Birgit Svens1, Erica Ames2, Karen Burford3, Yugesh Caplash4. 1. Occupational Therapy Department, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia. 2. Occupational Therapy Department, Royal Adelaide Hospital, North Terrace, Adelaide, SA 5000, Australia. Electronic address: erica.ames@health.sa.gov.au. 3. Plastic and Reconstructive Surgery Department, Flinders Medical Centre, Bedford Park, SA 5042, Australia. 4. Plastic and Reconstructive Surgery Department, Royal Adelaide Hospital, Adelaide, SA 5000, Australia.
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. Crown
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. Crown
Authors: Alison L Wong; Madeline Wilson; Sakina Girnary; Matthew Nojoomi; Soumyadipta Acharya; Scott M Paul Journal: J Hand Ther Date: 2017-04-08 Impact factor: 1.950