Rehabilitation following tendon repairs

Duran and Houser protocol –

• Does not uses rubber band.
• Splint – dorsal blocking splint. Wrist – 20° flexion, MCPJ – 50° flexion, IPJ – full extension

0-4.5 weeks-

• 10 passive DIPJ extension with MCPJ & PIPJ flexion
• 10 passive PIPJ extension with MCPJ & DIPJ flexion.
• Done hourly.

4.5 – 5.5 weeks –

• Splint replaced by wrist cuff with elastic flexion traction from fingernail to cuff.
• Exercise to be done as described above.

5.5 – 7.5 weeks –

• Wrist cuff discontinued.
• Blocking and fisting exercises started.

7.5 week –

• Light resistive exercise.

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