{"id":11388,"date":"2024-11-28T09:20:34","date_gmt":"2024-11-28T09:20:34","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/colles-fracture-post-operative-rehabilitation-programme-from-week-6-it\/"},"modified":"2026-02-25T11:23:04","modified_gmt":"2026-02-25T11:23:04","slug":"colles-fracture-post-operative-rehabilitation-programme-from-week-6-it","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/it\/colles-fracture-post-operative-rehabilitation-programme-from-week-6-it\/","title":{"rendered":"Programma di riabilitazione post-chirurgica per le fratture di Colles dalla 6a settimana"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenuti<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduzione<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#The_Protocol\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Il protocollo<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-3\"><a href=\"#Week_8_Post_ORIF\"><span class=\"tocnumber\">2.1<\/span> <span class=\"toctext\">Settimana 8 dopo l&#8217;ORIF<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-4\"><a href=\"#With_theraputty:\"><span class=\"tocnumber\">2.1.1<\/span> <span class=\"toctext\">Con Theraputty:<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-5\"><a href=\"#Also_add_in_light_weights_-_approximately_1kg_(or_0.5kg)\"><span class=\"tocnumber\">2.1.2<\/span> <span class=\"toctext\">Aggiunta di pesi leggeri, circa 1 kg (o 0,5 kg)<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Progressions_(usually_from_approximately_9_weeks)\"><span class=\"tocnumber\">2.2<\/span> <span class=\"toctext\">Progressioni (solitamente a partire da circa 9 settimane)<\/span><\/a>\n<ul>\n<li class=\"toclevel-3 tocsection-7\"><a href=\"#Start_theraband_exercises\"><span class=\"tocnumber\">2.2.1<\/span> <span class=\"toctext\">Iniziare gli esercizi con il theraband<\/span><\/a><\/li>\n<li class=\"toclevel-3 tocsection-8\"><a href=\"#Dynamic_strengthening_exercises\"><span class=\"tocnumber\">2.2.2<\/span> <span class=\"toctext\">Esercizi di rinforzo dinamico<\/span><\/a>\n<ul>\n<li class=\"toclevel-4 tocsection-9\"><a href=\"#Weighted_ball_(1.5kg)\"><span class=\"tocnumber\">2.2.2.1<\/span> <span class=\"toctext\">Palla ponderata (1,5 kg)<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-10\"><a href=\"#Twist_and_bend_exercises\"><span class=\"tocnumber\">2.2.2.2<\/span> <span class=\"toctext\">Twist-n-Bend<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-11\"><a href=\"#Hammer\"><span class=\"tocnumber\">2.2.2.3<\/span> <span class=\"toctext\">Martello<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-12\"><a href=\"#Power_web_for_grip_strengthening\"><span class=\"tocnumber\">2.2.2.4<\/span> <span class=\"toctext\">Power Web per il rinforzo della presa<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-13\"><a href=\"#Soft_pipe\"><span class=\"tocnumber\">2.2.2.5<\/span> <span class=\"toctext\">Tubo morbido<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-14\"><a href=\"#Tennis_racquet\"><span class=\"tocnumber\">2.2.2.6<\/span> <span class=\"toctext\">Racchetta da tennis<\/span><\/a><\/li>\n<li class=\"toclevel-4 tocsection-15\"><a href=\"#Body_blade_(if_available_in_clinic)\"><span class=\"tocnumber\">2.2.2.7<\/span> <span class=\"toctext\">Body Blade (se disponibile in clinica)<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-16\"><a href=\"#Referral\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Rinvio<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-17\"><a href=\"#Complications\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Complicazioni<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-18\"><a href=\"#Scapho-lunate_injury\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Lesione del legamento scafo-lunato<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-19\"><a href=\"#Triangular_Fibrocartilage_Complex_(TFCC)_injury\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Lesione del complesso fibrocartilagineo triangolare (TFCC)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-20\"><a href=\"#Key_warning_signs\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Principali segnali preoccupanti<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-21\"><a href=\"#References\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Citazioni<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduzione<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le <a title=\"Fratture del radio distale\" href=\"\/Distal_Radial_Fractures\">fratture del radio distale<\/a> sono solitamente il risultato di una caduta su una mano iperestesa.<sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> Nei bambini e nei giovani adulti, la forza necessaria per questo tipo di frattura \u00e8 molto pi\u00f9 elevata (ad esempio una caduta dalle Monkey Bars o un incidente d&#8217;auto), mentre negli adulti pi\u00f9 anziani le fratture del radio distale tendono a verificarsi in seguito a un trauma a bassa energia (ad esempio una caduta dalla posizione eretta).<sup id=\"cite_ref-2\" class=\"reference\"><a href=\"#cite_note-2\">(2)<\/a><\/sup><sup id=\"cite_ref-3\" class=\"reference\"><a href=\"#cite_note-3\">(3)<\/a><\/sup><\/p>\n<p>Alcune fratture del radio distale vengono gestite in modo conservativo, ma molte richiedono una fissazione chirurgica. Per una descrizione pi\u00f9 completa della classificazione delle fratture del radio distale e dei tipi di gestione chirurgica, si veda <a title=\"Fratture del radio distale\" href=\"\/Distal_Radial_Fractures\">Fratture del radio distale<\/a>.