Literature DB >> 10505393

A portable device for finger tendon rehabilitation that provides an isotonic training force and records exercise behaviour after finger tendon surgery.

J G Dobbe1, N E van Trommel, J E de Freitas Baptista, M J Ritt, A Steenbeek, H A Molenaar.   

Abstract

For most hand surgeons, flexor tendon repairs in zone 2 of the hand still present a clinical problem. The surgeon is placed in a dilemma: on the one hand, if repair is achieved and the finger is kept immobile during the healing phase, dense adhesions may bind the tendons within the sheath and limit motion. On the other hand, uncontrolled early flexion may disrupt the tendon repair. Early 'controlled motion' increases tensile strength, reduces the formation of adhesions and improves clinical results. To investigate the relationship between the patient's compliance concerning the post-operative motion regimen and the final range of motion, a device has been developed which records when and how often the patient exercises. The device is attached to a modified Kleinert splint. This configuration enables comparison of the outcome of the rehabilitation of patients who exercise according to the rehabilitation programme with patients who exercise less often. The device measures for up to one week. It is possible to download the available measurement samples (exercise count per quarter of an hour) for inspecting the training course or for further analysis/statistics.

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Year:  1999        PMID: 10505393     DOI: 10.1007/BF02513318

Source DB:  PubMed          Journal:  Med Biol Eng Comput        ISSN: 0140-0118            Impact factor:   2.602


  10 in total

1.  The early stages of flexor tendon healing: a morphologic study of the first fourteen days.

Authors:  R H Gelberman; J S Vandeberg; P R Manske; W H Akeson
Journal:  J Hand Surg Am       Date:  1985-11       Impact factor: 2.230

2.  Activity of the extrinsic finger flexors during mobilization in the Kleinert splint.

Authors:  J C van Alphen; C T Oepkes; K E Bos
Journal:  J Hand Surg Am       Date:  1996-01       Impact factor: 2.230

3.  A combined regimen of controlled motion following flexor tendon repair in "no man's land".

Authors:  J A Chow; L J Thomes; S Dovelle; W H Milnor; A E Seyfer; A C Smith
Journal:  Plast Reconstr Surg       Date:  1987-03       Impact factor: 4.730

4.  Digital function following flexor tendon repair in Zone II: A comparison of immobilization and controlled passive motion techniques.

Authors:  J W Strickland; S V Glogovac
Journal:  J Hand Surg Am       Date:  1980-11       Impact factor: 2.230

5.  A constant tension dynamic splint.

Authors:  H Becker; M Hardy
Journal:  Plast Reconstr Surg       Date:  1980-07       Impact factor: 4.730

6.  Flexor tendon repair in no-man's-land: results of primary repair with controlled mobilization.

Authors:  A Ejeskär
Journal:  J Hand Surg Am       Date:  1984-03       Impact factor: 2.230

7.  Primary flexor tendon repair followed by immediate controlled mobilization.

Authors:  G D Lister; H E Kleinert; J E Kutz; E Atasoy
Journal:  J Hand Surg Am       Date:  1977-11       Impact factor: 2.230

8.  The influence of protected passive mobilization on the healing of flexor tendons: a biochemical and microangiographic study.

Authors:  R H Gelberman; D Amifl; M Gonsalves; S Woo; W H Akeson
Journal:  Hand       Date:  1981-06

9.  A review of repaired flexor tendons.

Authors:  D T Gault
Journal:  J Hand Surg Br       Date:  1987-10

10.  Controlled motion rehabilitation after flexor tendon repair and grafting. A multi-centre study.

Authors:  J A Chow; L J Thomes; S Dovelle; J Monsivais; W H Milnor; J P Jackson
Journal:  J Bone Joint Surg Br       Date:  1988-08
  10 in total

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