purpose. To evaluate the efficacy of using Proprioceptive Neuromuscular Facilitation (PNF) and Virtual Reality (VR) for improving hand functions post reconstructive surgeries. Subjects. Sixty patients from both genders aged 20 to 35 years old, who had post reconstructive surgeries for flexor muscles of the hand. They were selected from the plastic surgeries department of El Kaser El Aini Hospital. Methods. Subjects were randomly assigned in three equal groups each one has 20 patients; group A (study group) had received PNF facilitative techniques in addition to their physical therapy program and medical treatment. group B (study group) had received VR-based exercise in addition to their physical therapy program and medical treatment. group C (control group) had received only their physical therapy program (splinting, stretching ex., strengthening ex. and ROM ex.)and medical treatment. Measurement. All patients were assessed by using hand-held dynamometer assessment scores for the power of hand flexor muscles (per kilogram), upper extremity functional index (UEFI) score and the Biodex Isokinetic testing for wrist flexor muscles total work (per Joule), wrist Flexion-Extension range of motion (per degrees) and average peak velocity for wrist flexor muscles (per degrees/second). Results showed a statistically significant differences between results of the three groups, where the significant increasing of hand-held dynamometer assessment scores for the power of hand flexor muscles (per kilogram), upper extremity functional index (UEFI) score and the Isokinetic testing for wrist flexor muscles total work (per Joule) was shown in GA and GB compared to GC (P<.0.000 and P<.0.007), (P<.0.000 and P<.0.000) and (P<.0.000 and P<.0.000) respectively, where group A showed the highest mean