Ananda Geetha, L (2019) A Study on the Effectiveness of Fascial Manipulation in Reducing Pain and Improving Wrist Function following TFCC Strain among Athletes. Masters thesis, RVS College of Physiotherapy, Coimbatore.
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Abstract
INTRODUCTION: Mild injuries of the Triangular fibrocartilage Complex (TFCC) is referred to as TFCC strain which may be caused either by degeneration / overuse / disuse. The Triangular Fibrocartilage Complex located at the ulnar side of the wrist. It is formed by the Triangular fibrocartilage Disc, The radio-ulnar ligaments and the ulnocarpal ligaments. The Triangular Fibrocartilage disc is an articular disc which is triangular and biconcave lying on the pole of distal ulna. This disc is attached by thick tissue to the base of the ulnar styloid process and by thinner tissue to the edge of radius just proximal to the radio-carpal articular surface. The Radio-ulnar Ligaments are the principle stabilizers of the distal radio-ulnar joint. There are two Radio-ulnar Ligaments, the palmar and dorsal Radio-ulnar Ligament’s. These ligaments arise from the distal radius medial border and insert on the ulna at two separate and distinct sites – the ulnar styloid process and the fovea. TheUlno-carpal Ligaments consists of the ulnolunate and ulno-triquetral ligaments. They originate from the ulnar styloid process and insert into the carpal bones : the ulno-lunate inserts into the lunate bone and the ulnotriquetral inserts into the triquetrum bone. OBJECTIVE OF THE STUDY: To find out the effects of fascial manipulation in reducing pain and improving wrist function following TFCC strain among athletes. METHODOLOGY: Study setting: The study was conducted at Out-patient department, RVS College of Physiotherapy. Selection of Subjects: 30 subjects were selected for the study based upon the Inclusion and Exclusion criteria. Variables: Dependent Variables: Pain, Wrist function. Independent Variables: Fascial manipulation. Study design: The study design is and pre and post – test experimental design. Inclusion Criteria: • Clinically diagnosed patients with TFCC Strain. • Athletes were included. • Both the sexes were included. • Age-20 to 25 years. • Symptoms for more than a week. • Patients who are willing to participate. Exclusion Criteria: • History of wrist pain other than TFCC Strain. • History of wrist fracture. • Any surgery involving the wrist. • Any neurological diseases. • Geriatrics. RESULTS: Twenty patients who were athletes, with TFCC Strain were selected for this study. These patients were treated with Fascial manipulation for a period of two weeks. Pain and wrist function were measured before and after the interventions. Analysis of dependent variable pain: The calculated paired ‘t’ value is 59.6 and the table value is 3.250. Since the calculated ‘t’ value is more than ‘t’ table value there is a significant difference in pain following fascial manipulation among TFCC Strain patients. Analysis of dependent variable wrist function: The calculated paired ‘t’ value is 17.8 and the table value is 3.250. Since the calculated ‘t’ value is more than ‘t’ table value there is a significant difference in wrist function following Fascial Manipulation among TFCC Strain patients. CONCLUSION: This study was conducted to evaluate the Effectiveness of Fascial Manipulation in reducing pain and improving wrist function following TFCC Strain among athletes. Subjects were selected for the study and were given Fascial Manipulation for a period of two weeks. Pain and wrist function were assessed before and after the study using Visual analogue scale and Patient Rated Wrist Evaluation respectively. From the statistical results it can be concluded that Fascial manipulation is effective in reducing pain and improving wrist function following TFCC Strain.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271750021 |
| Uncontrolled Keywords: | Fascial Manipulation, Reducing Pain, Improving Wrist Function, TFCC Strain, Athletes. |
| Subjects: | PHYSIOTHERAPY > Sports Physiotherapy |
| Depositing User: | Ravindran C |
| Date Deposited: | 20 Sep 2019 03:48 |
| Last Modified: | 23 Sep 2019 15:37 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11535 |
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