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

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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

1.	潘達德,顧玉東,侍德,等.中華醫學會手外科學會上肢部分功能評定試用標準[J].中華手外科雜志,2000,16(3):4-9.
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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.	湯小雨,馬燕紅.關節制動對肌腱形態學和力學特性的影響[J].中國康復,2008,23(2):129-130.
7.	王偉,馬燕紅.大鼠跟腱應力屏蔽攣縮模型的建立[J].中國康復理論與實踐,2009,15(6):521-523.
8.	姜珂,魏侃,趙煥斌,等.指屈肌腱損傷早期康復治療的臨床研究[J].中國康復醫學雜志,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. 潘達德,顧玉東,侍德,等.中華醫學會手外科學會上肢部分功能評定試用標準[J].中華手外科雜志,2000,16(3):4-9.
2. 吳毅,Esselman P.功能獨立性評價量表作為康復治療前后和隨訪的功能評價指標[J].中華物理醫學與康復雜志,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. 湯小雨,馬燕紅.關節制動對肌腱形態學和力學特性的影響[J].中國康復,2008,23(2):129-130.
7. 王偉,馬燕紅.大鼠跟腱應力屏蔽攣縮模型的建立[J].中國康復理論與實踐,2009,15(6):521-523.
8. 姜珂,魏侃,趙煥斌,等.指屈肌腱損傷早期康復治療的臨床研究[J].中國康復醫學雜志,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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Comparison of the Clinical Effects of Different Rehabilitation Programs after Repair of the Extensor Tendon

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