Rehabilitation after surgery for flexor tendon injuries in the hand

Abstract

Controlled mobilisation regimens are widely employed in rehabilitation after flexor tendon repair in the hand. This review found insufficient evidence from randomised controlled trials to define the best mobilisation strategy.

Precoce ou tardio? O protocolo de reabilitação mais adequado para lesão na região ‘terra de ninguém’: Metanálise com análise sequencial de ensaios – Tendências de 20 anos

“…Riaz et al 3 who has also evaluated using Kleinert methods on his prospective comparative study and found that 75% digits were graded excellent using AASH scoring. According to Thien et al 18 on his meta-analyses using 6 RCT, there were no significant difference between the comparison on early active motion, Continuous Passive Motion (CPM), Kleinert and Duran protocol. He also stated that early mobilization protocol is well accepted in flexor tendon injury, yet the best regiment has not been concluded.…”

“…Riaz et al 3 avaliaram o uso do método Kleinert em seu estudo comparativo prospectivo e descobriram que 75% dos dígitos foram classificados como excelentes usando a pontuação AASH. De acordo com Thien et al 18 em suas metanálises utilizando 6 ECR, não houve diferença significativa entre a comparação do movimento ativo precoce, movimento passivo contínuo (CPM), protocolo Kleinert e Duran. Ele também afirmou que o protocolo de mobilização precoce é bem aceito na lesão do tendão flexor, mas o melhor regimento ainda não foi concluído.…”

Precoce ou tardio? O protocolo de reabilitação mais adequado para lesão na região ‘terra de ninguém’: Metanálise com análise sequencial de ensaios – Tendências de 20 anos

“…Riaz et al 3 who has also evaluated using Kleinert methods on his prospective comparative study and found that 75% digits were graded excellent using AASH scoring. According to Thien et al 18 on his meta-analyses using 6 RCT, there were no significant difference between the comparison on early active motion, Continuous Passive Motion (CPM), Kleinert and Duran protocol. He also stated that early mobilization protocol is well accepted in flexor tendon injury, yet the best regiment has not been concluded.…”

“…Riaz et al 3 avaliaram o uso do método Kleinert em seu estudo comparativo prospectivo e descobriram que 75% dos dígitos foram classificados como excelentes usando a pontuação AASH. De acordo com Thien et al 18 em suas metanálises utilizando 6 ECR, não houve diferença significativa entre a comparação do movimento ativo precoce, movimento passivo contínuo (CPM), protocolo Kleinert e Duran. Ele também afirmou que o protocolo de mobilização precoce é bem aceito na lesão do tendão flexor, mas o melhor regimento ainda não foi concluído.…”

Early or delay? The most suitable rehabilitation protocol for “no man's land” injury: Meta-analysis with trial sequential analysis—20 years trends

“…Riaz et al 3 who has also evaluated using Kleinert methods on his prospective comparative study and found that 75% digits were graded excellent using american society for surgery of the hand scoring. According to Thien et al 18 on his meta-analyses using 6 RCT, there were no significant difference between the comparison on early active motion, continuous passive motion (CPM), Kleinert and Duran protocol. He also stated that early mobilization protocol is well accepted in flexor tendon injury, yet the best regiment has not been concluded.…”

Effect of Adding Shoulder Stabilization Exercises to the Rehabilitation of Postoperative Hand Injuries in Young Adult Patients

“…Its reliability and validity have been shown in measuring disability of the upper limbs. 18,19 Adhesions around joint capsules and tendons, joint stiffness, shortening of muscles, and contracture of ligaments are main causes of limitations in movements after hand injury and subsequent surgery. Thus, well-constructed physical therapy protocols after surgery will help patients avoid all these complications, and implementing shoulder stabilizer training early could result in achieving a maximum potential level postoperatively and accelerated the recovery process and guide patient to restore their prior functional level in shorter period compared with regular rehabilitation protocols.…”

Precoce ou tardio? O protocolo de reabilitação mais adequado para lesão na região ‘terra de ninguém’: Metanálise com análise sequencial de ensaios – Tendências de 20 anos

“…Riaz et al 3 who has also evaluated using Kleinert methods on his prospective comparative study and found that 75% digits were graded excellent using AASH scoring. According to Thien et al 18 on his meta-analyses using 6 RCT, there were no significant difference between the comparison on early active motion, Continuous Passive Motion (CPM), Kleinert and Duran protocol. He also stated that early mobilization protocol is well accepted in flexor tendon injury, yet the best regiment has not been concluded.…”

