PHYSIOTHERAPEUTIC TREATMENT IN THE POST-OPERATIVE PERIOD OF HAND FLEXOR INJURIES

Abstract

Flexor tendon injuries of the hand represent a highly complex functional condition, often associated with trauma or inflammatory processes, resulting in limited mobility and impaired performance of activities of daily living. This study aims to evaluate the postoperative outcome of a 33-year-old patient who underwent tenorrhaphy of the superficial and deep flexor tendons of the left hand, combined with microneurorrhaphy of the median and radial sensory nerves, through physiotherapy intervention. This case study was conducted at the Physiotherapy Teaching and Research Clinic of Iguaçu University (UNIG), involving 16 rehabilitation sessions. The evaluation consisted of a history, detailed physical examination, specific tests of strength, range of motion, sensitivity, and functional analysis of the hand. Physiotherapy interventions included functional electrical stimulation (FES), scar release, neural mobilization, therapeutic stretching, proprioception training, and active and resistive kinesiotherapy. The results demonstrated progressive improvement in joint range of motion, muscle strength, motor coordination, and partial sensitivity, favoring a gradual return to activities of daily living and work. It is concluded that physical therapy plays an essential role in functional recovery after flexor tendon repair, and the application of individualized and progressive protocols is essential to optimize rehabilitation and prevent complications.