Night-Time Splinting After Fasciectomy or Dermofasciectomy for Dupuytren’s Contracture: A Pragmatic, Multi-centre, Randomised Controlled Trial

Shepstone, Lee; Chojnowski, Adrian; Larson, Debbie; Barrett, Elisabeth; Vaughan, Susan

doi:10.1007/978-3-642-22697-7_41

Cited by 10 publications

(16 citation statements)

References 17 publications

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“…Active range of motion (AROM) for both patient groups was comparable. The study did not support the use of night extension splinting as a routine component of postoperative therapy (4). Another randomized controlled trial conducted in New Zealand yielded similar results.…”

mentioning

confidence: 70%

Needle aponeurotomy for Dupuytren contracture:Effectiveness of postoperative night extension splinting

Tam¹,

Chung²

2016

J Plastic Surgery

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mentioning

confidence: 70%

Needle aponeurotomy for Dupuytren contracture:Effectiveness of postoperative night extension splinting

Tam¹,

Chung²

2016

J Plastic Surgery

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“…When the wound has healed, ROM exercises and scar massage should be incorporated into the treatment plan three to four times daily [10, 13]. While incorporation of hand therapy and splinting is generally recommended following surgery in patients with DC, they have not always demonstrated improvements in outcomes [10, 12].…”

Section: Discussionmentioning

confidence: 99%

Functional Outcome of Collagenase Injections Compared with Fasciectomy in Treatment of Dupuytren's Contracture

Naam¹

2013

Hand (New York, N,Y.)

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“…The literature review identified seven papers using three PROMs while investigating Dupuytren's surgery or postoperative management. 7,[25][26][27][28][29][30] The three PROMs used were the Disabilities of the Arm, Shoulder and Hand (DASH), QuickDASH and Michigan Hand Questionnaire (MHQ). 23,31,32 Table 1 gives a description of these PROMs.…”

Section: Responsivenessmentioning

confidence: 99%

“…Four of the studies provide sufficient data to calculate either an ES or SRM and allow for evaluation of responsiveness as an indicator of treatment effect regardless of the significance of the effect. 7,25,28,29 ES is calculated as mean change in score divided by the standard deviation of baseline score. SRM is calculated as mean change in score divided by the standard deviation of change score ( Table 2).…”

Section: Responsivenessmentioning

confidence: 99%

The relative responsiveness of patient-rated outcome measures in evaluating clinical change after Dupuytren's surgery: A literature review and prospective observational pilot study

Larson

2012

Hand Therapy

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Introduction. Patient-rated outcome measures (PROMs) to measure upper limb activity and participation exist but there is little evidence to support their responsiveness in Dupuytren's surgery. Methods. A literature review was conducted to evaluate the relative responsiveness of PROMs used in patients treated surgically for Dupuytren's contracture. A prospective observational pilot study was performed to test feasibility and clarify procedures in advance of a larger study to compare the relative responsiveness of different PROMs. The Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH), the Patient Outcomes of Surgery-Hand/Arm (POS-Hand/Arm) and the Patient Evaluation Measure (PEM) were administered to eight patients before and 12 weeks after a fasciectomy. Results. The literature review identified seven studies using PROMs before and after surgery for a Dupuytren's contracture. The PROMs were the Michigan Hand Questionnaire (MHQ), the DASH and the QuickDASH. All three had moderate-to-large effect sizes and standardized response means with the MHQ showing higher responsiveness than the DASH. In the pilot study the PEM demonstrated a higher responsiveness than the POS-Hand/Arm followed by the QuickDASH. No evidence was found to support responsiveness in terms of what is clinically relevant in relation to a patient-rated external criterion. Discussion. The literature review and pilot study findings justify the need and feasibility to conduct a larger study to investigate the relative responsiveness of PROMs in patients undergoing Dupuytren's surgery.

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Night-Time Splinting After Fasciectomy or Dermofasciectomy for Dupuytren’s Contracture: A Pragmatic, Multi-centre, Randomised Controlled Trial

Cited by 10 publications

References 17 publications

Needle aponeurotomy for Dupuytren contracture:Effectiveness of postoperative night extension splinting

Needle aponeurotomy for Dupuytren contracture:Effectiveness of postoperative night extension splinting

Functional Outcome of Collagenase Injections Compared with Fasciectomy in Treatment of Dupuytren's Contracture

The relative responsiveness of patient-rated outcome measures in evaluating clinical change after Dupuytren's surgery: A literature review and prospective observational pilot study

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