<\/p>\n<h2><span id=\"The_Protocol\" class=\"mw-headline\">Il protocollo<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Il protocollo\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=2\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Il protocollo\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=2\">modifica sorgente<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Questo protocollo \u00e8 specifico per le <a title=\"Frattura di Colles\" href=\"\/Colles_Fracture\">fratture di Colles<\/a> fissate con riduzione aperta e fissazione interna (ORIF) volare tramite placca di bloccaggio e viti. \u00c8 stato sviluppato da terapisti della mano australiani in collaborazione con chirurghi ortopedici.<sup id=\"cite_ref-:0_4-0\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup> Il protocollo post-chirurgico per le fasi iniziali \u00e8 descritto <a title=\"Protocollo di riabilitazione post-operatoria per la frattura di Colles\" href=\"\/Colles%E2%80%99_Fracture_Post_Operative_Rehabilitation_Protocol\">qui<\/a>.<\/p>\n<p>Ad 8 settimane dall&#8217;intervento chirurgico, la maggior parte delle fratture di Colles sar\u00e0 clinicamente e radiograficamente guarita ed \u00e8 a questo punto che i pazienti possono solitamente iniziare gli esercizi di rinforzo.<sup id=\"cite_ref-:0_4-1\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<p>Questa pagina descrive il protocollo di riabilitazione da questo momento in poi. Bisogna ricordare che il paziente deve essere autorizzato dal chirurgo ad iniziare gli esercizi di rinforzo prima di iniziare questi esercizi.<sup id=\"cite_ref-:0_4-2\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<p>Gli esercizi di rinforzo sono fondamentali in questa fase se si vuole che il paziente recuperi completamente la funzionalit\u00e0.<sup id=\"cite_ref-:0_4-3\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup> \u00c8 importante notare che a 12 mesi dalla frattura, i pazienti con una frattura del radio distale fissata tramite ORIF non avranno raggiunto la piena forza rispetto al lato non fratturato.<sup id=\"cite_ref-:0_4-4\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup> \u00c8 stato dimostrato che un programma di esercizi basato sui principi sensomotori (tra cui la propriocezione, il controllo isometrico, i movimenti consci e inconsci) pu\u00f2 avere un outcome benefico sulla forza e sulla funzione nel dolore cronico al polso.<sup id=\"cite_ref-5\" class=\"reference\"><a href=\"#cite_note-5\">(5)<\/a><\/sup><\/p>\n<p>Quando si iniziano gli esercizi di rinforzo, bisogna ricordare di &#8220;iniziare lentamente&#8221; e di gestire attentamente le progressioni.<sup id=\"cite_ref-:0_4-5\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup> Dato che per 6-8 settimane i pazienti hanno fatto pochissimo oltre agli esercizi per il range di movimento, devono aumentare gradualmente il carico e l&#8217;appoggio del peso corporeo per permettere ai tessuti di adattarsi e rinforzarsi in modo sicuro, altrimenti potrebbero rischiare di sviluppare delle lesioni da sovraccarico.<sup id=\"cite_ref-:0_4-6\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<p>Inizialmente, si consiglia di vedere il paziente per una sessione a settimana. Con il tempo si pu\u00f2 passare a una sessione ogni due settimane. \u00c8 importante avere questo contatto, in modo da poter esaminare regolarmente il paziente e assicurarsi di aggiornare o modificare il suo trattamento in base alle necessit\u00e0 e di individuare eventuali complicazioni.<sup id=\"cite_ref-:0_4-7\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<h3><span id=\"Week_8_Post_ORIF\" class=\"mw-headline\">Settimana 8 dopo l&#8217;ORIF<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica sezione: Settimana 8 Post ORIF\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=3\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica sezione: Settimana 8 Post ORIF\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=3\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Iniziare a fare esercizi di rinforzo.<\/p>\n<h4><span id=\"With_theraputty:\" class=\"mw-headline\">Con Theraputty:<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Con teraputty:\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=4\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Con teraputty:\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=4\">modifica sorgente<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ol>\n<li>\n<ol>\n<li>Pugno pieno<\/li>\n<li>Gancio &#8211; che lavora sugli intrinseci<\/li>\n<li>Table Top (o becco d&#8217;anatra)<\/li>\n<li>Pinza &#8211; ripetere con ogni dito<\/li>\n<li>Pinza laterale<\/li>\n<li>Carico delicato del peso corporeo con il Theraputty (plastilina) &#8211; iniziare sul tavolo e iniziare a spingere verso il basso contro la plastilina con il polso esteso. Le variazioni includono spinte bilaterali in posizione di Table Top sui polsi, flessioni al muro, con una progressione verso le flessioni normali<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<table class=\"wikitable\">\n<tbody>\n<tr>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 270px;\"><a class=\"image\" href=\"\/File:Theraputty_full_fist.