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Comparing three postoperative treatment protocols for extensor tendon repair in zones V and VI of the hand

HALL B; LEE H; PAGE R; ROSENWAX L; LEE AH
AM J OCCUP THER , 2010, vol. 64, n° 5, p. 682-688
Doc n°: 147987
Localisation : Documentation IRR

D.O.I. : http://ajot.aotapress.net/content/64/5/682.full.pdf+html
Descripteurs : DD861 - TRAITEMENT CHIRURGICAL - MAIN-DOIGTS

This pilot study compared the effectiveness of 3 postoperative
rehabilitation protocols for patients with Zones V and VI extensor tendon
lacerations. METHOD:
Twenty-seven patients were recruited from 3 sites and
randomly assigned to 1 of 3 established treatment protocols: immobilization,
early passive motion (EPM),
and early active motion (EAM). Outcome measures were
collected at 3, 6, and 12 wk after treatment and included total active motion
(TAM). RESULTS: At the end of Week 12, data on 24 injured digits of 18 patients
were available for analysis. When data at Weeks 3, 6, and 12 were compared,
patients in all groups showed steady improvement in TAM, but digits under the EAM
treatment improved to a greater extent over time (F[2, 46] = 75.6, p < .001).
CONCLUSION: Patients with Zones V and VI extensor tendon injuries treated with
the EAM protocol recovered range of motion more rapidly.

Langue : ANGLAIS

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