Relative active motion programs following extensor tendon repair: A pilot study using a prospective cohort and evaluating outcomes following orthotic interventions

Abstract Study design Prospective cohort. Introduction The Immediate Controlled Active Motion program, used to manage extensor tendon repairs in the hand, immobilizes the wrist in an orthosis with the affected finger(s) placed in a separate yoke orthosis allowing controlled flexion. Purpose To compa...

Full description

Saved in:
Bibliographic Details
Published inJournal of hand therapy Vol. 28; no. 1; pp. 11 - 19
Main Authors Svens, Birgit, BScOT, MClinSc, Ames, Erica, BAppScOT, Burford, Karen, BAppScOT(Hon), Caplash, Yugesh, FRACS
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 2015
Elsevier Limited
Subjects
Adolescent
Adult
Aged
Child
Exercise Therapy
Extensor tendon injury
Female
Finger
Fingers & toes
Hand Injuries - physiopathology
Hand Injuries - rehabilitation
Hand Injuries - therapy
Hand Strength
Humans
Immediate
Intervention
Male
Middle Aged
Orthopedic Procedures - rehabilitation
Orthoses
Orthotic Devices
Physical Medicine and Rehabilitation
Pilot Projects
Range of Motion, Articular
Relative active motion
Tendon Injuries - rehabilitation
Tendon Injuries - therapy
Tendons
Tendons - surgery
Tenorrhaphy
Treatment Outcome
Wrist Injuries - physiopathology
Wrist Injuries - rehabilitation
Wrist Injuries - therapy
Young Adult
Relative active motion
Tenorrhaphy
Orthoses
Extensor tendon injury
Finger
Immediate
Online AccessGet full text

Cover

More Information
Summary:Abstract Study design Prospective cohort. Introduction The Immediate Controlled Active Motion program, used to manage extensor tendon repairs in the hand, immobilizes the wrist in an orthosis with the affected finger(s) placed in a separate yoke orthosis allowing controlled flexion. Purpose To compare our outcomes using similar programs in patients with simple extensor tendon lacerations to those previously reported. To compare our 4-week orthotic intervention to our 6-week orthotic intervention. Methods 18 subjects received a 4-week orthotic intervention, 45 subjects received a 6-week orthotic intervention. Range of motion was measured 4, 6 and 8 weeks post-repair, grip strength at 6 and 8 weeks, and patient-rated outcomes at baseline, 6 and 12 weeks post-repair. Results Significant improvements in all outcomes were seen over time ( p  < 0.0001), with no significant differences between programs. Conclusion Outcomes were comparable with those previously published and similar between the 4-week and 6-week orthotic interventions. Level of evidence III
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0894-1130
1545-004X
DOI:10.1016/j.jht.2014.07.006