title: A prospective randomized controlled trial of controlled passive mobilization vs. place and active hold exercises after zone 2 flexor tendon repair.
abstract: OBJECTIVE
  The rehabilitation program after flexor tendon repair of zone II laceration varies. We designed a Prospective Randomized Controlled Trial of controlled passive mobilization (modified Kleinert) vs. Place and active hold exercises after zone 2-flexor tendon repair by two-strand suture (Modified kessler).
  
  
  METHODS
  Sixty-four fingers in 54 patients with zone 2 flexor tendon modified Kessler repairs were enrolled in a prospective randomized controlled trial comparing place and active hold exercises to controlled passive mobilization (modified Kleinert). The primary outcome measure was total active motion eight weeks after repair as measured by an independent and blinded therapist.
  
  
  RESULTS
  Patients treated with place and active hold exercises had significantly greater total active motion (146) eight weeks after surgery than patients treated with controlled passive mobilization (114) (modified Klinert). There were no ruptures in either group.
  
  
  CONCLUSIONS
  Place and hold achieves greater motion than controlled passive mobilization after a two-strand repair for zone 2 flexor tendon repairs.
authors.affiliation: Department of Occupational Therapy, The University of Social Welfare and Rehabilitation Sciences, Evin, Tehran, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Farzad
authors.forename: Fereydoun
authors.initials: F
authors.lastname: Layeghi
authors.forename: Ali
authors.initials: A
authors.lastname: Asgari
authors.forename: David C
authors.initials: DC
authors.lastname: Ring
authors.forename: Masoud
authors.initials: M
authors.lastname: Karimlou
authors.forename: S Ali
authors.initials: SA
authors.lastname: Hosseini
mesh_terms: D000293:Adolescent; D000328:Adult; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D022125:Lacerations / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D019637:Orthopedic Procedures / Q000534:rehabilitation*; D011446:Prospective Studies; D020127:Recovery of Function; D013708:Tendon Injuries / Q000534:rehabilitation* / Q000601:surgery / Q000628:therapy; D013710:Tendons / Q000601:surgery*; D055815:Young Adult