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/7\/7a\/Theraputty_full_fist.jpg\" alt=\"\" width=\"268\" height=\"220\" data-file-width=\"268\" data-file-height=\"220\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>1. Pugno pieno<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 234px;\"><a class=\"image\" href=\"\/File:Theraputty_hook.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/7\/7e\/Theraputty_hook.jpg\/232px-Theraputty_hook.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/7\/7e\/Theraputty_hook.jpg 1.5x\" alt=\"\" width=\"232\" height=\"229\" data-file-width=\"266\" data-file-height=\"262\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>2. Gancio<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Theraputty_tabletop.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/28\/Theraputty_tabletop.jpg\/300px-Theraputty_tabletop.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/2\/28\/Theraputty_tabletop.jpg 1.5x\" alt=\"\" width=\"300\" height=\"155\" data-file-width=\"336\" data-file-height=\"174\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>3. Table Top (becco d&#8217;anatra)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<\/tr>\n<tr>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Theraputty_pincer.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/2a\/Theraputty_pincer.jpg\/300px-Theraputty_pincer.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/2\/2a\/Theraputty_pincer.jpg 1.5x\" alt=\"\" width=\"300\" height=\"175\" data-file-width=\"366\" data-file-height=\"214\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>4. Pinza<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 244px;\"><a class=\"image\" href=\"\/File:Theraputty_lateral_pinch.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/a\/a5\/Theraputty_lateral_pinch.jpg\" alt=\"\" width=\"242\" height=\"170\" data-file-width=\"242\" data-file-height=\"170\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>5. Pinza laterale<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Theraputty_WB.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d7\/Theraputty_WB.jpg\/300px-Theraputty_WB.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/d\/d7\/Theraputty_WB.jpg\/450px-Theraputty_WB.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/d\/d7\/Theraputty_WB.jpg 2x\" alt=\"\" width=\"300\" height=\"135\" data-file-width=\"470\" data-file-height=\"212\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>6. Carico del peso corporeo su Theraputty<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4><span id=\"Also_add_in_light_weights_-_approximately_1kg_.28or_0.5kg.29\"><\/span><span id=\"Also_add_in_light_weights_-_approximately_1kg_(or_0.5kg)\" class=\"mw-headline\">Aggiunta di pesi leggeri, circa 1 kg (o 0,5 kg).<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Aggiungi anche dei pesi leggeri, circa 1 kg (o 0,5 kg).\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=5\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Aggiungi anche dei pesi leggeri, circa 1 kg (o 0,5 kg).\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=5\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Posizionare il braccio del paziente sul tavolo ed eseguire:<\/p>\n<ol>\n<li>\n<ol>\n<li>Movimento eccentrico in flessione del polso e movimento concentrico in estensione del polso<\/li>\n<li>Ripetere in direzione opposta: movimento eccentrico in estensione del polso e movimento concentrico in flessione del polso<\/li>\n<li>Deviazione radiale e ulnare<\/li>\n<li>Movimento del lancio della freccetta &#8211; estensione del polso con deviazione radiale e flessione del polso con deviazione ulnare<\/li>\n<\/ol>\n<\/li>\n<\/ol>\n<table class=\"wikitable\">\n<tbody>\n<tr>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 275px;\"><a class=\"image\" href=\"\/File:Wrist_ecc_flex.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/62\/Wrist_ecc_flex.jpg\/273px-Wrist_ecc_flex.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/62\/Wrist_ecc_flex.jpg\/410px-Wrist_ecc_flex.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/6\/62\/Wrist_ecc_flex.jpg 2x\" alt=\"\" width=\"273\" height=\"139\" data-file-width=\"498\" data-file-height=\"254\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><strong>1. Flessione eccentrica\/estensione concentrica del polso<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 302px;\"><a class=\"image\" href=\"\/File:Wrist_conc_flex.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Wrist_conc_flex.jpg\/300px-Wrist_conc_flex.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/9\/9a\/Wrist_conc_flex.jpg\/450px-Wrist_conc_flex.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/9\/9a\/Wrist_conc_flex.jpg 2x\" alt=\"\" width=\"300\" height=\"139\" data-file-width=\"506\" data-file-height=\"234\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><strong>2. Estensione eccentrica\/flessione concentrica del polso<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<\/tr>\n<tr>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 160px;\"><a class=\"image\" href=\"\/File:Wrist_deviation.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1c\/Wrist_deviation.jpg\/158px-Wrist_deviation.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/1\/1c\/Wrist_deviation.jpg 1.5x\" alt=\"\" width=\"158\" height=\"254\" data-file-width=\"234\" data-file-height=\"376\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>3. Deviazione radiale e ulnare<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 162px;\"><a class=\"image\" href=\"\/File:Wrist_dart_motion.