The results of treatment of palmar bone fracture using Mongolian medical bone manual therapy

Abstract

Background: Mongolian medical bone manual therapy is an important part of the extremely rich cultural heritage of the Mongolian national, and the method originated from the life of Mongolians, continuously developed along with the social development, and developed into a traditional bone manual therapy with its own unique characteristics, theoretical system, and therapeutic action. Wooden splints are flexible and have the advantage of not immobilizing the joint, but also provide excellent protection against re-dislocation of the fractured bone. Also, the healing process can be monitored by x-rays, and if two ends of fractured bone is not lined up straight, bone manual therapy can be performed and corrected. It not only ensures the physiological inactivity of the limbs, but also conforms to the mechanical principles of external fixation, provides a regenerative effect, and accelerates the healing process of fractures. Therefore, it is important to conduct a clinical study to evaluate the results of treatment of palmar bone fractures using Mongolian medical bone manual therapy. Aim: Estimating the results of treatment of palmar bone fracture using Mongolian medical bone manual therapy Materials and Methods: The research was carried out by clinical randomized controlled trial method, based on the day treatment department of Central hospital of Mongolian medicine and the bone department of the International Medical Committee of Inner Mongolia, and included 60 patients. The treatment group was sprayed with alcohol, the fracture was localized manually, and was tied with a wooden splint. While in the control group, the fracture was localized manually and a plaster cast was applied. Wrist joint function was evaluated by “Patient Rated Wrist Evaluation” (PRWE). Bone healing, movement of the small joints of the hand, and complications were evaluated by the “Total Active Movement assessment (TAM)” which is developed by the American Society for Surgery of the Hand in 1975. Results: After one month of treatment, the mean score of Patient-Rated Wrist Evaluation (PRWE) for wrist pain in the treatment group was 40.75 and 50.25 in the control group, indicating a statistically significant decrease in wrist pain in the treatment group (Z=-6.308, P< 0.001). Three months after the start of treatment, the mean score of the PatientRated Wrist Evaluation (PRWE) was 0.50 in the treatment group and 6.00 in the control group, and wrist joint pain was statistically significantly reduced in the treatment group (Z=-6.474, P<0.001). The Total Active Movement assessment (TAM) evaluated by the sum of motion of the small joints of the hand was 229.50 degrees in the treatment group and 218.50 degrees in the control group after 3 months, indicating a statistically significant increase in the range of motion of the joints in the treatment group. (Z=-2.345, P=0.019). Conclusion: The bone manual therapy of Mongolian medicine reduces hand and wrist pain in a short period of time and improves functional loss compared to the treatment method of applying plaster cast (Z=-6.474, P<0.001, Z=-2.345, P=0.019).