scholarly journals Effects of Early Active Motion versus Early Passive Motion on Functional Recovery after Surgical Repair of Zone-II Flexor Digitorum Tendon: An Assessor-Blinded Randomized Control Trial

2020 ◽  
Vol 82 ◽  
Author(s):  
JUN. WANG ◽  
ZHENG FENG. LIU ◽  
LEI. QIAN ◽  
WEI. CHEN ◽  
DONG. YANG ◽  
...  
Keyword(s):  
Functional Recovery ◽  
Randomized Control Trial ◽  
Surgical Repair ◽  
Active Motion ◽  
Passive Motion ◽  
Zone Ii ◽  
Randomized Control ◽  
Early Passive ◽  
Flexor Digitorum ◽  
Motion Versus

Strength and Functional Recovery Following Repair of Flexor Digitorum Superficialis in Zone 2

1993 ◽  
Vol 18 (1) ◽  
pp. 22-25 ◽  
Author(s):  
H. J. BOULAS ◽  
J. W. STRICKLAND
Keyword(s):  
Grip Strength ◽  
Functional Recovery ◽  
Suture Material ◽  
Flexor Digitorum Superficialis ◽  
Mattress Suture ◽  
Active Motion ◽  
Fresh Frozen ◽  
Flexor Digitorum

A two-pronged study was designed to evaluate the strength in vitro and functional recovery in vivo of FDS repairs in zone 2. In part I, horizontal mattress or Tajima grasping repairs were performed on fresh-frozen cadaveric digits, using 3/0 or 4/0 braided nylon suture material. The Tajima repair was significantly stronger than the mattress suture, using either 3/0 ( P = 0.0001) or 4/0 ( P = 0.0027) suture material. The 3/0 Tajima repair appeared strong enough to permit gentle early active motion. Furthermore, the clinical portion of the study (part II) demonstrated restoration of FDS function following repair in relatively isolated injuries in 13 out of 15 digits (86.7%), with PIP flexion averaging 80° and grip strength 89% of that in the uninjured hand.

scholarly journals The Use of NeuroAiD (MLC601) in Postischemic Stroke Patients

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Jose C. Navarro ◽  
Mark C. Molina ◽  
Alejandro C. Baroque II ◽  
Johnny K. Lokin
Keyword(s):  
Functional Recovery ◽  
Randomized Control Trial ◽  
Retrospective Cohort ◽  
Data Bank ◽  
Modified Rankin Scale ◽  
Stroke Patients ◽  
Open Label ◽  
Large Randomized Control Trial ◽  
Randomized Control ◽  
Stroke Data Bank

Aim. We aimed to assess the efficacy of MLC601 on functional recovery in patients given MLC601 after an ischemic stroke.Methods. This is a retrospective cohort study comparing poststroke patients given open-label MLC601 (; 9 female) for three months and matching patients who did not receive MLC601 from our Stroke Data Bank. Outcome assessed was modified Rankin Scale (mRS) at three months and analyzed according to: (1) achieving a score of 0-2, (2) achieving a score of 0-1, and (3) mean change in scores from baseline.Results. At three months, 21 patients on MLC601 became independent as compared to 17 patients not on MLC601 (OR 1.79; 95% CI 0.62–5.2; ). There were twice as many patients () on MLC601 who attained mRS scores similar to their prestroke state than in the non-MLC601 group () (OR 3.14; 95% CI 1.1–9.27; ). Mean improvement in mRS from baseline was better in the MLC601 group than in the non-MLC601 group (−1.7 versus −0.9; mean difference −0.73; 95% CI −1.09 to −0.38; ).Conclusion. MLC601 improves functional recovery at 3 months postischemic stroke. An ongoing large randomized control trial of MLC601 will help validate these results.

Zone II Flexor Tendon Therapy: Mobilize or Immobilize?

1989 ◽  
Vol 56 (1) ◽  
pp. 15-20
Author(s):  
Robin Shear ◽  
Jane Bear-Lehman
Keyword(s):  
Current Practice ◽  
Flexor Tendon ◽  
Postoperative Management ◽  
Patient Specific ◽  
Management Approach ◽  
Active Motion ◽  
Passive Motion ◽  
Pip Joint ◽  
Zone Ii ◽  
Management Approaches

This study investigated the postoperative management approaches used in the treatment of flexor tendon repairs in Zone II of the hand. The therapists and the hand surgeons who treat patients with acute hand injuries in the Metropolitan Toronto area were surveyed to detect their current practice trends and preferences in flexor tendon postoperative management. The survey focused on the following four protocols: 1. immobilization for at least three weeks, 2. the Kleinert program of controlled active motion, 3. the Duran program of controlled passive motion, and 4. combination of controlled active and passive motion. Although the results suggested that mobilization is the preferred postoperative management amongst the majority of responding therapists and hand surgeons, the type of mobilization program preferred differed. The therapists demonstrated a trend towards a combination of early controlled active and passive motion; whereas, the trend amongst the surgeons was that of early controlled active motion. The decision to use one specific management approach over another was found to be very “patient specific”. As well, a wide variation on the preferences given for the splinting positions at the wrist, metacarpalphalangeal (MCP) joint, and the proximal interphalangeal (PIP) joint was noted.

scholarly journals Outcomes of 200 digital flexor tendon repairs using updated protocols and 30 repairs using an old protocol: experience over 7 years

2019 ◽  
Vol 45 (1) ◽  
pp. 56-63 ◽  
Author(s):  
Zhang Jun Pan ◽  
Lei Pan ◽  
Yun Fei Xu ◽  
Tao Ma ◽  
Lei Hui Yao
Keyword(s):  
Flexor Tendon ◽  
Tendon Injuries ◽  
Flexor Digitorum Profundus ◽  
Flexor Pollicis Longus ◽  
Active Motion ◽  
Passive Motion ◽  
Motion Exercise ◽  
End To End ◽  
Flexor Digitorum ◽  
Flexor Digitorum Profundus Tendon

We reviewed outcomes of 230 flexor tendon repairs in 27 thumbs and 203 fingers in Zone 1 and 2 over 7 years. In 2013, we used a 2-strand modified Kessler method followed by passive motion exercise in repairing flexor digitorum profundus tendon injuries in Zone 2 in 30 fingers; 24 fingers were followed, five (26%) had repair ruptures. Between 2014 and 2017, we used a 4- or 6-strand method to repair 111 flexor digitorum profundus tendons in Zone 2, followed by true early active motion. Two had repair ruptures. Among 101 fingers followed over 6 months, two fingers had tenolysis and 87 (87%) good or excellent outcomes. In 2018 to 2019, we used a 6-strand method to repair 42 flexor digitorum profundus tendons in Zone 2 with out-of-splint early active motion. None had repair ruptures or tenolysis. From 2014 to 2019, 27 flexor pollicis longus tendons were repaired in Zone 1 or 2, and 20 fingers had end-to-end flexor digitorum profundus repairs in Zone 1; none had repair ruptures or tenolysis. We conclude that a strong repair and true active motion are necessary for best outcomes of flexor tendon repairs in the thumb and fingers, and out-of-splint true active motion is safe.

scholarly journals Multistrand Tendon Repairs With Early Active Motion Versus 2-Strand Repairs With Passive Motion

Hand ◽  
2016 ◽  
Vol 11 (1_suppl) ◽  
pp. 100S-100S
Author(s):  
Zhang Jun Pan ◽  
Yun Fei Xu ◽  
Lei Pan ◽  
Jing Chen ◽  
Jin Bo Tang
Keyword(s):  
Active Motion ◽  
Passive Motion ◽  
Motion Versus
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