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/1c\/Wrist_dart_motion.jpg\/160px-Wrist_dart_motion.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/1\/1c\/Wrist_dart_motion.jpg 1.5x\" alt=\"\" width=\"160\" height=\"264\" data-file-width=\"190\" data-file-height=\"314\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>4. Movimento del lancio della freccetta<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Puntare a 12 ripetizioni x 2 serie, 2 volte al giorno.<sup id=\"cite_ref-:0_4-8\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<h3><span id=\"Progressions_.28usually_from_approximately_9_weeks.29\"><\/span><span id=\"Progressions_(usually_from_approximately_9_weeks)\" class=\"mw-headline\">Progressioni (solitamente a partire da circa 9 settimane)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Progressioni (di solito a partire da circa 9 settimane)\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=6\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Progressioni (di solito a partire da circa 9 settimane)\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=6\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<h4><span id=\"Start_theraband_exercises\" class=\"mw-headline\">Iniziare gli esercizi con il Theraband<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Iniziare gli esercizi di theraband\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=7\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Iniziare gli esercizi di theraband\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=7\">modifica sorgente<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ol>\n<li>Estensione del polso<\/li>\n<li>Flessione del polso<\/li>\n<li>Supinazione &#8211; con gomito a lato a 90 gradi usando il Ring Band<\/li>\n<li>Pronazione &#8211; con gomito a lato a 90 gradi usando una fascia singola<sup id=\"cite_ref-:0_4-9\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<table class=\"wikitable\">\n<tbody>\n<tr>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 205px;\"><a class=\"image\" href=\"\/File:Theraband_wrist_ext.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3f\/Theraband_wrist_ext.jpg\/203px-Theraband_wrist_ext.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3f\/Theraband_wrist_ext.jpg\/305px-Theraband_wrist_ext.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/3\/3f\/Theraband_wrist_ext.jpg\/406px-Theraband_wrist_ext.jpg 2x\" alt=\"\" width=\"203\" height=\"116\" data-file-width=\"456\" data-file-height=\"260\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><strong>1. Estensione del polso con Theraband<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 241px;\"><a class=\"image\" href=\"\/File:Theraband_wrist_flexion.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6b\/Theraband_wrist_flexion.jpg\/239px-Theraband_wrist_flexion.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/6b\/Theraband_wrist_flexion.jpg\/359px-Theraband_wrist_flexion.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/6\/6b\/Theraband_wrist_flexion.jpg 2x\" alt=\"\" width=\"239\" height=\"135\" data-file-width=\"464\" data-file-height=\"262\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><strong>2. Flessione del polso con Theraband<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 265px;\"><a class=\"image\" href=\"\/File:Therband_supination.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f6\/Therband_supination.jpg\/263px-Therband_supination.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/f6\/Therband_supination.jpg\/395px-Therband_supination.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/f\/f6\/Therband_supination.jpg 2x\" alt=\"\" width=\"263\" height=\"114\" data-file-width=\"456\" data-file-height=\"198\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><strong>3. Supinazione con Theraband<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<th>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 288px;\"><a class=\"image\" href=\"\/File:Theraband_pronation.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/10\/Theraband_pronation.jpg\/286px-Theraband_pronation.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/1\/10\/Theraband_pronation.jpg\/429px-Theraband_pronation.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/1\/10\/Theraband_pronation.jpg 2x\" alt=\"\" width=\"286\" height=\"108\" data-file-width=\"476\" data-file-height=\"180\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p><strong>4. Pronazione con Theraband<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/th>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4><span id=\"Dynamic_strengthening_exercises\" class=\"mw-headline\">Esercizi di rinforzo dinamico<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Esercizi di rafforzamento dinamico\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=8\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Esercizi di rafforzamento dinamico\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=8\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<h5><span id=\"Weighted_ball_.281.5kg.29\"><\/span><span id=\"Weighted_ball_(1.5kg)\" class=\"mw-headline\">Palla ponderata (1,5 kg)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Palla pesata (1,5 kg)\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=9\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Palla pesata (1,5 kg)\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=9\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Lanciare la palla da un lato all&#8217;altro, dall&#8217;alto verso il basso, con un movimento del lancio della freccetta. Quando il paziente pu\u00f2 tollerarlo, si pu\u00f2 iniziare a lanciargli la palla perch\u00e9 la prenda e la restituisca.