Effects of Modified Dynamic Metacarpophalangeal Joint Flexion Orthoses after Hand Burn
Annals of Rehabilitation Medicine
;
: 880-886, 2011.
Article
in English
| WPRIM
| ID: wpr-62767
ABSTRACT
OBJECTIVE:
To assess the effectiveness of modified dynamic metacarpophalangeal joint flexion orthoses for treatment of post-burn hand contractures.METHOD:
We enrolled 42 hand burn patients with limited range of motion at the metacarpophalangeal joints in this study. The patients were randomly assigned into either a control or an orthotic group. Both groups received the standard rehabilitation therapy focused on hand therapy; 21 subjects in the orthotic group wore a splint for 3 hours per day for 8 weeks. Hand function was measured by active range of motion, grip strength and other assessment tools. All parameters were estimated using the Mann-Whitney U test at the beginning and the end of the treatment after 8 weeks.RESULTS:
The 21 subjects that had an orthotic intervention showed significant improvement in the range of motion at 2nd, 3rd, 4th and 5th metacarpophalangeal joints (p0.05). There was a significant difference in the hand function scales between the 2 groups (p<0.05).CONCLUSION:
The modified dynamic metacarpophalangeal joint flexion orthoses provide continuous flexion to metacarpophalangeal joint that is needed for the restoration of range of motion in post-burn hand contractures. For the clinical application of hand orthoses in patients with hand disorders, additional research into its affects are required.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orthotic Devices
/
Splints
/
Weights and Measures
/
Burns
/
Hand Deformities
/
Range of Motion, Articular
/
Hand Strength
/
Contracture
/
Hand
/
Metacarpophalangeal Joint
Limits:
Humans
Language:
English
Journal:
Annals of Rehabilitation Medicine
Year:
2011
Type:
Article
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