Gymnastics is appointed from 2-3 days after imposition of the cast. On the background of General developing and breathing exercises using active movements in free immobilizing the, ideomotor also exercises isometric muscle tension in shoulder and forearm.
Since the trauma of the elbow joint more susceptible to atrophy of the muscles of the shoulder, should be primarily to educate patients with rhythmic tension and relaxation of these particular muscles. Rhythmic forearm muscle strain is carried by flexion-straightening-state movements of the fingers brush.
Prolonged isometric muscle tension (5-7 c) is appointed from 3-4 days of immobilization. The duration of muscle tension in the first 2-3 days after injury is 2-3 with in the future (by end of week) - 5-7 sec. Application of a number of exercises during this period requires consideration of the localization of damage. Thus, bending the fingers into a fist should be appointed with great caution to patients with conservative treatment of fractures of the internal condyle of the humerus, as the tension of the muscles that attach to these entities may lead to secondary displacement of fragments of bone. It is recommended to attach during the day exalted position of the damaged extremity, since such a situation, especially in the early stages of traumatic disease, helps reduce swelling, pain and prevention of stiffness in the shoulder joint. Classes are conducted 2-3 times a day. Duration of employment in the first 2-3 days is 10-15min, in the future - 20-30min.
Since the consolidation in this period has not yet been completed, gymnastics conducted in compliance with certain conditions:
1) All exercises are performed from lightweight Starting position: with the support arm on the table surface, or by immersing hands in water;
2) motion should be only active;
3) range of motion should be between needed for easy and painless stretching of muscle tension;
4) passive motion, weight bearing, joint massage and energy thermal procedures are excluded.