<sup id=\"cite_ref-:0_4-10\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<h5><span id=\"Twist_and_bend_exercises\" class=\"mw-headline\">Twist-n-Bend<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Esercizi di torsione e piegamento\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=10\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Esercizi di torsione e piegamento\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=10\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ol>\n<li>Da una posizione supinata, piegare il Twist-n-Bend in modo da ottenere una forma ad &#8220;U&#8221;<\/li>\n<li>Da una posizione pronata, piegarlo ad N<\/li>\n<li>Far oscillare il Twist-n-Bend avanti e indietro, da un lato all&#8217;altro, in tondo nella mano operata. Questi esercizi sono utili per allenare la propriocezione e la stabilit\u00e0 del polso in caso di problemi ai legamenti (ad esempio scafo-lunato o TFCC)<sup id=\"cite_ref-:0_4-11\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<table class=\"wikitable\">\n<tbody>\n<tr>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 241px;\"><a class=\"image\" href=\"\/File:Twist_bend_supination.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ae\/Twist_bend_supination.jpg\/239px-Twist_bend_supination.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/a\/ae\/Twist_bend_supination.jpg\/359px-Twist_bend_supination.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/a\/ae\/Twist_bend_supination.jpg 2x\" alt=\"\" width=\"239\" height=\"118\" data-file-width=\"468\" data-file-height=\"232\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>1. Twist-n-Bend ad U<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 219px;\"><a class=\"image\" href=\"\/File:Twist_bend_pronation.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/25\/Twist_bend_pronation.jpg\/217px-Twist_bend_pronation.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/2\/25\/Twist_bend_pronation.jpg\/326px-Twist_bend_pronation.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/2\/25\/Twist_bend_pronation.jpg 2x\" alt=\"\" width=\"217\" height=\"144\" data-file-width=\"374\" data-file-height=\"248\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>Twist-n-Bend ad N<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5><span id=\"Hammer\" class=\"mw-headline\">Martello<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Martello\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=11\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Martello\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=11\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ol>\n<li>Abbassare il martello portando l&#8217;avambraccio in pronazione. Usare l&#8217;estremit\u00e0 appesantita del martello per facilitare il movimento<\/li>\n<li>Abbassare il martello portando l&#8217;avambraccio in supinazione<\/li>\n<li>Movimento del lancio della freccetta con martello<sup id=\"cite_ref-:0_4-12\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<table class=\"wikitable\">\n<tbody>\n<tr>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 240px;\"><a class=\"image\" href=\"\/File:Hammer_prontation.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hammer_prontation.jpg\/238px-Hammer_prontation.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hammer_prontation.jpg\/357px-Hammer_prontation.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/6\/60\/Hammer_prontation.jpg\/476px-Hammer_prontation.jpg 2x\" alt=\"\" width=\"238\" height=\"102\" data-file-width=\"508\" data-file-height=\"218\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>1. Pronazione con martello<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 241px;\"><a class=\"image\" href=\"\/File:Hammer_supination.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/cd\/Hammer_supination.jpg\/239px-Hammer_supination.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/cd\/Hammer_supination.jpg\/359px-Hammer_supination.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/c\/cd\/Hammer_supination.jpg 2x\" alt=\"\" width=\"239\" height=\"155\" data-file-width=\"438\" data-file-height=\"284\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>2. Supinazione con martello<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 167px;\"><a class=\"image\" href=\"\/File:Hammer_dart_motion.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/fc\/Hammer_dart_motion.jpg\/165px-Hammer_dart_motion.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/fc\/Hammer_dart_motion.jpg\/248px-Hammer_dart_motion.