Clinical Results of Early Active Mobilisation After Flexor Tendon Repair

Abstract

Between 2005 and 2006, ten patients with flexor digitorum profundus zone II injuries were included. The mean age was 41 (19-84) years. One thumb, two index, four middle, one ring and two little fingers were injured. Repair method comprised four-strand core suture and 6-0 circumferential sutures. Post-operative rehabilitation included immediate active extension, progressive passive full flexion and active hold in dorsal block splint. Follow-up was four (three to seven) months. Grip strength, pinch strength, ROM was 90% (70%-90%), 90% (60%-110%) and 90% (80%-100%) of normal digit, respectively. Mayo wrist scores were five excellent, two good and three fair. All patients were satisfied. Compared with another group of ten patients with the same suture method and Kleinert splintage, grip strength, pinch strength and ROM were 50%, 40% and 40% of normal side, respectively. All differences between these two groups were statistically significant (p < 0.01) by paired samples T-test. There was no re-rupture.

Autonomous Patient-Controlled Mobilization Protocol After Flexor Tendon Repair: A Case Series

“…The TAM scores are reported in most of the included articles, with results ranging from 29% of good and excellent results after active rehabilitation protocol, 12 42% after Kleinert protocol, 16 86% after Silfverskiold protocol, 88% after Strickland protocol, 20 87% after Washington protocol, 21 and 90% after a place-and-hold protocol. 22 Our series reports 86% of good and excellent results for TAM score; this is comparable to results reported in good-quality comparative studies. 23 Similarly, grip strength and QuickDASH scores were in a good to excellent range.…”

Effect of water depth on amount of flexion and extension of joints of the distal aspects of the limbs in healthy horses walking on an underwater treadmill

“…14 The goal of a musculoskeletal rehabilitation program is to restore limb function via maximizing flexibility of injured soft tissues, increasing muscle and bone strength, and reestablishing biomechanically normal ROM of affected joints. 22 Results of other studies 1,23 indicate passive or active flexion and extension of injured limbs early during a rehabilitation period is important for a good outcome for humans recovering from orthopedic injury or surgery. 1,23 Aquatic rehabilitation improves postoperative limb function and ROM in dogs 24,25 and humans.…”

“…22 Results of other studies 1,23 indicate passive or active flexion and extension of injured limbs early during a rehabilitation period is important for a good outcome for humans recovering from orthopedic injury or surgery. 1,23 Aquatic rehabilitation improves postoperative limb function and ROM in dogs 24,25 and humans. 1,26 However, to the authors' knowledge, information has not been published regarding the effects of aquatic rehabilitation on ROM of joints of the distal aspects of limbs in horses.…”

Post-operative management of flexor tendon injuries at zone II and flexor pollicis longus – a survey of Irish practice

“…There is no consensus regarding either frequency of exercise sessions or number of repetitions within sessions in the literature and justification for what has been completed is rarely provided. Using the pyramid of progressive force exercises, Groth (2004) suggests completing as often as is feasible but at least four or five times a day, Higgins and Lalonde (2016) recommended hourly, Pan et al (2017) and Yen et al (2008) two to four sessions daily and several authors suggest five to six times a day, for example Tang et al (2017). While these guidelines show some variance in the recommended exercise frequencies during tendon rehabilitation, our findings indicate that the exercise frequencies recommended by the Irish therapists is aligned with international practice and guidance.…”