Analysis of Relative Motion Splint in the Treatment of Zone VI Extensor Tendon Injuries

Sharma, Joy V.; Liang, Ni-Jui; Owen, John R.; Wayne, Jennifer S.; Isaacs, Jonathan

doi:10.1016/j.jhsa.2006.04.004

Cited by 28 publications

(13 citation statements)

References 17 publications

(12 reference statements)

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“…However the optimal extent of mobilization that is required to limit adhesion is not known and still remains controversial [5]. The small amount of finger flexion allowed by the Sparti splint is grad ually increased per 1 cm every week, giving the chance to the ten don to glide and heal uneventfully.…”

Section: Discussionmentioning

confidence: 99%

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The “Sparti” splint for rehabilitation of extensor tendon injuries in zones V-VII

Mouzopoulos¹,

Vlachos²,

Ampadiotaki³

et al. 2018

Handchir Mikrochir plast Chir

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Section: Discussionmentioning

confidence: 99%

“…On the other hand, dynamic splinting is a demanding technique which implies closed supervision of a hand therapist, because the rehabilitation protocols are complex [5]. Many adjustments of the dynamic splint are needed during the rehabilitation process, mak ing sometimes patient's compliance difficult [6].…”

Section: Introductionmentioning

confidence: 99%

The “Sparti” splint for rehabilitation of extensor tendon injuries in zones V-VII

Mouzopoulos¹,

Vlachos²,

Ampadiotaki³

et al. 2018

Handchir Mikrochir plast Chir

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“…The RMO uses a thin (1 inch) strip of thermoplastic to keep the injured digit in relative extension at the MCP joint, and minimizes the inherent effect of shortening in all extensor tendon repairs. 40,44,45 …”

Section: Discussionmentioning

confidence: 99%

The optimal orthosis and motion protocol for extensor tendon injury in zones IV-VIII: A systematic review

Wong

Wilson

Girnary

et al. 2017

Journal of Hand Therapy

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Study Design Systematic review Purpose To determine the optimal combination of motion protocol and orthotic treatment for the rehabilitation of proximal extensor tendon injuries (zones IV–VIII). Methods A systematic review of English-language randomized clinical trials and cohort studies investigating extensor tendon rehabilitation from 1960–2016 was conducted in MEDLINE, Embase, Cochrane, CINAHL, PEDro, and OTseeker. Outcomes of total active motion, grip strength, return to work, patient attrition and patient reported outcomes were compared. Results Eleven studies of predominantly average quality (1 low, 8 average, 2 high) were included in the final review. Results were difficult to compare due to differences in reporting. Early total active motion and final grip strength was greater with dynamic extension orthoses (191–214°; 35–38 kg/89% contralateral side) and relative motion orthoses (205–236°; 85–95% contralateral side) compared to static orthoses (79–202°; 23–34 kg/59% contralateral side). Four studies excluded patients who did not follow-up and loss to follow-up was 12–33% in the other studies. Patient reported outcomes were not comparable, as they were only included in three studies, and each used a different assessment tool. Conclusion Average quality evidence supports the use of EAM as the superior motion protocol but optimal orthosis to deliver EAM could not be determined. Prospective research should focus on patient reported outcomes and the design of orthoses that facilitate use of the EAM.

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“…The study concluded that "the relative motion splint Fig. 1 a-c Combination wrist orthosis with "Wyndell Merritt" ICAM digital yoke orthosis allowing for full composite active motion of the uninjured digits while allowing 10-15°l ess MP flexion to the digit with the repaired tendon, thus relieving tension on the extensor tendon repair without the use of dynamics reduces the effective strain on intact and repaired zone VI middle finger extensor tendons and supports its clinical use" [8].…”

Section: Literature Reviewmentioning

confidence: 97%

Wyndell Merritt Immediate Controlled Active Motion (ICAM) Protocol following Extensor Tendon Repairs in Zone IV–VII: Review of Literature, Orthosis Design, and Case Study—A Multimedia Article

Burns

Derby

Neumeister

2013

Hand (New York, N,Y.)

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Analysis of Relative Motion Splint in the Treatment of Zone VI Extensor Tendon Injuries

Cited by 28 publications

References 17 publications

The “Sparti” splint for rehabilitation of extensor tendon injuries in zones V-VII

The “Sparti” splint for rehabilitation of extensor tendon injuries in zones V-VII

The optimal orthosis and motion protocol for extensor tendon injury in zones IV-VIII: A systematic review

Wyndell Merritt Immediate Controlled Active Motion (ICAM) Protocol following Extensor Tendon Repairs in Zone IV–VII: Review of Literature, Orthosis Design, and Case Study—A Multimedia Article

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