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/f\/fc\/Hammer_dart_motion.jpg\/330px-Hammer_dart_motion.jpg 2x\" alt=\"\" width=\"165\" height=\"145\" data-file-width=\"358\" data-file-height=\"314\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>3. Movimento del lancio della freccetta con martello<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5><span id=\"Power_web_for_grip_strengthening\" class=\"mw-headline\">Power Web per il rinforzo della presa<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Power web per rafforzare la presa\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=12\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Power web per rafforzare la presa\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=12\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ol>\n<li>Flettere la mano<\/li>\n<li>Tirare verso il lato (per gli intrinseci)<\/li>\n<li>Caricare il peso corporeo su un polso esteso sulla rete<sup id=\"cite_ref-:0_4-13\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<table class=\"wikitable\">\n<tbody>\n<tr>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 194px;\"><a class=\"image\" href=\"\/File:Power_web_flexion.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/50\/Power_web_flexion.jpg\/192px-Power_web_flexion.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/5\/50\/Power_web_flexion.jpg\/288px-Power_web_flexion.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/5\/50\/Power_web_flexion.jpg\/384px-Power_web_flexion.jpg 2x\" alt=\"\" width=\"192\" height=\"121\" data-file-width=\"488\" data-file-height=\"308\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>1. Power Web \u2013 flettere la mano<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 204px;\"><a class=\"image\" href=\"\/File:Web_flexion.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Web_flexion.jpg\/202px-Web_flexion.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Web_flexion.jpg\/303px-Web_flexion.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/thumb\/c\/c1\/Web_flexion.jpg\/404px-Web_flexion.jpg 2x\" alt=\"\" width=\"202\" height=\"127\" data-file-width=\"488\" data-file-height=\"308\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>2. Tirare il Power Web verso il lato<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<td>\n<div class=\"center\">\n<div class=\"thumb tnone\">\n<div class=\"thumbinner\" style=\"width: 254px;\"><a class=\"image\" href=\"\/File:Power_web_WB.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"thumbimage\" src=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/ff\/Power_web_WB.jpg\/252px-Power_web_WB.jpg\" srcset=\"https:\/\/www.physio-pedia.com\/images\/thumb\/f\/ff\/Power_web_WB.jpg\/378px-Power_web_WB.jpg 1.5x, https:\/\/www.physio-pedia.com\/images\/f\/ff\/Power_web_WB.jpg 2x\" alt=\"\" width=\"252\" height=\"123\" data-file-width=\"430\" data-file-height=\"210\"><\/a><\/p>\n<div class=\"thumbcaption\">\n<div class=\"magnify\"><\/div>\n<p>3. Carico del peso corporeo sul Power Web<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h5><span id=\"Soft_pipe\" class=\"mw-headline\">Tubo morbido<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Tubo morbido\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=13\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Tubo morbido\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=13\">modifica sorgente<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Questi esercizi sono utili per allenare la propriocezione. Si tratta di uno strumento facile da realizzare a casa: prendere un tubo idraulico, riempirlo d&#8217;acqua e quindi sigillarne le estremit\u00e0.<\/p>\n<ol>\n<li>Il paziente tiene il tubo davanti a s\u00e9 con il gomito esteso, a 90 gradi di flessione della spalla. Cercare di avere una presa stabile in pronazione. L&#8217;obiettivo degli esercizi \u00e8 quello di evitare che l&#8217;acqua si rovesci. Se questo \u00e8 troppo difficile, lo stesso esercizio pu\u00f2 essere eseguito in flessione del gomito<\/li>\n<li>Questo esercizio pu\u00f2 essere ripetuto in supinazione con il gomito esteso o flesso<sup id=\"cite_ref-:0_4-14\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<h5><span id=\"Tennis_racquet\" class=\"mw-headline\">Racchetta da tennis<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Racchetta da tennis\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=14\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Racchetta da tennis\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=14\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<p>Anche questi esercizi sono utili per allenare la propriocezione.<\/p>\n<ol>\n<li>Il paziente tiene la racchetta con l&#8217;avambraccio in posizione supinata. Posizionare la pallina sulla racchetta e farla rotolare contro il bordo della racchetta in senso orario e antiorario<\/li>\n<li>Tracciare la lettera sulla racchetta con la pallina<sup id=\"cite_ref-:0_4-15\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<h5><span id=\"Body_blade_.28if_available_in_clinic.29\"><\/span><span id=\"Body_blade_(if_available_in_clinic)\" class=\"mw-headline\">Body Blade (se disponibile in clinica)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Lama per il corpo (se disponibile in clinica)\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=15\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Lama per il corpo (se disponibile in clinica)\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=15\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h5>\n<ol>\n<li>Posizionare il gomito a lato con una flessione di 90 gradi. Far oscillare la spada su e gi\u00f9 in posizione verticale<\/li>\n<li>Ripetere in posizione orizzontale<\/li>\n<li>Pu\u00f2 progredire fino a sopra la testa<sup id=\"cite_ref-:0_4-16\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<h2><span id=\"Referral\" class=\"mw-headline\">Rinvio<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Referral\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=16\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Referral\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=16\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Una volta completato il programma di cui sopra, \u00e8 importante rinviare a un fisiologo dell&#8217;esercizio i pazienti che necessitano di una funzione pi\u00f9 elevata, compresi gli atleti o i giovani che tornano a praticare sport. Questi professionisti dell&#8217;esercizio fisico saranno in grado di implementare un programma ponte e un rinforzo continuo per garantire il raggiungimento di un livello adeguato per tornare al livello di gioco precedente.