scholarly journals Influence of Pulsed Magnetic Field Therapy on Hand Function Post Flexor Tendon Repair: A Randomized Controlled Trial

2021 ◽  
Author(s):  
Rania Reda Mohamed ◽  
Hamada Hamada ◽  
Eman M. Othman ◽  
Abdullah M. Al-Shenqiti ◽  
Noha Elserty
Keyword(s):  
Grip Strength ◽  
Flexor Tendon ◽  
Hand Function ◽  
Tendon Repair ◽  
Flexor Tendon Repair ◽  
Pinch Grip ◽  
Hand Grip ◽  
Magnetic Field Therapy ◽  
Significant Difference ◽  
Field Therapy

IntroductionPurpose: The study was conducted to investigate the influence of pulsed magnetic field therapy on hand function, grip and pinch grip strength in post flexor tendon repair patients.Material and methodsMethods: Fifty male patients with flexor tendon repair took part in this research, with ages ranging from 25 to 50 years. They were assigned randomly into two groups: Group A (experimental) received pulsed magnetic therapy together with exercise, whereas Group B (control) received only exercise. Evaluation of hand grip strength with Jamar hydraulic hand dynamometer, pinch strength with Baseline pinch gauge and hand function with Michigan Hand Outcomes Questionnaire, all measurements were made before and after the treatment. They were received 16 sessions for 8 weeks (2 sessions/week).ResultsResults: 2 x2 mixed design MANOVA revealed that no significant difference between both groups pre- treatment and post treatment in MHOQ total, function, aesthetic (p>0.05) and in hand grip strength while there was a significant difference across groups after treatment in the strength of pinch grip, MHOQ ADL, pain and satisfaction p <0.05), there was also a significant difference between pre- and post-treatment within groups in all outcome measures. (p <0.05).ConclusionsConclusion: PMF increases the efficiency of physical therapy treatment and it also increases the strength of both hand grip and pinches grip in patients after flexor tendon repair in zone II.

Simplifying four-strand flexor tendon repair using double-stranded suture: a comparative ex vivo study on tensile strength and bulking

2012 ◽  
Vol 37 (2) ◽  
pp. 101-108 ◽  
Author(s):  
T. H. Low ◽  
T. S. Ahmad ◽  
E. S. Ng
Keyword(s):  
Tensile Strength ◽  
Flexor Tendon ◽  
Ex Vivo ◽  
Tendon Repair ◽  
Flexor Digitorum Profundus ◽  
Flexor Tendon Repair ◽  
Significant Difference ◽  
Load To Failure ◽  
Fresh Frozen ◽  
Flexor Digitorum

We have compared a simple four-strand flexor tendon repair, the single cross-stitch locked repair using a double-stranded suture (dsSCL) against two other four-strand repairs: the Pennington modified Kessler with double-stranded suture (dsPMK); and the cruciate cross-stitch locked repair with single-stranded suture (Modified Sandow). Thirty fresh frozen cadaveric flexor digitorum profundus tendons were transected and repaired with one of the core repair techniques using identical suture material and reinforced with identical peripheral sutures. Bulking at the repair site and tendon–suture junctions was measured. The tendons were subjected to linear load-to-failure testing. Results showed no significant difference in ultimate tensile strength between the Modified Sandow (36.8 N) and dsSCL (32.6 N) whereas the dsPMK was significantly weaker (26.8 N). There were no significant differences in 2 mm gap force, stiffness or bulk between the three repairs. We concluded that the simpler dsSCL repair is comparable to the modified Sandow repair in tensile strength, stiffness and bulking.

A comparative analysis of the outcome of flexor tendon repair in the index and little fingers: does the little finger fare worse?

2011 ◽  
Vol 37 (1) ◽  
pp. 20-26 ◽  
Author(s):  
K. S. Orkar ◽  
C. Watts ◽  
F. C. Iwuagwu
Keyword(s):  
Flexor Tendon ◽  
Index Finger ◽  
Tendon Repair ◽  
Flexion Contracture ◽  
Hand Therapy ◽  
Flexor Tendon Repair ◽  
Single Digit ◽  
Significant Difference ◽  
Little Finger

The clinical and hand therapy notes of 180 patients who had single digit flexor tendon repairs in zones I and II from January 2000 to December 2004 were reviewed. Data from 60 index and 108 little fingers at 5 weeks, 8 weeks and 12 weeks follow-up visits were included. In zone I injuries, there was a statistically significant difference in flexion contracture (worse in the little fingers ) at all follow-up points. Although the range of motion and percentage of patients in the excellent category of the Strickland and Glogovac criteria were greater in the index finger group than the little finger for zone I and II injuries, these differences were not statistically significant. The rupture rate was also higher in the little finger group.

Flexor Tendon Repair in Zone 2C

1994 ◽  
Vol 19 (1) ◽  
pp. 72-75 ◽  
Author(s):  
J. B. TANG
Keyword(s):  
Clinical Study ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Prospective Clinical Study ◽  
Flexor Tendon Repair ◽  
Significant Difference ◽  
A2 Pulley ◽  
No Man's Land ◽  
End Results

A randomized prospective clinical study was carried out in 33 patients (37 lingers) with lacerations of both FDS and FDP tendons in the area covered by the A2 pulley, that is, zone 2C in Tang’s subdivision of no man’s land. Both lacerated tendons were repaired in 19 fingers and repair of only FDP with regional excision of FDS were performed in 18 fingers. Follow-up of average 12 months revealed that there was no significant difference in the end results evaluated according to the TAM system. The average TAM was 204° in the fingers with suture of FDP only and 187° in those with suture of both tendons. The fingers with suture of both tendons showed a higher rate of re-operation due to adhesions or rupture of repair. This study suggests that it is better to repair only FDP with regional excision of FDS when both tendons are injured in zone 2C.

