Article

Proximal interphalangeal (PIP) joint contractures are notoriously difficult to
treat. Best results are obtained with early mobilization and splinting, though a
high level of adherence is critical for a good outcome.
A new roll-on splint that
aims to increase motion with minimal difficulty was used.
The patient described
here with moderate PIP joint contractures (30 degrees -60 degrees ) was treated
successfully using this splint. The splint design and therapy protocol are
described. The patient was treated for 12 weeks with good adherence to therapy
and splinting. Total active motion increased by 87% in the index finger and 108%
in the ring finger. Grip, pinch, and tip-pinch strengths increased. The
Disabilities of the Arm, Shoulder and Hand score improved from 26.7% to 2.5%. At
3 months, the patient returned to work. Though this case illustrates some of the
advantages and disadvantages of the new splint, further study is necessary to
evaluate the splint and compare it with other existing forms of treatment for PIP
joint contractures.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS