Rehabilitation following tendon repairs

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

Kleinert protocol-

  • 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.

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