<sup id=\"cite_ref-:0_4-17\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<h2><span id=\"Complications\" class=\"mw-headline\">Complicazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Complicazioni\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=17\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Complicazioni\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=17\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le lesioni dei tessuti molli da tenere in considerazione includono:<\/p>\n<h4><span id=\"Scapho-lunate_injury\" class=\"mw-headline\"><a title=\"Dissociazione scapolunare\" href=\"\/Scapholunate_Dissociation\">Lesione del legamento scafo-lunato<\/a><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Lesione dello scafo-lunato\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=18\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Lesione dello scafo-lunato\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=18\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Questa lesione si presenta con un dolore al polso sul lato radiale, localizzato nell&#8217;area sopra lo scafoide e il semilunare.<sup id=\"cite_ref-:1_6-0\" class=\"reference\"><a href=\"#cite_note-:1-6\">(6)<\/a><\/sup> I pazienti potrebbero riferire uno scatto che provoca dolore, una sensazione di &#8220;cedimento&#8221; e una diminuzione della forza della presa.<sup id=\"cite_ref-:1_6-1\" class=\"reference\"><a href=\"#cite_note-:1-6\">(6)<\/a><\/sup> In caso di lesione scafo-lunata, \u00e8 importante evitare una presa molto forte perch\u00e9 potrebbe creare una fessura tra lo scafoide e il semilunare. Potrebbe anche essere doloroso per il paziente caricare il peso corporeo ed estendere il polso.<sup id=\"cite_ref-:0_4-18\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<h4><span id=\"Triangular_Fibrocartilage_Complex_.28TFCC.29_injury\"><\/span><span id=\"Triangular_Fibrocartilage_Complex_(TFCC)_injury\" class=\"mw-headline\"><a title=\"Triangular Fibrocartilage Complex Injuries\" href=\"\/Triangular_Fibrocartilage_Complex_Injuries\">Lesione del complesso fibrocartilagineo triangolare (TFCC)<\/a><\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Lesione del complesso fibrocartilagineo triangolare (TFCC)\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=19\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Lesione del complesso fibrocartilagineo triangolare (TFCC)\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=19\">fonte edit<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<p>Questa lesione si presenta con un dolore al polso sul lato ulnare, spesso con scatti e debolezza.<sup id=\"cite_ref-7\" class=\"reference\"><a href=\"#cite_note-7\">(7)<\/a><\/sup> \u00c8 importante evitare la pronazione e la torsione forzate durante il carico del peso corporeo e una deviazione ulnare eccessiva quando si trattano pazienti che presentano questa complicazione.<sup id=\"cite_ref-:0_4-19\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/p>\n<h4><span id=\"Key_warning_signs\" class=\"mw-headline\">Principali segnali preoccupanti<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Modifica la sezione: Principali segnali di pericolo\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=20\">modifica<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Modifica la sezione: Principali segnali di pericolo\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=20\">modifica fonte<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h4>\n<ol>\n<li>Dolore, in particolare un dolore acuto &#8211; \u00e8 necessario far interrompere gli esercizi al paziente e rivalutarlo<\/li>\n<li>Scatto doloroso<\/li>\n<li>Dolore intenso dopo l&#8217;esercizio che persiste per pi\u00f9 di 48 ore. Questo solitamente indica che il paziente ha fatto troppo e troppo presto. Potrebbe aver bisogno di una settimana di pausa dagli esercizi per far passare il dolore e poi, una volta riposato, ricominciare con un approccio pi\u00f9 graduale<\/li>\n<li>Gonfiore eccessivo &#8211; spesso si verifica il giorno successivo all&#8217;inizio degli esercizi. \u00c8 importante affrontare il gonfiore, quindi rivedere il programma e monitorare pi\u00f9 da vicino i progressi<sup id=\"cite_ref-:0_4-20\" class=\"reference\"><a href=\"#cite_note-:0-4\">(4)<\/a><\/sup><\/li>\n<\/ol>\n<h2><span id=\"References\" class=\"mw-headline\">Citazioni<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;veaction=edit&amp;section=21\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Colles%27_Fracture_Post_Operative_Rehabilitation_Programme_from_Week_6&amp;action=edit&amp;section=21\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">Fahy K, Duffaut CJ. Hand and wrist fractures. Curr Sports Med Rep. 2022 Oct 1;21(10):345-6.