Table 3.
Author (year) treatment | Total cohort of DD patients (hands) | Number of patients (hands) with early DD | Study type | Level of evidence (OCEBM) Prospective (P) Retrospective (R) Not stated (N) | Outcome measure | Results | Recurrence | Adverse events | ||
---|---|---|---|---|---|---|---|---|---|---|
Improved | No change | Deteriorated | ||||||||
Markham (1980) [40], Ultrasound | 8 (9 hands) | 3 (4 hands) | Case series | 4 (P) | Digital joint extension in degrees (n = 4) | 2 | (2 had no extension deficit at baseline) | 0 | None | Not reported |
Clinical observation (n = 2) | 1 patient (2 hands) | |||||||||
Hand span (n = 4) | 2 | 2 | ||||||||
Grip strength (n = 4) | 4 | |||||||||
Ball (2002) [41], Splinting | 6 (7 hands) | 5 (6 hands) | Case series | 4 (P) | Active digital joint extension in degrees | 4 patients (5 hands) | 1 patient (1 hand) | 0 | None at 2 years | Not reported |
Larocerie-Salgado, (2012) [42], Splinting | 13 (13 hands) | 2 | Case series | 4 (P) | Digital joint extension in degrees | 2 patients | 0 | 0 | Not reported | Not reported |
Christie (2012) [43], Frictional massage, (Treatment hand) | 1 (2 hands) | 1 (2 hands) | Case study | 5 (P) | Active digital joint extension in degrees | 1 hand (2 digits) | 0 | 0 | Not reported | Not reported |
(Control hand) | 0 | 0 | 1 hand (2 digits) | |||||||
Onat (2013) [44], Heat, splinting, stretching | 3 | 2 | Case series | 5 (N) | Degrees of digital motion | 2 | 0 | 0 | Not reported | Not reported |
Summary of results of physical therapy treatment for each study, including the number of patients with Dupuytren’s disease in the total cohort in each study, the number of patients with early disease within the total cohort, study type and design, and level of evidence according to the Oxford Centre for Evidence Based Medicine (OCEBM) criteria, the outcome measure used and results. The number of hands (in brackets) is stated when available, with recurrence and adverse events where stated