A Comparative Case Study of Palmar Static and Dorsal BlockDynamic Digit Extension Splinting with Post Operative Dupuytren’s Contracture Release

• 영문명: A Comparative Case Study of Palmar Static and Dorsal BlockDynamic Digit Extension Splinting with Post Operative Dupuytren’s Contracture Release
• 발행기관: 대한작업치료학회
• 저자명: Mary Son Pesco
• 간행물 정보: 『대한작업치료학회지』제10권 제2호, 187~198쪽, 전체 12쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2002.10.31

영문 초록

Objective: This study compares the effectiveness of palmar static digit extension splinting with dorsal block dynamic digit extension splinting on preventing postoperative secondary joint flexion contracture of metacarpophalangeal joints and proximal interphalangeal joints. Method: Six patients with Dupuytren’s Disease were randomly selected for this study and divided equally into two groups. Group A was fitted with the palmar splint and Group B with the dorsal splint. Both groups were fitted with the experimental splints at the end of their first initial evaluation session. All patients received six months of comprehensive hand therapy. Patients were also assigned a program of independent daily home exercise. Objective measurements of at the initial evaluation and during the 12th and 24th week of hand therapy. Results: This study found significantly greater improvement of ROM from using the dorsal block dynamic digit extension splint than with the palmar static digit extension splint when combined with comprehensive hand therapy.

목차

INSTRODUCTION

METHOD

RESULTS

DISCUSSION

CONCLUSION

REFERENCES

키워드

Dupuytren’s disease Prevention of flexion contracture of MP PIP joints Palmar static digit extension splinting Dorsal block dynamic digit extension splinting Open palm total fasciectomy Comprehensive hand therapy