Comparison of the Clinical Effects of Different Rehabilitation Programs after Repair of the Extensor Tendon_West China Medical Journal

Authors：

 LUOLun , DONGHui , YANGYing-yue , ZHOUYun-qi , FANBing , TANGJiang-yue , SUNChang-sheng , LUOQuan

Department of Rehabilitation, Chengdu Second People's Hospital, Chengdu, Sichuan 610017, P. R. China;

Corresponding author：

Keywords：

Extensor tendon; Early; Dynamic brace; Passive activity

DOI：

10.7507/1002-0179.20140088

Video：

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Objective To compare the clinical effects of early dynamic brace passive activity program and average delay activity program after the repair of extensor tendon. Methods Seventy-eight patients undergoing repair of the extensor tendon during the period from December 2008 to October 2011 in our hospital were randomly divided into two groups.The treatment group had 36 patients who were treated with early dynamic brace passive activity program,and the other 42 patients belonged to the control group and they accepted delay activity program.TAM and FIM were used to evaluate their clinical effects six and eight weeks after surgery,respectively. Results The results of TAM and FIM of the treatment group were significantly better than those of the control group (P<0.01). Conclusion The early dynamic brace passive activity after extensor tendon injury repair can improve the clinical effect and is worth popularizing.

Citation： LUOLun, DONGHui, YANGYing-yue, ZHOUYun-qi, FANBing, TANGJiang-yue, SUNChang-sheng, LUOQuan. Comparison of the Clinical Effects of Different Rehabilitation Programs after Repair of the Extensor Tendon. West China Medical Journal, 2014, 29(2): 289-292. doi: 10.7507/1002-0179.20140088 Copy

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3.	Pettengill KM.The evolution of early mobilization of the repaired flexor tendon[J].J Hand Ther,2005,18(2):157-168.
4.	Rothkopf DM,Webb S,Szabo RM,et al.An experimental model for the study of canine flexor tendon adhesions[J].J Hand Surg Am,1991,16(4):694-700.
5.	Gelberman RH,Steinberg D,Amiel D,et al.Fibroblast chemotaxis after tendon repair[J].J Hand Surg Am,1991,16(4):686-693.
6.	汤小雨,马燕红.关节制动对肌腱形态学和力学特性的影响[J].中国康复,2008,23(2):129-130.
7.	王伟,马燕红.大鼠跟腱应力屏蔽挛缩模型的建立[J].中国康复理论与实践,2009,15(6):521-523.
8.	姜珂,魏侃,赵焕斌,等.指屈肌腱损伤早期康复治疗的临床研究[J].中国康复医学杂志,2005,20(3):215.
9.	O'Connell SJ,Moore MM,Strickland JW,et al.Results of zone Ⅰ and zone Ⅱ flexor tendon repairs in children[J].J Hand Surg Am,1994,19(1):48-52.
10.	Chai SC,Wong CW.Dynamic traction and passive mobilization for the rehabilitation of zone Ⅱ flexor tendon injuries:a modified regime[J].Med J Malaysia,2005,60(Suppl C):59-65.
11.	Gault DT.A review of repaired flexor tendons[J].J Hand Surg Br,1987,12(3):321-325.
12.	Woo SL,Debski RE,Zeminski J,et al.Injure and repair of ligaments and tendons[J].Annu Rev Biomed Eng,2000,2:83-118.
13.	Takahashi M.Micro-constructive studies of human digital flexor tendon and tendon sheath--observation by scanning electron microscope and light microscope (author's transl)[J].Nihon Seikeigeka Gakkai Zasshi,1982,56(2):133-147.
14.	Zhang J,Wang JH.Production of PGE (2) increases in tendons subjected to repetitive mechanical loading and induces differentiation of tendon stem cells into non-tenocytes[J].J Orthop Res,2010,28(2):198-203.

1. 潘达德,顾玉东,侍德,等.中华医学会手外科学会上肢部分功能评定试用标准[J].中华手外科杂志,2000,16(3):4-9.
2. 吴毅,Esselman P.功能独立性评价量表作为康复治疗前后和随访的功能评价指标[J].中华物理医学与康复杂志,2001,23(6):331-333.
3. Pettengill KM.The evolution of early mobilization of the repaired flexor tendon[J].J Hand Ther,2005,18(2):157-168.
4. Rothkopf DM,Webb S,Szabo RM,et al.An experimental model for the study of canine flexor tendon adhesions[J].J Hand Surg Am,1991,16(4):694-700.
5. Gelberman RH,Steinberg D,Amiel D,et al.Fibroblast chemotaxis after tendon repair[J].J Hand Surg Am,1991,16(4):686-693.
6. 汤小雨,马燕红.关节制动对肌腱形态学和力学特性的影响[J].中国康复,2008,23(2):129-130.
7. 王伟,马燕红.大鼠跟腱应力屏蔽挛缩模型的建立[J].中国康复理论与实践,2009,15(6):521-523.
8. 姜珂,魏侃,赵焕斌,等.指屈肌腱损伤早期康复治疗的临床研究[J].中国康复医学杂志,2005,20(3):215.
9. O'Connell SJ,Moore MM,Strickland JW,et al.Results of zone Ⅰ and zone Ⅱ flexor tendon repairs in children[J].J Hand Surg Am,1994,19(1):48-52.
10. Chai SC,Wong CW.Dynamic traction and passive mobilization for the rehabilitation of zone Ⅱ flexor tendon injuries:a modified regime[J].Med J Malaysia,2005,60(Suppl C):59-65.
11. Gault DT.A review of repaired flexor tendons[J].J Hand Surg Br,1987,12(3):321-325.
12. Woo SL,Debski RE,Zeminski J,et al.Injure and repair of ligaments and tendons[J].Annu Rev Biomed Eng,2000,2:83-118.
13. Takahashi M.Micro-constructive studies of human digital flexor tendon and tendon sheath--observation by scanning electron microscope and light microscope (author's transl)[J].Nihon Seikeigeka Gakkai Zasshi,1982,56(2):133-147.
14. Zhang J,Wang JH.Production of PGE (2) increases in tendons subjected to repetitive mechanical loading and induces differentiation of tendon stem cells into non-tenocytes[J].J Orthop Res,2010,28(2):198-203.

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West China Medical Journal

Comparison of the Clinical Effects of Different Rehabilitation Programs after Repair of the Extensor Tendon

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