“…Riaz et al 3 avaliaram o uso do método Kleinert em seu estudo comparativo prospectivo e descobriram que 75% dos dígitos foram classificados como excelentes usando a pontuação AASH. De acordo com Thien et al 18 em suas metanálises utilizando 6 ECR, não houve diferença significativa entre a comparação do movimento ativo precoce, movimento passivo contínuo (CPM), protocolo Kleinert e Duran. Ele também afirmou que o protocolo de mobilização precoce é bem aceito na lesão do tendão flexor, mas o melhor regimento ainda não foi concluído.…”

Early or delay? The most suitable rehabilitation protocol for “no man's land” injury: Meta-analysis with trial sequential analysis—20 years trends

“…Riaz et al 3 who has also evaluated using Kleinert methods on his prospective comparative study and found that 75% digits were graded excellent using american society for surgery of the hand scoring. According to Thien et al 18 on his meta-analyses using 6 RCT, there were no significant difference between the comparison on early active motion, continuous passive motion (CPM), Kleinert and Duran protocol. He also stated that early mobilization protocol is well accepted in flexor tendon injury, yet the best regiment has not been concluded.…”

Effect of Adding Shoulder Stabilization Exercises to the Rehabilitation of Postoperative Hand Injuries in Young Adult Patients

“…Its reliability and validity have been shown in measuring disability of the upper limbs. 18,19 Adhesions around joint capsules and tendons, joint stiffness, shortening of muscles, and contracture of ligaments are main causes of limitations in movements after hand injury and subsequent surgery. Thus, well-constructed physical therapy protocols after surgery will help patients avoid all these complications, and implementing shoulder stabilizer training early could result in achieving a maximum potential level postoperatively and accelerated the recovery process and guide patient to restore their prior functional level in shorter period compared with regular rehabilitation protocols.…”

Precoce ou tardio? O protocolo de reabilitação mais adequado para lesão na região ‘terra de ninguém’: Metanálise com análise sequencial de ensaios – Tendências de 20 anos

“…Riaz et al 3 who has also evaluated using Kleinert methods on his prospective comparative study and found that 75% digits were graded excellent using AASH scoring. According to Thien et al 18 on his meta-analyses using 6 RCT, there were no significant difference between the comparison on early active motion, Continuous Passive Motion (CPM), Kleinert and Duran protocol. He also stated that early mobilization protocol is well accepted in flexor tendon injury, yet the best regiment has not been concluded.…”

“…Riaz et al 3 avaliaram o uso do método Kleinert em seu estudo comparativo prospectivo e descobriram que 75% dos dígitos foram classificados como excelentes usando a pontuação AASH. De acordo com Thien et al 18 em suas metanálises utilizando 6 ECR, não houve diferença significativa entre a comparação do movimento ativo precoce, movimento passivo contínuo (CPM), protocolo Kleinert e Duran. Ele também afirmou que o protocolo de mobilização precoce é bem aceito na lesão do tendão flexor, mas o melhor regimento ainda não foi concluído.…”

Early or delay? The most suitable rehabilitation protocol for “no man's land” injury: Meta-analysis with trial sequential analysis—20 years trends

“…Riaz et al 3 who has also evaluated using Kleinert methods on his prospective comparative study and found that 75% digits were graded excellent using american society for surgery of the hand scoring. According to Thien et al 18 on his meta-analyses using 6 RCT, there were no significant difference between the comparison on early active motion, continuous passive motion (CPM), Kleinert and Duran protocol. He also stated that early mobilization protocol is well accepted in flexor tendon injury, yet the best regiment has not been concluded.…”

Effect of Adding Shoulder Stabilization Exercises to the Rehabilitation of Postoperative Hand Injuries in Young Adult Patients

“…Its reliability and validity have been shown in measuring disability of the upper limbs. 18,19 Adhesions around joint capsules and tendons, joint stiffness, shortening of muscles, and contracture of ligaments are main causes of limitations in movements after hand injury and subsequent surgery. Thus, well-constructed physical therapy protocols after surgery will help patients avoid all these complications, and implementing shoulder stabilizer training early could result in achieving a maximum potential level postoperatively and accelerated the recovery process and guide patient to restore their prior functional level in shorter period compared with regular rehabilitation protocols.…”