<\/span><\/li>\n<li id=\"cite_note-2\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-2\">\u2191<\/a><\/span> <span class=\"reference-text\">Handoll HHG, Huntley JS, Madhok R. External Fixation versus conservative treatment for distal radial fractures in adults (Review). The Cochrane Library. 2008;4:1-78<\/span><\/li>\n<li id=\"cite_note-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-3\">\u2191<\/a><\/span> <span class=\"reference-text\">Candela V, Di Lucia P, Carnevali C, Milanese A, Spagnoli A, Villani C, Gumina S. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9428104\/\" rel=\"nofollow\">Epidemiology of distal radius fractures: a detailed survey on a large sample of patients in a suburban area<\/a>. J Orthop Traumatol. 2022 Aug 30;23(1):43. <\/span><\/li>\n<li id=\"cite_note-:0-4\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_4-0\">4.00<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-1\">4.01<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-2\">4.02<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-3\">4.03<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-4\">4.04<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-5\">4.05<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-6\">4.06<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-7\">4.07<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-8\">4.08<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-9\">4.09<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-10\">4.10<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-11\">4.11<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-12\">4.12<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-13\">4.13<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-14\">4.14<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-15\">4.15<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-16\">4.16<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-17\">4.17<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-18\">4.18<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-19\">4.19<\/a><\/sup> <sup><a href=\"#cite_ref-:0_4-20\">4.20<\/a><\/sup><\/span> <span class=\"reference-text\">Thorn, K. Introduction to distal radius fracture (VIMEO). Queensland: Physiopedia, 2019.<\/span><\/li>\n<li id=\"cite_note-5\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-5\">\u2191<\/a><\/span> <span class=\"reference-text\">Lotters F, Schreuders T, Videler A. SMoc-Wrist: a sensorimotor control-based exercise program for patients with chronic wrist pain. Journal of Hand Therapy (online). 2019.<\/span><\/li>\n<li id=\"cite_note-:1-6\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_6-0\">6.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_6-1\">6.1<\/a><\/sup><\/span> <span class=\"reference-text\">Lau S, Swarna SS and Tamvakopoulos GS. Scapholunate dissociation: an overview of the clinical entity and current treatment options. Eur J of Ortho Surgery &amp; Trauma. 2009 Mar;19(6):377-385.<\/span><\/li>\n<li id=\"cite_note-7\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-7\">\u2191<\/a><\/span> <span class=\"reference-text\">UK Orthopaedic Surgery &amp; Sports Medicine. Health in Sports Report-Issue 6: Triangular Fibrocartilage Complex (TFCC) Injury. <a class=\"external free\" href=\"http:\/\/ukhealthcare.uky.edu\/sportsmedicine\/health_in_sports\/issue6.asp\" rel=\"nofollow\">http:\/\/ukhealthcare.uky.edu\/sportsmedicine\/health_in_sports\/issue6.asp<\/a> (accessed 25 June 2009).<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- \nNewPP limit report\nCached time: 20241125193746\nCache expiry: 86400\nReduced expiry: false\nComplications: (show\u2010toc)\nCPU time usage: 0.122 seconds\nReal time usage: 0.301 seconds\nPreprocessor visited node count: 287\/1000000\nPost\u2010expand include size: 0\/2097152 bytes\nTemplate argument size: 0\/2097152 bytes\nHighest expansion depth: 2\/100\nExpensive parser function count: 0\/100\nUnstrip recursion depth: 0\/20\nUnstrip post\u2010expand size: 5936\/5000000 bytes\n--><br \/>\n<!--\nTransclusion expansion time report (%,ms,calls,template)\n100.00%    0.000      1 -total\n--><\/p>\n<p><!-- Saved in parser cache with key physiopedia:pcache:idhash:28577-0!canonical and timestamp 20241125193745 and revision id 320822.\n --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Contenuti 1 Introduzione 2 Il protocollo 2.1 Settimana 8 dopo l&#8217;ORIF 2.1.1 Con Theraputty: 2.1.2 Aggiunta di pesi leggeri, circa 1 kg (o 0,5 kg) 2.2 Progressioni (solitamente a partire da circa 9 settimane) 2.2.1 Iniziare gli esercizi con il theraband 2.2.2 Esercizi di rinforzo dinamico 2.2.2.1 Palla ponderata (1,5 kg) 2.2.2.2 Twist-n-Bend 2.2.2.3 Martello [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-11388","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/11388","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/comments?post=11388"}],"version-history":[{"count":4,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/11388\/revisions"}],"predecessor-version":[{"id":13661,"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/pages\/11388\/revisions\/13661"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/it\/wp-json\/wp\/v2\/media?parent=11388"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}