Effects of Motor Imagery on Hand Function During Immobilization After Flexor Tendon Repair

2009 ◽  
Vol 90 (4) ◽  
pp. 553-559 ◽  
Author(s):  
Martin W. Stenekes ◽  
Jan H. Geertzen ◽  
Jean-Philippe A. Nicolai ◽  
Bauke M. De Jong ◽  
Theo Mulder
Keyword(s):  
Motor Imagery ◽  
Flexor Tendon ◽  
Hand Function ◽  
Tendon Repair ◽  
Flexor Tendon Repair

Autonomous Patient-Controlled Mobilization Protocol After Flexor Tendon Repair: A Case Series

Hand ◽  
2020 ◽  
pp. 155894472096496
Author(s):  
Bárbara Gómez ◽  
María Rodríguez ◽  
Luis García
Keyword(s):  
Range Of Motion ◽  
Grip Strength ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Case Series ◽  
Flexor Tendon Repair ◽  
Active Motion ◽  
Early Return ◽  
The Mean

Background: Despite many publications on rehabilitation after repair of flexor tendon injuries of the hand, there is no consensus as to which method is superior. It is clear that nonadherence to postoperative therapy adversely affects the outcome after flexor tendon surgery. In the context of a developing country, the most important factor associated with poor outcome is late onset of rehabilitation therapy. An autonomous rehabilitation program is proposed, with the use of a low-cost splint and based on an online illustrative video with the expectation to improve adherence and patient compliance, thus ensuring satisfactory outcome. Methods: Twenty-two consecutive digits of 14 patients after flexor tendon repair in zone II were included. Autonomous early passive mobilization physical therapy and splinting started shortly after surgery, supported by an online available video depicting prescribed exercises; follow-up was continued until postoperative week 20. Patients were evaluated regarding range of motion, grip strength, and the Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) disability scale. Results: Range of motion after 20 weeks according to the scoring system of the American Society of Surgery of Hand was excellent in 4, good in 11, and fair in 4 fingers. The mean total active motion score was 86% (95% confidence interval, 78%-93%). The mean grip strength at final follow-up was 86% of the contralateral hand. The mean QuickDASH score was 12.5 (2.3-31.8). Conclusion: This protocol achieves good results in range of motion and early return of function of the hand. We propose this simple, nonexpensive method to developing countries with less than optimal availability of health care.

Reduction of Grip Strength, Finger Flexion Pressure, Finger Pinch Pressure and Key Pinch Following Flexor Tendon Repair

1987 ◽  
Vol 12 (2) ◽  
pp. 182-184
Author(s):  
D. T. GAULT
Keyword(s):  
Grip Strength ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Flexor Pollicis Longus ◽  
Flexor Tendon Repair ◽  
Flexor Tendons ◽  
Finger Flexion

67 patients with 176 repaired flexor tendons have been reviewed after a mean follow-up interval of 26.4 months. After repair, mean grip strength was 74.5%, mean finger flexion pressure 76.8% and mean finger pinch pressure 74.7% of that of the opposite uninjured hand or digit. For 16 patients with repaired flexor pollicis longus tendons, mean key pinch was 78.7%. Grip strength was reduced after injury to tendons alone, but was especially reduced when there was concomitant damage to the median or ulnar nerves.

The Effects of a Shortened Postoperative Mobilization Programme after Flexor Tendon Repair in Zone 2

1996 ◽  
Vol 21 (1) ◽  
pp. 67-71 ◽  
Author(s):  
L. ADOLFSSON ◽  
G. SÖDERBERG ◽  
M. LARSSON ◽  
L-E. KARLANDER
Keyword(s):  
Grip Strength ◽  
Flexor Tendon ◽  
Tendon Repair ◽  
Functional Results ◽  
Subjective Assessment ◽  
Flexor Tendon Repair ◽  
Full Activity ◽  
Increased Risk ◽  
Risk Of Rupture ◽  
Absence From Work

The effects of a shortened post-operative mobilization programme following flexor tendon repair in zone 2 in the hand were examined in a prospective, randomized study. 91 digits in 82 patients were included in the study. All injured tendons were repaired within 24 hours and all patients were subjected to the same mobilization programme during the first 6 weeks using a passive flexionactive extension régime. After 6 weeks the patients were randomized into two groups; in group A full activity was allowed after 8 weeks while in group B unrestricted use of the injured hand was not allowed until 10 weeks after the tendon repair. Functional results were compared using the Louisville, Tsuge and Buck-Gramcko assessment systems. Grip-strength was measured 16 weeks after repair, subjective assessment of hand function was recorded on a visual analogue scale, and absence from work was registered. No significant differences were observed between the groups regarding functional results, rupture rates, grip strength or subjective assessment, but absence from work was reduced by 2.1 weeks with the shorter mobilization programme. Using the described régime, full activity can be encouraged 8 weeks after flexor tendon repair in zone 2 of the hand without adverse effects on functional results or increased risk of rupture of the repair.

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