Observation of the effect of finger blocking exercises on the rehabilitation of adhesions after rupture of 2-5 finger flexor tendon in zone II
LIN Xiaoke1, LIN Jingjing1, NI Xiao2, LI Haiyan1.
1.Department of Rehabilitation, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015, China;2.Department of Hand Surgery, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325015,China
LIN Xiaoke,LIN Jingjing,NI Xiao, et al. Observation of the effect of finger blocking exercises on the rehabilitation of adhesions after rupture of 2-5 finger flexor tendon in zone II[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2022, 52(1): 41-46.
Abstract：Objective: To investigate the effect of blocking exercises on the rehabilitation of adhesions after rupture of 2-5 finger flexor tendon in zone II. Methods: Forty-three patients with adhesions after repairing the rupture of the flexor tendon zone II of the hand 2-5 fingers were selected and divided into 21 cases (33 fingers) in the observation group and 22 cases (36 fingers) in the control group according to the random number method. On the basis of conventional rehabilitation treatment, the observation group received finger blocking exercises, and the control group received conventional active finger flexion and extension training for 7 weeks. The total active motion (TAM) of the finger joints, the disability of arm shoulder and hand (DASH), and the pinch force of the affected finger to the thumb were evaluated and the comparison was calculated. Results: There was no significant difference between the two groups of patients in TAM and DASH before treatment. After treatment, the excellent and good rate of the observation group was 84.8% (28/33), and the excellent and good rate of the control group was 52.8% (19/36), the difference was statistically significant (χ2=8.757, P<0.05). Observation group TAM is 232.73°±28.87°, PIP is 74.36°±13.57°, DIP is 69.39°±15.20°, control group TAM is 192.75°±35.47°, PIP is 55.75°±17.13°, DIP is 47.78°±18.51°, the difference was statistically significant (P<0.05), the MP of the observation group was 88.97°±3.26°, and the MP of the control group was 89.22°±2.84°, the difference was not statistically significant (P>0.05). The DASH values of the observation group and the control group were lower than before treatment, and both were statistically significant (P<0.05). The DASH value of the observation group was lower than that of the control group, and the difference was statistically significant (P<0.05). The finger pinch force of the observation group was (6.85±2.12) Lbs, and the finger pinch force of the control group was (5.40±1.70) Lbs, and the difference was statistically significant (P<0.05). The percentage of finger pinch force in the observation group was (82.07±7.43)%, and the percentage of finger pinch force in the control group was (70.22±7.92)%. There were statistical differences between the two groups (t=6.400, P=0.001). Conclusion: Finger blocking exercises can significantly improve the active range of motion and finger pinching force of patients with adhesions after 2-5 finger flexor tendon rupture in zone II, and effectively improve the upper limb function of patients. The treatment effect is good.
