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KMID : 0361420110350060880
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Journal of Korean Academy of Rehabilitation Medicine
2011 Volume.35 No. 6 p.880 ~ p.886
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Effects of Modified Dynamic Metacarpophalangeal Joint Flexion Orthoses after Hand Burn
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Choi Ji-Soo
Mun Jeong-Hyeon
Lee Ju-Youn
Jeon Jong-Hyun
Jung Yun-Jae
Seo Cheong-Hoon
Jang Ki-Un
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Abstract
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Objective: To assess the effectiveness of modified dynamic metacarpophalangeal joint flexion orthoses for treatment of post-burn hand contractures.
Method: We enrolled 42 hand burn patients with limited range of motion at the metacarpophalangeal joints in this study. The patients were randomly assigned into either a control or an orthotic group. Both groups received the standard rehabilitation therapy focused on hand therapy; 21 subjects in the orthotic group wore a splint for 3 hours per day for 8 weeks. Hand function was measured by active range of motion, grip strength and other assessment tools. All parameters were estimated using the Mann-Whitney U test at the beginning and the end of the treatment after 8 weeks.
Results: The 21 subjects that had an orthotic intervention showed signifi cant improvement in the range of motion at 2nd, 3rd, 4th and 5th metacarpophalangeal joints (p<0.05). However, the grip strength was not significantly increased after the 8 weeks of treatment compared to control group (p>0.05). Th ere was a significant difference in the hand function scales between the 2 groups (p<0.05).
Conclusion: The modified dynamic metacarpophalangeal joint flexion orthoses provide continuous flexion to metacarpophalangeal joint that is needed for the restoration of range of motion in post-burn hand contractures. For the clinical application of hand orthoses in patients with hand disorders, additional research into its aff ects are required.
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KEYWORD
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Hand deformities, Acquired, Orthotic devices, Rehabilitation, Burns
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