Volume 14, Issue 2 (Summer 2013)                   jrehab 2013, 14(2): 77-85 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Layeghi F, Hosseini S A, Farzad M, Zanghaei A. Comparison of Early Active Tension and Immobilization Protocols in Rehabilitation of the Hand, Following Zone 5-6 Extensor Tendon Repair. jrehab 2013; 14 (2) :77-85
URL: http://rehabilitationj.uswr.ac.ir/article-1-1212-en.html
1- University of Social Welfare and Rehabilitation Sciences
2- University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. , amin.uswr@yahoo.com
Abstract:   (10442 Views)

Objective: The objective of the study was to assess and compare Early Active Tension and Immobilization Protocols in Rehabilitation of the Hand, Following Zone 5-6 Extensor Tendon Repair.

Materials & Methods: From the 21 patients enrolled in a randomized controlled trial study, 18 cases with average age of 32. 43 years completed the protocol. A total of 41 extensor tendons from 27 fingers of the subjects were studied. A surgeon repaired all tendons in zone 5 and/or 6 by an end to end epitenon running technique using prolen 0.3. For rehabilitation, subjects were randomly assigned into two “Immobilization” and “early active tension” group. Edema, metacarpophalangeal flexion, combined flexion and extension of wrist and fingers, total active motion of fingers and metacarpal extensor lag were assessed 6 weeks after surgery. All aforementioned variables and grip strength were reassessed 12 weeks after surgery.

Results: Compared to traditional immobilization protocol, early active tension could significantly improve hand edema, metacarpal flexion, combined flexion and extension of wrist and fingers, total active motion of fingers and grip strength (P<0.05). There was no significant difference in combined wrist and finger extension, and extensor lag between two groups (P>0.05).

Conclusion: Our results demonstrate that in compliant patients, early active tension could be an alternative method for traditional immobilization protocol, after surgical repair of extensor tendon injuries in zone 5 and/or 6.

Full-Text [PDF 934 kb]   (2474 Downloads)    
Type of Study: Original | Subject: Occupational Therapy
Received: 3/12/2012 | Accepted: 7/10/2013 | Published: 7/10/2013

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | Archives of Rehabilitation

Designed & Developed by : Yektaweb