| Splint |
Dorsal extension block splint. Wrist 20 to 30° flexion, MCP 60° flexion, IP neutral |
Wrist neutral, MCP 20° flexion, IP neutral |
|
Ceasing splint |
|
| Metal fixation |
External fixation |
Internal fixation replacement |
Pulsed ultrasound |
|
Tendon gliding |
| Every-other-day supervised physiotherapy |
Passive flexion and restricted active extension of fingers in splint |
Pulsed ultrasound |
|
|
|
| |
Compressive bandage in splint |
Ceasing bandage |
Tendon gliding |
|
Scar tissue mobilization |
| |
Tendon gliding |
Tendon gliding |
Scar tissue mobilization |
|
Silicone sheet |
| |
Scar tissue mobilization |
Scar tissue mobilization |
Silicone sheet |
|
Isometric finger flexion |
| |
Silicone sheet |
Silicone sheet |
Isometric finger flexion |
|
HVPGS |
| Home exercise programme |
Passive flexion and active extension of fingers in splint |
Active finger flexion and extension in splint |
Tenodesis exercises |
|
|
| |
Scar tissue massage (every 2h daily) |
Scar tissue massage (every 3h daily) |
Isometric finger flexion |
|
|
| |
|
|
Tendon gliding Scar tissue massage Grasping sponge (2 times daily) |
|
|
| MCP: Metacarpophalangeal joints; IP: Interphalangeal joints; HVPGS: High voltage pulsed galvanic current, applied in patients without internal fixation. |
