title: Rehabilitation regimens following surgical repair of extensor tendon injuries of the hand-a systematic review of controlled trials.
abstract: There is no consensus on the most effective rehabilitation regimen following extensor tendon repair of the hand. This systematic review evaluates the outcomes of the various regimens. The Cochrane, MEDLINE, EMBASE, CINAHL, AMED, PEDro, OTseeker databases were searched for any prospective randomised clinical trials comparing rehabilitation regimens for acute extensor tendon injuries in adults. Five papers met the inclusion criteria. The regimens were static immobilisation, dynamic splinting and early active motion (EAM). There was no standard format of reporting. The sample size ranged from 27 to 100 patients. The duration of follow-up ranged from 8 to 24 weeks. Overall, patients' total active motion improved with time. Early mobilisation regimens (active and passive) achieve quicker recovery of motion than static immobilisation but the long-term outcome appears similar. Given the comparable outcomes between dynamic splinting and EAM, we therefore favour EAM which is simpler and more convenient.
authors.affiliation: Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, Wigan, Lancashire, WN6 9EP UK.
authors.forename: Chye Yew
authors.initials: CY
authors.lastname: Ng
authors.forename: Joelle
authors.initials: J
authors.lastname: Chalmer
authors.forename: Duncan J M
authors.initials: DJ
authors.lastname: Macdonald
authors.forename: Saurabh S
authors.initials: SS
authors.lastname: Mehta
authors.forename: David
authors.initials: D
authors.lastname: Nuttall
authors.forename: Adam C
authors.initials: AC
authors.lastname: Watts
keywords: Dynamic splinting; Early active motion; Early passive motion; Extensor tendon; Immobilisation; Rehabilitation