The Use of Self-Adherent Wrap in Hand Rehabilitation

The Effects of Edema and Self-adherent Wrap on the Work of Flexion in a Cadaveric Hand

“…Although literature describes the usefulness of selfadherent wrap in the edematous upper extremity, 14,15,16 there is a paucity of information describing the effects of self-adherent wrap on hand function. One recent study 17 measured the effect of 2 different Coban wrapping styles on healthy volunteers and found that both cylindrical and spiral Coban wrap application to the interphalangeal joint of the fingers reduced active range of finger flexion considerably.…”

A Dynamic Finger Flexion Loop

“…It is Widely accepted that dynamic splinting in combination with range-of-motion exercises is the most effective way of managing these problems. The rationale, prinCiples, and objectives of dynamic splinting or range of motion are presented in the numerous texts and articles written about these subjects (Brand, 1984;Colditz, 1984;Fess, 1984;Malick, 1982;McEntee, 1984) The purpose of this article is to describe an effective dynamic splint for the management of joint stiffness and soft tissue contractu res of both the proximal and distal interphalangeal joints of digits 2-5…”

“…The finger flexion loop is unique when compared with similar splints documented in the literature (Colditz, 1984, English, Rehm, & Petzoldt, 1982Enos, Lane, & MacDougal, 1984;McEntee, 1984) in that the flexion loop is fabricated with a separate elastic traction system that allows for controlled and directed tension (see Figure 1). The traCtion system of the loop lies perpendicular to the skeletal axis of the distal interphalangeal (DIP) joint.…”