Comparing three postoperative treatment protocols for extensor tendon repair in zones V and VI of the hand / Barbara HALL in American Journal of Occupational Therapy, Vol. 64/5 (septembre-octobre 2010)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 64/5 (septembre-octobre 2010) . - p. 682-688 Titre : Comparing three postoperative treatment protocols for extensor tendon repair in zones V and VI of the hand Type de document : texte imprimé Auteurs : Barbara HALL ; Hoe LEE ; Rohan PAGE Année de publication : 2010 Article en page(s) : p. 682-688 Langues : Anglais (eng) Mots-clés : Tendon  Doigt  Contention  Articulation  Pathologie Résumé : Objectives This pilot study compared the effectiveness of 3 postoperative rehabilitation protocols for patients with Zones V and VI extensor tendon lacerations. Method Twenty-seven patients were recruited from 3 sites and randomly assigned to 1 of 3 established treatment protocols: immobilization, early passive motion (EPM), and early active motion (EAM). Outcome measures were collected at 3, 6, and 12 wk after treatment and included total active motion (TAM). Results At the end of Week 12, data on 24 injured digits of 18 patients were available for analysis. When data at Weeks 3, 6, and 12 were compared, patients in all groups showed steady improvement in TAM, but digits under the EAM treatment improved to a greater extent over time (F[2, 46] 5 75.6, p <.001). Conclusion Patients with Zones V and VI extensor tendon injuries treated with the EAM protocol recovered range of motion more rapidly. Permalink : ./index.php?lvl=notice_display&id=14019 [article] Comparing three postoperative treatment protocols for extensor tendon repair in zones V and VI of the hand [texte imprimé] / Barbara HALL ; Hoe LEE ; Rohan PAGE . - 2010 . - p. 682-688. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 64/5 (septembre-octobre 2010) . - p. 682-688 Mots-clés : Tendon  Doigt  Contention  Articulation  Pathologie Résumé : Objectives This pilot study compared the effectiveness of 3 postoperative rehabilitation protocols for patients with Zones V and VI extensor tendon lacerations. Method Twenty-seven patients were recruited from 3 sites and randomly assigned to 1 of 3 established treatment protocols: immobilization, early passive motion (EPM), and early active motion (EAM). Outcome measures were collected at 3, 6, and 12 wk after treatment and included total active motion (TAM). Results At the end of Week 12, data on 24 injured digits of 18 patients were available for analysis. When data at Weeks 3, 6, and 12 were compared, patients in all groups showed steady improvement in TAM, but digits under the EAM treatment improved to a greater extent over time (F[2, 46] 5 75.6, p <.001). Conclusion Patients with Zones V and VI extensor tendon injuries treated with the EAM protocol recovered range of motion more rapidly. Permalink : ./index.php?lvl=notice_display&id=14019

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Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome / Barbara HALL in American Journal of Occupational Therapy, Vol. 67/4 (juillet-aout 2013)

Public ISBD [article]  inAmerican Journal of Occupational Therapy > Vol. 67/4 (juillet-aout 2013) . - p. 448-459 Titre : Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome : a randomized controlled trial Type de document : texte imprimé Auteurs : Barbara HALL ; Hoe LEE ; Helen FITZGERALD Année de publication : 2013 Article en page(s) : p. 448-459 Langues : Anglais (eng) Mots-clés : Attelle  Poignet  Canal carpien  Education patient  Ergothérapie Résumé : This study investigated the effects of wearing a wrist support splint for 8 wk and receiving a formal education program on patients with carpal tunnel syndrome (CTS), as well as factors associated with patients' desire to seek surgical intervention. Participants were recruited from a hospital surgical wait list and randomly assigned to an intervention group (n = 30) or a control group (n = 24). Significant improvements in measures of symptom severity and functional status over the duration of the study appeared in the intervention group but not in the control group. Logistic regression for the intervention group showed that symptom severity (odds ratio [OR] = 1.53, 95% confidence interval [CI] [1.20-1.93]), functional deficits (OR = 1.31, 95% CI [1.08-1.57]), pain score (OR = 1.25, 95% CI [1.11-1.61]), and symptom duration (OR = 1.11, 95% CI [1.01-1.24]) were positively associated with the desire to seek surgical intervention. This conservative CTS treatment program conducted by occupational therapists can improve symptoms and hand function in CTS patients. Permalink : ./index.php?lvl=notice_display&id=14133 [article] Investigating the effectiveness of full-time wrist splinting and education in the treatment of carpal tunnel syndrome : a randomized controlled trial [texte imprimé] / Barbara HALL ; Hoe LEE ; Helen FITZGERALD . - 2013 . - p. 448-459. Langues : Anglais (eng) in American Journal of Occupational Therapy > Vol. 67/4 (juillet-aout 2013) . - p. 448-459 Mots-clés : Attelle  Poignet  Canal carpien  Education patient  Ergothérapie Résumé : This study investigated the effects of wearing a wrist support splint for 8 wk and receiving a formal education program on patients with carpal tunnel syndrome (CTS), as well as factors associated with patients' desire to seek surgical intervention. Participants were recruited from a hospital surgical wait list and randomly assigned to an intervention group (n = 30) or a control group (n = 24). Significant improvements in measures of symptom severity and functional status over the duration of the study appeared in the intervention group but not in the control group. Logistic regression for the intervention group showed that symptom severity (odds ratio [OR] = 1.53, 95% confidence interval [CI] [1.20-1.93]), functional deficits (OR = 1.31, 95% CI [1.08-1.57]), pain score (OR = 1.25, 95% CI [1.11-1.61]), and symptom duration (OR = 1.11, 95% CI [1.01-1.24]) were positively associated with the desire to seek surgical intervention. This conservative CTS treatment program conducted by occupational therapists can improve symptoms and hand function in CTS patients. Permalink : ./index.php?lvl=notice_display&id=14133

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