Abstract
Early active and passive mobilization helps reduce edema, encourages active tendon gliding, and prevents joint stiffness after injury and operative intervention of the hands. It also enhances tensile strength of the newly repaired tendons, soft tissues, or fractured site, minimizing scar adhesion. Corrective splintage and pressure garments contribute to an effective outcome.
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References
Baktir, A., Türk, C.Y., Kabak, S., Sahin, V., and Kardaş, Y. (1996). Flexor tendon repair in zone 2 followed by early active mobilization. J Hand Surg, 21B, 624–628.
Brand, P.W. (1995). The forces of dynamic splinting: 10 questions before applying a dynamic splint to the hand. In: Hunter, J.M., Mackin, E.J., and Callahan, A.D., eds. Rehabilitation of the Hand: Surgery and Therapy, 4th ed. St. Louis, MO: Mosby.
Brüner, S., Wittemann, M., Jester, A., Blumenthal, K., and Germann, G. (2003). Dynamic splinting after extensor tendon repair in zones V to VII. J Hand Surg, 28B, 224–227.
Cetin, A., Dinçer, F., Keçik, A., and Cetin, M. (2001). Rehabilitation of flexor tendon injuries by use of a combined regimen of modified Kleinert and modified Duran techniques. Am J Phys Med Rehabil, 80, 721–728.
Chow, C.Y., Lee, H., Lau, J., and Yu, I.T. (2007). Transient risk factors for acute traumatic hand injuries: a case-crossover study in Hong Kong. Occup Environ Med, 64(1), 47–52.
Colditz, J.C. (1995). Therapist’s management of the stiff hand. In: Hunter, J.M., Mackin, E.J., and Callahan, A.D., eds. Rehabilitation of the Hand: Surgery and Therapy, 4th ed. St. Louis, MO: Mosby.
Cooney, W.P., Lin, G.T., and An, K.N. (1989). Improved tendon excursion following flexor tendon repair. J Hand Ther, 2, 102–6.
Duran, R., and Houser, R. (1995). Controlled passive motion following flexor tendon repair in zones 2 and 3. In: Hunter, J.M., Mackin, E.J., and Callahan, A.D., eds. Rehabilitation of the Hand: Surgery and Therapy, 4th ed. St. Louis, MO: Mosby.
Evans, R.B. (1995). An update on extensor tendon management. In: Hunter, J.M., Mackin, E.J., and Callahan, A.D., eds. Rehabilitation of the Hand: Surgery and Therapy, 4th ed. St. Louis, MO: Mosby.
Flowers, K., and LaStayo, P. (1994). Effect of total end range time on improving passive range of motion. J Hand Ther, 7(3), 150–7.
Freeland, A.E., Hardy, M.A., and Singletary, S. (2003). Rehabilitation for proximal phalangeal fractures. J Hand Ther, 16(2), 129–142.
Gelberman, R.H., et al (1981). The excursion and deformation of repaired flexors treated with protected early motion. J Hand Surg, 11A, 106–110.
Horii, E., Lin, G.T., and Cooney, W.P., et al. (1992). Comparative flexor tendon excursion after passive mobilization: an in vitro study. J Hand Surg [Am], 17A, 559–566.
Howell, J.W., Merritt, W.H., and Robinson, S.J. (2005). Immediate controlled active motion following zone 4-7 extensor tendon repair. J Hand Ther, 18(2), 182–190.
Hung, L.K., Pang, K.W., Yeung, P.L.C., Cheung, L., Wong, J.M.W., and Chan, P. (2005). Active mobilization after flexor tendon repair: comparison of results following injuries in zone 2 and other zones. J Orthop Surg, 13, 158–163.
Kleinert, H.E., Kutz, J.E., Ashbell, S., et al (1967). Primary repair of lacerated flexor tendons in no man’s land. J Bone Joint Surg, 49A, 577–578.
Lister, G.D., Kleinert, H.E., Kutz, J.E., et al (1997). Primary flexor tendon repair followed by immediate controlled mobilization. J Hand Surg [Am], 2, 441–451.
Lund, A.T. (2000). Flexor tendon rehabilitation: a basic guide. Oper Tech Plast Reconstruct Surg, 7(1), 20–24.
Maitland, G.D. (1977). Peripheral Manipulation. London: Butterworth.
Pettengill, K.M. (2005). The evolution of early mobilization of the repaired flexor tendon. J Hand Ther, 18(2), 157–168.
Savage, R. (1988). The influence of wrist position on the minimum force required for active movement of the interphalangeal joints. J Hand Surg [Br], 13, 262–268.
Schultz-Johnson, K. (2002). Static progressive splinting. J Hand Ther, 15(2), 163–178.
Smith, K.L. (1995). Wound care for the hand patient. In: Hunter, J.M., Mackin, E.J., and Callahan, A.D., eds. Rehabilitation of the Hand: Surgery and Therapy, 4th ed. St. Louis, MO: Mosby.
Sorock, G.S., Lombardi, D.A., Hauser, R.B., Eisen, E.A., Herrick, R.F., and Mittleman, M.A. (2001). A case-crossover study of occupational traumatic hand injury: methods and initial findings. Am J Ind Med, 39(2), 171–179.
Strickland, J.W. (2005). Biologic basis for hand and upper extremity splinting. In: Fess, E.E., Fettle, K.S., Philips, C.A., and Janson, J.B., Â eds. Hand and Upper Extremity Splinting: Principles and Methods. New York: Elsevier, Mosby.
Wong, J.M.W. (2002). Management of stiff hand: an occupational therapist perspective. Hand Surg, 7(2), 261–269.
World Health Organization. (2007). ICF Introduction. http://www.who.int/classifications/icf/site/index.cfm.
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Man Wah Wong, J. (2009). Splints: Mobilization, Corrective Splintage, and Pressure Therapy for the Acutely Injured Hand. In: Söderback, I. (eds) International Handbook of Occupational Therapy Interventions. Springer, New York, NY. https://doi.org/10.1007/978-0-387-75424-6_10
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DOI: https://doi.org/10.1007/978-0-387-75424-6_10
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