Effects of Modified Dynamic Metacarpophalangeal Joint Flexion Orthoses after Hand Burn.
10.5535/arm.2011.35.6.880
- Author:
Ji Soo CHOI
1
;
Jeong Hyeon MUN
;
Ju Youn LEE
;
Jong Hyun JEON
;
Yun Jae JUNG
;
Cheong Hoon SEO
;
Ki Un JANG
Author Information
1. Department of Physical Medicine and Rehabilitation, Hallym University College of Medicine, Seoul 150-719, Korea. jangkiun@hanmail.net
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Hand deformities;
Acquired;
Orthotic devices;
Rehabilitation;
Burns
- MeSH:
Burns;
Contracture;
Hand;
Hand Deformities;
Hand Strength;
Humans;
Metacarpophalangeal Joint;
Orthotic Devices;
Range of Motion, Articular;
Splints;
Weights and Measures
- From:Annals of Rehabilitation Medicine
2011;35(6):880-886
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To assess the effectiveness of modified dynamic metacarpophalangeal joint flexion orthoses for treatment of post-burn hand contractures. METHOD: We enrolled 42 hand burn patients with limited range of motion at the metacarpophalangeal joints in this study. The patients were randomly assigned into either a control or an orthotic group. Both groups received the standard rehabilitation therapy focused on hand therapy; 21 subjects in the orthotic group wore a splint for 3 hours per day for 8 weeks. Hand function was measured by active range of motion, grip strength and other assessment tools. All parameters were estimated using the Mann-Whitney U test at the beginning and the end of the treatment after 8 weeks. RESULTS: The 21 subjects that had an orthotic intervention showed significant improvement in the range of motion at 2nd, 3rd, 4th and 5th metacarpophalangeal joints (p<0.05). However, the grip strength was not significantly increased after the 8 weeks of treatment compared to control group (p>0.05). There was a significant difference in the hand function scales between the 2 groups (p<0.05). CONCLUSION: The modified dynamic metacarpophalangeal joint flexion orthoses provide continuous flexion to metacarpophalangeal joint that is needed for the restoration of range of motion in post-burn hand contractures. For the clinical application of hand orthoses in patients with hand disorders, additional research into its affects are required.
