title: Cross-frictional therapy and stretching for the treatment of palmar adhesions due to Dupuytren's contracture: a prospective case study.
abstract: OBJECTIVE
  To examine the potential for treatment of palmar adhesions associated with Dupuytren's contracture using instrument-assisted cross-frictional massage (CFM) and stretching.
  
  
  METHODS
  This was a prospective case study. The primary intervention consisted of a 2-min multi-planar CFM over the affected area of the palm, followed by a 2-min maximal finger-extension stretch.
  
  
  RESULTS
  Following eight weeks of treatment there were increases in both passive and active extension range of motion of the digits, reduction in the visibility of palmar adhesions, and subjective improvements in hand function.
  
  
  CONCLUSIONS
  This treatment protocol may offer a substitute for the current invasive surgical and injection procedures that are available.
authors: Canadian Memorial Chiropractic College, 6100 Leslie Street, Toronto, ON M2H 3J1, Canada.
authors: W Scott
authors: WS
authors: Christie
authors: Aaron A
authors: AA
authors: Puhl
authors: Octavian Calin
authors: OC
authors: Lucaciu
mesh_terms: D000328:Adult; D004387:Dupuytren Contracture / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008405:Massage / Q000379:methods*; D026201:Musculoskeletal Manipulations / Q000379:methods*; D053401:Palmar Plate / Q000503:physiopathology*; D011446:Prospective Studies; D016059:Range of Motion, Articular / Q000502:physiology*; D000267:Tissue Adhesions / Q000209:etiology / Q000503:physiopathology; D016896:Treatment Outcome