Rehabilitation following tendon repair
BY: Dr Kamlesh Kumar
Passive motion protocols –
- Kleinert protocol
- Duran & Houser protocol
Active motion protocols –
- Belfast regimen
Active – passion motion protocol –
- Strickland Indianapolis method
- Nantong regimen
- Splint – Dorsal blocking splint
- Wrist – 30-40° flexion
- MCPJ – 50-70° flexion
- IPJ – allowed full extension
- Rubber band attached to volar forearm.
- Patient actively extends fingers, rubber band passively flexes fingers.
- Modification – placing palmar bar @ MCPJ to act as pulley. (to prevent flexion contracture of fingers)
- In night – rubber band are removed and finger splinted in extension.
0-4 weeks –
- Hourly active extension of finger to limit of splint and passive flexion with elastic traction only
4-6 weeks –
- Dorsal protective splint discontinued. Night protective splint given.
- Active wrist and gentle active fisting.
6-8 weeks –
- Progressive resistive exercise.