Rehabilitation methods after scaphoid fracture surgery

  1~3 days after scaphoid fracture surgery, start to fix the affected limb with shoulder and elbow straps, practice fist clenching, finger extension and wrist flexion and extension exercises 5 times each, then increase 5 times a day until 16~20 times a day each. The shoulder joint is outwardly positioned due to gravity, hold for a few seconds, repeat 3 to 4 times, gradually increase the number to 10 times, once a day in the morning and once in the afternoon.  2.The affected side starts to do the shoulder swing back and forth 3 times in a relaxed and abducted state, gradually increasing to 20 times a day.  3.Active exercises of elbow flexion and extension and forearm internal and external rotation on the affected side were started 5 times a day and increased day by day until 20 times a day.  4.One week after the operation, when standing, the upper body was flexed to the affected side and slightly leaned forward, the upper arm was naturally lowered, and the internal and external shoulder swing exercises were done for l0 to 20 times a day.  5.For 2 to 3 weeks after surgery, you can move the shoulder joint in all directions and passive exercise is the main activity. During the interval between exercises, fix the affected shoulder and elbow, and hold the forearm of the affected limb by the healthy limb for 10 times each for shrugging, external and internal shoulder rotation exercises.  6.Increase the amount of passive activity and active muscle strength training in 4-6 weeks after surgery. (1) Bend forward so that the upper arm of the affected side naturally drops and rotates the shoulder joint; (2) Place the affected hand in front of the chest, then use the healthy hand to support the affected hand to touch the healthy scapula; (3) Raise the upper limb of the affected side to touch the back of the head (mainly to train shoulder abduction and external rotation); (4) Touch the waist with the upper limb of the affected side, i.e., touch the waist with the dorsal side of the affected finger, and practice shoulder abduction, internal rotation and posterior extension at the same time; (5) Exercise the shoulder abduction, internal rotation and posterior extension; (6) Bend forward so that the upper arm of the affected side naturally drops and rotates the shoulder joint. (5) You can also do rowing exercises, pulley exercises and wooden stick exercises.  (7) Instruct and supervise the patient to use the affected limb in daily life and to play the function of the affected limb.