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Biomedical subjects

R L Richard

Publications and source records attributed to R L Richard.

8 recordsLinked to original sources
PubMed1988

Treatment of exposed bilateral Achilles tendons with use of the Dynasplint. A case report.

Third- and fourth-degree burns, which extend beyond the layers of the skin, are the most severe and difficult to rehabilitate. In this case report, a patient's recovery from exposed Achilles tendons bilaterally secondary to a severe burn injury is described. The Dynasplint, a spring-loaded orthosis designed to deliver a low-load, prolonged stretch to healing connective tissue, was used to facilitate the patient's recovery from an initial loss of -29 and -27 degrees of dorsiflexion of the right and left ankles, respectively. The patient's progress is reported from bed rest to independent ambulation at the time of discharge from the hospital.

Achilles Tendon↗
PubMedDate not supplied

Positioning screen.

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Burns↗
PubMedDate not supplied

Comparison of the effect of passive exercise v static wrapping on finger range of motion in the burned hand.

A prospective study was undertaken to compare the use of passive exercise with that of static wrapping to increase finger flexion range of motion in burn patients. Six patients (four males and two females) with combined full- and partial-thickness dorsal hand burns were randomized to receive either treatment. Results showed that metacarpophalangeal (MCP) joint flexion improved an average of 7.46 degrees with passive exercise and 2.65 degrees with static wrapping. Proximal interphalangeal (PIP) joint flexion improved an average of 9.68 degrees with static wrapping and 4.28 degrees with passive exercise. The percentages of improvement in the MCP joint with passive exercise and static wrapping were 8.53% and 2.92%, respectively. In the PIP joint, the respective percentages were 3.69% and 8.09%. All differences were statistically significant at a P value of less than .001. It was concluded that in the rehabilitation of hands and/or fingers with recently healed burns, manual passive exercise is significantly better than static wrapping for increasing MCP joint flexion, while static wrapping is more effective for increasing PIP joint flexion.

Adult↗