Rehabilitation of flexor and extensor tendon injuries in the hand: Current updates
Rehabilitation of flexor and extensor tendon injuries in the hand: Current updates
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DOI：
10.1016/j.injury.2013.01.022
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发表时间：
2013-03-01
影响因子：
2.5
通讯作者：
Peck, Fiona
中科院分区：
文献类型：
--
作者：
Howell, Julianne W.;Peck, Fiona
近年来，手部肌腱损伤领域的大量研究促进了手术和康复技术的进步。早期运动的引入改善了肌腱愈合，减少了并发症，并提高了最终结果。有大量证据表明，精心设计的康复计划对于实现良好的结果至关重要。无论屈肌或伸肌损伤的类型或程度如何，外科医生和治疗师的最终目标都是保护修复、改变腱周粘连、促进最佳肌腱偏移并保持关节运动。早期肌腱运动方案在手术时或修复后 5 天内开始。从外科医生到治疗师的术中信息对于选择夹板保护位置以减少修复断裂/间隙力以及开始主动或夹板控制肌腱偏移运动至关重要。决策应与愈合阶段、临床医生的观察、频繁的运动范围测量和患者的输入保持一致。与早期运动康复决策相关的临床概念是通过愈合早期阶段屈肌腱和伸肌腱的损伤区域来呈现的。 (C) 2013 年，爱思唯尔有限公司出版。
In recent years, a significant amount of research in the field of tendon injury in the hand has contributed to advances in both surgical and rehabilitation techniques. The introduction of early motion has improved tendon healing, reduced complications, and enhanced final outcomes. There is overwhelming evidence to show that carefully devised rehabilitation programs are critical to achieving favourable outcomes. Whatever the type, or level, of flexor or extensor injury, the ultimate goal of both the surgeon and therapist is to protect the repair, modify peritendinous adhesions, promote optimal tendon excursion and preserve joint motion. Early tendon motion regimens are initiated at surgery or within 5 days post repair. Intra-operative information from the surgeon to the therapist is vital to the choice of splint protected position to reduce repair rupture/gap forces, and to commencement of active, or splint controlled, motion for tendon excursion. Decisions should align with the phases of healing, the clinician's observations, frequent range of motion measurements and patient input. Clinical concepts pertinent to early motion rehabilitation decisions are presented by zone of injury for both flexor and extensor tendons during the early phases of healing. (C) 2013 Published by Elsevier Ltd.