Relative active motion programs following extensor tendon repair: A pilot study using a prospective cohort and evaluating outcomes following orthotic interventions.

STUDY

DESIGN

Prospective cohort.

INTRODUCTION

The Immediate Controlled Active Motion program, used to manage extensor tendon repairs in the hand, immobilizes the wrist in an orthosis with the affected finger(s) placed in a separate yoke orthosis allowing controlled flexion.

PURPOSE: To compare our outcomes using similar programs in patients with simple extensor tendon lacerations to those previously reported. To compare our 4-week orthotic intervention to our 6-week orthotic intervention.

METHODS

18 subjects received a 4-week orthotic intervention, 45 subjects received a 6-week orthotic intervention. Range of motion was measured 4, 6 and 8 weeks post-repair, grip strength at 6 and 8 weeks, and patient-rated outcomes at baseline, 6 and 12 weeks post-repair.

RESULTS

Significant improvements in all outcomes were seen over time (p < 0.0001), with no significant differences between programs.

CONCLUSION

Outcomes were comparable with those previously published and similar between the 4-week and 6-week orthotic interventions.

LEVEL OF EVIDENCE: III.