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Related Experiment Videos

Extensor tendon repair: mobilise or splint?

R C Russell1, M Jones, A Grobbelaar

  • 1Mount Vernon Hospital, Plastic Surgery Unit, Northwood, Middx, UK.

Chirurgie De La Main
|May 2, 2003
PubMed
Summary

Hand therapy after extensor tendon injury showed good results with both static and dynamic regimes. The static hand therapy approach is preferred for its simplicity and effectiveness, especially in patients with poor compliance.

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Physical Therapy

Background:

  • Extensor tendon injuries in the hand require effective rehabilitation.
  • Static and dynamic hand therapy regimes are utilized for post-injury recovery.
  • Comparing different therapeutic approaches is crucial for optimizing patient outcomes.

Purpose of the Study:

  • To evaluate static and dynamic hand therapy regimens for extensor tendon injuries.
  • To compare these regimens with published early active motion protocols.
  • To assess hand function using Total Active Motion (TAM), combined motion, and extensor lag.

Main Methods:

  • A cohort of sixty-five patients with extensor tendon injuries was studied.
  • Hand function was measured at 4-6 weeks and 10 weeks post-injury.
  • Key metrics included Total Active Motion (TAM), percentage combined motion, and extensor lag.

Main Results:

  • Both static and dynamic hand therapy regimes yielded good functional outcomes.
  • Mean TAMs at 10 weeks were 258 for the static group and 245 for the dynamic group.
  • Results compared favorably with early active motion protocols.

Conclusions:

  • Static and dynamic hand therapy are effective for extensor tendon injuries.
  • The static regime is simple, effective, and suitable for non-compliant patients.
  • Both methods demonstrate positive outcomes, comparable to early active motion strategies.

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