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Finger movement function after ultrasound-guided percutaneous pulley release for trigger finger: effects of postoperative rehabilitation.
Lu, Szu-Ching; Kuo, Li-Chieh; Hsu, Hsiu-Yun; Jou, I-Ming; Sun, Yung-Nien; Su, Fong-Chin.
Afiliación
  • Lu SC; Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan; Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan.
  • Kuo LC; Department of Occupational Therapy, National Cheng Kung University, Tainan, Taiwan.
  • Hsu HY; Department of Physical Medicine and Rehabilitation, National Cheng Kung University Hospital, Tainan, Taiwan.
  • Jou IM; Department of Orthopaedics, National Cheng Kung University Hospital, Tainan, Taiwan.
  • Sun YN; Department of Computer Science and Information Engineering, National Cheng Kung University, Tainan, Taiwan.
  • Su FC; Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan; Medical Device Innovation Center, National Cheng Kung University, Tainan, Taiwan. Electronic address: fcsu@mail.ncku.edu.tw.
Arch Phys Med Rehabil ; 96(1): 91-7, 2015 Jan.
Article en En | MEDLINE | ID: mdl-25251102
OBJECTIVE: To develop and test a postoperative rehabilitation protocol for use by individuals with trigger finger undergoing ultrasound-guided percutaneous pulley release. DESIGN: Nonrandomized controlled trial. SETTING: Hospital and local community. PARTICIPANTS: Individuals suffering from trigger finger with joint contracture (N=21) were recruited and grouped into an intervention group (n=9) or a control group (n=12). INTERVENTIONS: All the participants underwent the same surgical procedure performed by the same surgeon. A 4-week postoperative rehabilitation program was designed based on the wound healing process. The intervention group received postoperative rehabilitation after the surgery, whereas the control group received no treatment after the surgery. MAIN OUTCOME MEASURES: The finger movement functions were quantitatively evaluated before and 1 month after the surgery using a 3-dimensional motion capture system. The fingertip workspace and joint range of motion (ROM) were evaluated while the participant was performing a sequential 5-posture movement, including finger extension, intrinsic plus, straight fist, full fist, and hook fist. RESULTS: The intervention group demonstrated significantly more improvements than the control group in the fingertip workspace (49% vs 17%), ROM of the distal interphalangeal (DIP) joint (16% vs 4%), ROM of the proximal interphalangeal (PIP) joint (21% vs 5%), and total active ROM (17% vs 5%). CONCLUSIONS: This pilot study evaluated a postoperative rehabilitation protocol for trigger finger and demonstrated its effects on various finger functions. Participants who underwent the rehabilitation program had significantly more improvements in the fingertip workspace, ROM of the DIP and PIP joints, and total active ROM.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Modalidades de Fisioterapia / Procedimientos Ortopédicos / Trastorno del Dedo en Gatillo / Dedos Tipo de estudio: Guideline Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Phys Med Rehabil Año: 2015 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Modalidades de Fisioterapia / Procedimientos Ortopédicos / Trastorno del Dedo en Gatillo / Dedos Tipo de estudio: Guideline Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Arch Phys Med Rehabil Año: 2015 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos