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Clinical Outcomes After Aggressive Active Early Motion and Modified Kleinert Regimens : Comparison of 2 Consecutive Cohorts

Publiceringsår

2023

Upphovspersoner

Jokinen, Kaisa; Häkkinen, Arja; Luokkala, Toni; Karjalainen, Teemu

Abstrakt

Background Modern multistrand repairs can withstand forces present in active flexion exercises, and this may improve the outcomes of flexor tendon repairs. We developed a simple home-based exercise regimen with free wrist and intrinsic minus splint aimed at facilitating the gliding of the flexor tendons and compared the outcomes with the modified Kleinert regimen used previously in the same institution. Methods We searched the hospital database to identify flexor tendon repair performed before and after the new regimen was implemented and invited all patients to participate. The primary outcome was total active range of motion, and secondary outcomes were Disabilities of Arm, Shoulder, and Hand; grip strength; globally perceived function; and the quality of life. Results The active range of motion was comparable between the groups (mean difference = 14; 95% confidence interval [CI], −8 to 36; P = .22). Disabilities of Arm, Shoulder, and Hand; grip strength; global perceived function; and health-related quality of life were also comparable between the groups. There was 1 (5.3%) rupture in the modified Kleinert group and 4 (15.4%) in the early active motion group (relative risk = 0.3; 95% CI, 0.04-2.5; P = .3). Conclusions Increasing active gliding with a free wrist and intrinsic minus splint did not improve the clinical outcomes after flexor tendon injury at a mean of 38-month follow-up.
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Organisationer och upphovspersoner

Jyväskylä universitet

Häkkinen Arja Orcid -palvelun logo

Publikationstyp

Publikationsform

Artikel

Moderpublikationens typ

Tidning

Artikelstyp

En originalartikel

Målgrupp

Vetenskaplig

Kollegialt utvärderad

Kollegialt utvärderad

UKM:s publikationstyp

A1 Originalartikel i en vetenskaplig tidskrift

Publikationskanalens uppgifter

Journal

Hand

Volym

18

Nummer

2

Sidor

335-339

Publikationsforum

84959

Publikationsforumsnivå

1

Öppen tillgång

Öppen tillgänglighet i förläggarens tjänst

Nej

Parallellsparad

Nej

Övriga uppgifter

Vetenskapsområden

Hälsovetenskap

Nyckelord

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Publiceringsland

Förenta staterna (USA)

Förlagets internationalitet

Internationell

Språk

engelska

Internationell sampublikation

Nej

Sampublikation med ett företag

Nej

DOI

10.1177/15589447211017222

Publikationen ingår i undervisnings- och kulturministeriets datainsamling

Ja