Return to Job of a Construction Worker by Comprehensive Functional and Vocational Rehabilitation

Abstract

BACKGROUND- Supracondylar humeral fracture is most common paediatric fracture around elbow. Most of these fractures arise as a result of fall from a height or due to fall on an outstretched hand (FOOSH). Undisplaced fractures are best managed by immobilizing the area using a cast or a splint. Displaced fractures are managed surgically by closed reduction and percutaneous pinning fixation. Loss of flexion, extension, or hyperextension, post immobilization tends to be the main functional issue. Physiotherapy aims to help patients regain their range of motion quickly and prevent late complications.
CASE DESCRIPTION- Presenting a case of 12Y/O female with a supracondylar fracture of humerus who fell on the stage while playing on left side and was diagnosed with X-ray. She was managed surgically by closed reduction and percutaneous pinning with K- wires. Patient presented with the following complains post-operatively, i.e., pain at the incision site, swelling around the elbow joint and reduced movement at the elbow and shoulder joint. Patient underwent a 4weeks physical therapy rehabilitation program after the surgery and showed marked improvement in pain score, range of motion, muscle strength and functional activities.
RESULT- The results demonstrated significant improvement in range of motion, muscle strength and pain reduction after post assessment was done.
CONCLUSION- Immediate Physiotherapy Intervention program which includes manual therapy & therapeutic exercises for a postoperative case of supracondylar fracture in paediatrics can facilitate the activities of daily living and improved quality of life.