The use of a passive motion machine in the postoperative rehabilitation of Dupuytren's disease.
The purpose of this study was to prospectively compare the postoperative use of passive motion (PM) and standard hand therapy after surgical treatment of Dupuytren's disease for extent and rate of recovery of joint motion. Our data indicate that metacarpophalangeal joint contractures improved completely to a mean of 0 degrees, regardless of the postoperative protocol. Contractures at the proximal interphalangeal joint showed incomplete recovery in both study groups, with a mean residual contracture of 28 degrees for PM patients and 38 degrees for control patients. Contractures of the metacarpophalangeal-proximal interphalangeal joints in the same finger showed complete metacarpophalangeal joint recovery to a mean of 0 degrees but incomplete proximal interphalangeal joint recovery with a mean residual contracture of 30 degrees in PM patients and 22 degrees in control patients. We conclude that the use of a PM machine in the rehabilitation of Dupuytren's disease does not offer an advantage in the postoperative management of this condition.
Sampson
S P
SP
Department of Orthopaedics, State University of New York, Stony Brook 11794-8181.
Badalamente
M A
MA
Hurst
L C
LC
Dowd
A
A
Sewell
C S
CS
Lehmann-Torres
J
J
Ferraro
M
M
Semon
B
B
D004387:Dupuytren Contracture / Q000503:physiopathology / Q000534:rehabilitation* / Q000601:surgery; D005260:Female; D005384:Finger Joint / Q000503:physiopathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D015915:Motion Therapy, Continuous Passive / Q000295:instrumentation*; D011184:Postoperative Period; D011446:Prospective Studies