Strickland “Indianapolis” method –
Uses two splints – One for rest. One for active exercise.
Splint for rest –
- Dorsal blocking splint – wrist in 20-30° flexion, MCPJ – 50° flexion, IPJ – neutral
Splint for exercise –
- Tenodesis splint – has a hinge @ wrist joint allowing extension of wrist. Extension of wrist causes passive flexion of fingers.
0-4 weeks –
- Exercise –
- Extend the wrist leading to passive composite fist à hold for 5 seconds
- Do this 25 times per hour while awake.
4-5 weeks –
- Active digital flexion and extension with dorsal blocking splint.
- Tenodesis splint is discontinued.
5-6 weeks –
- Active composite fist f/b active extension of wrist and digits.
- Active IP flexion with MCPJ extension f/b full digital extension
6-7 weeks –
- Blocking exercises if active tip to distal palmar crease is >3cm
8-14 weeks –
- Progressive resistive exercise.
14 weeks –
- Unrestricted use of hand.