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A novel splint for proximal interphalangeal joint contractures: A case report

Wollstein, R and Rodgers, J and Ogden, T and Loeffler, J and Pearlman, J (2012) A novel splint for proximal interphalangeal joint contractures: A case report. Archives of Physical Medicine and Rehabilitation, 93 (10). 1856 - 1859. ISSN 0003-9993

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Abstract

Wollstein R, Rodgers J, Ogden T, Loeffler J, Pearlman J. A novel splint for proximal interphalangeal joint contractures: a case report. Proximal interphalangeal (PIP) joint contractures are notoriously difficult to treat. Best results are obtained with early mobilization and splinting, though a high level of adherence is critical for a good outcome. A new roll-on splint that aims to increase motion with minimal difficulty was used. The patient described here with moderate PIP joint contractures (30°-60°) was treated successfully using this splint. The splint design and therapy protocol are described. The patient was treated for 12 weeks with good adherence to therapy and splinting. Total active motion increased by 87% in the index finger and 108% in the ring finger. Grip, pinch, and tip-pinch strengths increased. The Disabilities of the Arm, Shoulder and Hand score improved from 26.7% to 2.5%. At 3 months, the patient returned to work. Though this case illustrates some of the advantages and disadvantages of the new splint, further study is necessary to evaluate the splint and compare it with other existing forms of treatment for PIP joint contractures. © 2012 American Congress of Rehabilitation Medicine.


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Details

Item Type: Article
Status: Published
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Wollstein, R
Rodgers, J
Ogden, T
Loeffler, J
Pearlman, Jjpearlman@pitt.eduJLP460000-0003-0830-9136
Centers: Other Centers, Institutes, or Units > Human Engineering Research Laboratories
Date: 1 October 2012
Date Type: Publication
Journal or Publication Title: Archives of Physical Medicine and Rehabilitation
Volume: 93
Number: 10
Page Range: 1856 - 1859
DOI or Unique Handle: 10.1016/j.apmr.2012.03.028
Schools and Programs: School of Health and Rehabilitation Sciences > Rehabilitation Science and Technology
Refereed: Yes
ISSN: 0003-9993
PubMed ID: 22484101
Date Deposited: 05 Oct 2012 16:04
Last Modified: 02 Feb 2019 16:58
URI: http://d-scholarship.pitt.edu/id/eprint/15655

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