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  • 标题:Clinical response of dynamic splint using functional scales for the extension contracture of the metacarpophalangeal joint
  • 本地全文:下载
  • 作者:Jun Nakayama ; Mituru Horiki ; Kakuro Denno
  • 期刊名称:Asian Journal of Occupational Therapy
  • 印刷版ISSN:1347-3476
  • 电子版ISSN:1347-3484
  • 出版年度:2016
  • 卷号:12
  • 期号:1
  • 页码:85-91
  • DOI:10.11596/asiajot.12.85
  • 语种:English
  • 出版社:Japanese Association of Occupational Therapists
  • 摘要:

    Collateral ligament shortening causes extension contractures of the metacarpophalangeal (MCP) joint, and dynamic flexion splinting (DFS) has been widely used to treat these contractures; however, there are various problems with these approaches. We developed a novel, pneumatic-type dynamic traction and flexion (DTF) splint to solve these problems. Twenty-one patients were treated with either the DTF or DFS for 8 weeks. Every 2 weeks, the average MCP joint flexion angle, total active motion (TAM), grasp strength, and pain scores were assessed. The flexion angle, in the DTF, was significantly greater than that in the DFS, starting after 6 weeks of treatment ( p < 0.05). Similarly, the TAM results were significantly better following DTF treatment. Compared to treatment with DFS, our results showed that DTF treatment promoted earlier recovery of joint flexion angle and whole finger function in patients.

  • 关键词:extension contracture;dynamic splint;MCP joint
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