Exercises for Dupuytren's disease
introduction
The hand is a very flexible part of the human body and not only manages to grip heavy objects with great force, but also to do precise fine work (e.g. sewing). This is important for our everyday skills. So they have to connective tissue fibers of the hand are elastic his and one flawless movement allow.
Description of the disease
Dupuytren's disease is found on the palmar aponeurosis on the palm of the hand. The connective tissue hardens and migrates in the direction of the flexor tendons of the fingers. The first sign of Dupuytren's disease is a noticeable hardening of the palm. This leads to a kinking of the fingers and a restriction of the movement of the extension.
In order to avoid treatment completely, one should prevent Dupuytren's disease. For this, in turn, knowledge of the causes is relevant. To do this, read: Causes of Dupuytren's Disease
Description of the physiotherapeutic intervention
It is important to mention beforehand that not only the affected hand has to be exercised, rather both sides must be observed. Depending on the severity of Dupuytren's disease, there can be different Exercises a suitable one can be taken out.
The first goal of the exercises is that Promote and maintain finger extension. Permanent curvature of the fingers shortens the finger flexor muscles. The connective tissue on the palm of the hand, which is already scarring, is also becoming more and more inelastic and less and less able to be pulled. So first one has to strain these structures take place. This happens over a longer period of time and should not be too short.
In the first exercise sit down at one table and put the Back of the hand on the tabletop. All fingers are spread apart and the Fingernails touch the table top. The middle of the palm is lifted a little towards the ceiling, but the fingertips do not lose contact with the tabletop. If Dupuytren's disease has one finger that is too restricted to get to the tabletop, use the fingers of the other hand to push it towards it. Depending on how far you get, you can straighten your restricted finger.
In the next exercise, face the Face to the wall and support themselves with the Palms on the wall from. Your arms are level with the Shoulders and the poor are completely stretched out. Both palms of the hands are completely in contact with the wall and the fingers are spread apart. Then they put pressure on the palms as if to push the wall away. Most of the pressure is directed and held on the fingertips. A strain at the wrist until forearm may be done. To Increase this exercise, you can end up relying on that Tiptoe so that the tension on the palm of the hand is increased. after the Musculature and palmar aponeurosis have been expanded, we come to strengthening the extensor fingers.
Due to the decreased extension in Dupuytren's disease, these muscles become the fingers insufficient and must therefore be activated again. So that the fingers can be directed in the opposite direction. First, sit down at one table and put the complete Forearm and palm on the table. All fingers are spread apart and in any case are on the table top. Then each finger is lifted individually and briefly held up. It is noted here that just the finger is raised. The rest does not lose contact with the tabletop. To a Increase in exercise to achieve, you can lift all fingers at the same time and this hold up.
During the next exercise, we take solid rubber or hair band to help. The fingers of one hand touch the fingertips. If the fingers now come to a point, the tape is placed around the fingers. You should now spread your fingers apart so that the tape slides towards your wrist. Even the weakest finger must not let up and should join in. This splitting of the fingers does not have to be done quickly and the tape should be fed slowly.
Appointment with a hand specialist?
I would be happy to advise you!
Who am I?
My name is dr. Nicolas Gumpert. I am a specialist in orthopedics and the founder of .
Various television programs and print media report regularly about my work. On HR television you can see me every 6 weeks live on "Hallo Hessen".
But now enough is indicated ;-)
In order to be able to treat successfully in orthopedics, a thorough examination, diagnosis and a medical history are required.
In our very economic world in particular, there is too little time to thoroughly grasp the complex diseases of orthopedics and thus initiate targeted treatment.
I don't want to join the ranks of "quick knife pullers".
The aim of any treatment is treatment without surgery.
Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
You can find me at:
- Lumedis - orthopedics
Kaiserstrasse 14
60311 Frankfurt am Main
Directly to the online appointment arrangement
Unfortunately, appointments can only be made with private health insurers. I ask for understanding!
Further information about myself can be found at Lumedis - Dr. Nicolas Gumpert
Other physiotherapy procedures
In addition to the independent exercises, there are a few other physiotherapeutic exercises Measures for Dupuytren's disease. On the one hand, the massage the tissue is brought under tension and there is an improved blood flow to the area. Other possibilities are Heat packs or a warm hand bathwhich lead to additional relaxation of the hands. As a result, the shortened flexor muscles develop a Reduced movement of the finger joints. Here handles from the Manual therapy, mobilize and relieve them.
Summary
Also with Dupuytren's disease activities from everyday life can be taken up. Hence, the goal of physical therapy is that To promote and maintain the mobility and elasticity of the connective tissue and muscles. With the independent execution of Exercises, can be practiced actively against the restriction of the fingers.
