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Title: | Preliminary study of elastic-tension digital neoprene orthoses for proximal interphalangeal joint flexion contracture |
Author: | Punsola-Izard, V. Schultz, K.S. Ozaes-Lara, E. Mendieta-Zamora, J. Romera-Orfila, G. Carnicero, N. Llusá Pérez, Manuel Casado, Aroa |
Keywords: | Mà Tractament del dolor Traumatologia Artrosi Hand Pain treatment Traumatology Osteoarthritis |
Issue Date: | 3-Nov-2022 |
Publisher: | Elsevier B.V. |
Abstract: | Flexion contracture of the proximal interphalangeal joint (PIPJ) is one of the most frequent complications in finger trauma. Orthoses are the most widely used method to optimize total end-range time (TERT). No previous studies showed that an elastic tension orthosis could be applied for longer than 12 h. We aimed to demonstrate that the elastic-tension digital neoprene orthosis (ETDNO) can achieve higher TERT and therefore better range of motion than other elastic-tension orthoses (ETO) described in the literature. A prospective study of treatment of PIPJ flexion contracture included 10 PIP joints in 8 patients who met the selection criteria. They were instructed to use the ETDNO for around 23 h per day as far as possible, during a period of 3 weeks. Patients reported a mean TERT of 20.6 h a day. PIPJ contracture improved by a mean Torque Range of Motion (TROM) of 23.5° at 500 g and 22.9° at 800 g of passive extension force during the 3-week treatment. Based on the results of this study, the ETDNO appears to offer a highly effective approach for improving PIPJ flexion contracture, increasing range of motion in extension. ETDNO's efficacy probably lies in the significantly improved comfort and low-profile design, enabling excellent compliance and thus optimizing TERT. LEVEL OF EVIDENCE: Level III |
Note: | Versió postprint del document publicat a: https://doi.org/10.1016/j.hansur.2022.10.006 |
It is part of: | Hand Surgery & Rehabilitation, 2022 |
URI: | http://hdl.handle.net/2445/192462 |
Related resource: | https://doi.org/10.1016/j.hansur.2022.10.006 |
ISSN: | 2468-1229 |
Appears in Collections: | Articles publicats en revistes (Biologia Evolutiva, Ecologia i Ciències Ambientals) |
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